会话代理支持疼痛管理:范围审查

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Filipe L. Souza, Hannah Bowman, Francis Yang, Negin Hesam-Shariati, Jackson Linke, Yannick L. Gilanyi, Matthew D. Jones, Rafael Z-Pinto, James H. McAuley, Rodrigo R. N. Rizzo
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引用次数: 0

摘要

背景:在全球范围内,与疼痛相关的疾病是导致残疾的主要原因。管理疼痛提出了重大挑战,包括需要解决多种生物心理社会因素和提供循证治疗的困难。数字卫生技术,如对话代理,为个性化和可访问的疼痛管理提供了潜力。然而,这些干预措施的特点和有效性尚未完全了解。本综述旨在全面评估会话代理在成人(即有疼痛风险的健康个体、正在经历疼痛的个体和参与疼痛管理的医疗保健提供者或学生)中支持疼痛管理的应用和有效性。方法系统地检索6个数据库(medline PubMed, ACM数字图书馆,CINAHL, Embase, PsycINFO, Cochrane central)和5个试验注册中心。结果纳入28项研究,重点是获取健康信息(n = 8),提供情感支持(n = 7),促进坚持自我管理练习(n = 6),提供心理治疗(n = 5),提供组织支持(n = 1)和教育医疗保健提供者(n = 1)。这些研究涉及以疼痛为中心或常见症状的疾病,包括痴呆(n = 7)、癌症(n = 5)和肌肉骨骼疾病(n = 4)等。市场上没有一种对话代理涵盖了翻译研究建议的所有四个阶段(开发、可行性、有效性和实施)。结论会话代理在疼痛管理中的应用相对较新,具有多种应用前景。然而,支持它们在改善疼痛相关结果方面的有效性的证据仍然有限且不一致。未来的研究应优先考虑可行性、可靠性和用户体验研究,以告知稳健随机对照试验的设计。意义:本综述全面考察了会话代理(ca)在成人疼痛管理中的应用。该研究确定了ca支持疼痛管理的六种应用,并强调缺乏高质量的随机对照试验,特别是那些在开发和可行性研究之前的试验。临床医生和研究人员可以利用这些见解来指导未来的研究,并改进ca在疼痛管理中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Conversational Agents to Support Pain Management: A Scoping Review

Conversational Agents to Support Pain Management: A Scoping Review

Background

Pain-related conditions are the leading cause of years lived with disability globally. Managing pain presents significant challenges, including the need to address multiple biopsychosocial factors and the difficulty in delivering evidence-based treatments. Digital health technologies, such as conversational agents, offer the potential for personalised and accessible pain management. However, the characteristics and effectiveness of these interventions are not yet fully understood. This scoping review aims to comprehensively evaluate the applications and effectiveness of conversational agents in supporting pain management in adults (i.e., healthy individuals at risk of developing pain, individuals currently experiencing pain and healthcare providers or students involved in managing pain conditions).

Methods

Searches were systematically conducted across six databases—MEDLINE PubMed, ACM Digital Library, CINAHL, Embase, PsycINFO, Cochrane CENTRAL—and five trial registries from inception.

Results

Twenty-eight studies were included, focusing on capturing health information (n = 8), providing emotional support (n = 7), facilitating adherence to self-management exercises (n = 6), delivering psychological treatment (n = 5), offering organisational support (n = 1) and educating healthcare providers (n = 1). These studies addressed conditions with pain as a central or common symptom, including dementia (n = 7), cancer (n = 5) and musculoskeletal disorders (n = 4), among others. None of the conversational agents on the market covered all four stages recommended for translational research (development, feasibility, effectiveness and implementation).

Conclusion

The use of conversational agents in pain management is relatively new and involves diverse and promising appllications. However, evidence supporting their effectiveness in improving pain-related outcomes remains limited and heterogeneous. Future reseacrh should prioritise feasibility, reliability, and user experience studies to inform the design of robust randomised controlled trials.

Significance

This scoping review comprehensively examines the use of conversational agents (CAs) in adult pain management. The study identified six applications of CAs to support pain management and highlights a lack of high-quality randomised controlled trials, particularly those preceded by development and feasibility studies. Clinicians and researchers can use these insights to guide future studies and improve applications of CAs in pain management.

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来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
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