From the Pain Management Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Reg Anesth Pain Med. 2017 Jul/Aug;42(4):488-498. doi: 10.1097/AAP.0000000000000621.
This article provides a critical overview and best-evidence synthesis of the use of mobile health (mHealth) technology among persons with chronic pain and their health care providers and examines the future benefits and barriers of implementing mHealth technology in clinical care. We critically review articles about electronic pain diaries, pain assessment programs, text messaging, and smartphone pain apps for management of persons with pain. Also presented are findings on the utility of activity trackers and use of telehealth to deliver cognitive behavioral therapy. Finally, barriers, study gaps, and future challenges of incorporating mobile technology for chronic pain are discussed. Although the future of mHealth technology and telemedicine in clinical practice is promising, this critical review highlights the need for rigorous studies to establish an association of the use of mHealth technology with improved quality of life, functional autonomy, and decreased hospital use.
本文对慢性疼痛患者及其医疗保健提供者使用移动医疗（mHealth）技术进行了批判性回顾和最佳证据综合，并探讨了在临床护理中实施 mHealth 技术的未来收益和障碍。我们对关于电子疼痛日记、疼痛评估程序、短信和智能手机疼痛应用程序在疼痛管理中的应用的文章进行了批判性审查。还介绍了活动追踪器的效用以及使用远程医疗提供认知行为疗法的结果。最后，讨论了将移动技术纳入慢性疼痛治疗的障碍、研究差距和未来挑战。尽管移动医疗技术和远程医疗在临床实践中的未来前景广阔，但这一批判性回顾强调了需要进行严格的研究，以确定使用移动医疗技术与提高生活质量、功能自主性和减少医院使用之间的关联。
