Hunter John F, Kain Zeev N, Fortier Michelle A
Department of Psychological Science, University of California, Irvine, California.
Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, California.
Paediatr Anaesth. 2019 Feb;29(2):120-124. doi: 10.1111/pan.13547. Epub 2018 Dec 13.
The development and implementation of mobile health (mHealth) interventions provide an opportunity for more optimal management of pediatric pain in the home setting. Leveraging the popularity, mobility, and technological capabilities of digital mobile devices may reduce pediatric pain. Several mHealth applications have already been developed that target the reduction of acute and chronic pediatric pain by digitally delivering intervention strategies in an engaging manner, accumulating pain assessment data, facilitating patient-provider communication, and providing interactive training. Although several mHealth programs have begun to make strides in the management of pediatric pain, there are still many more possibilities for improvement as greater development and adoption of mHealth practices is on the horizon. Recommendations are provided that advocate for continued advancement of pediatric pain mHealth implementation with an emphasis on robust scientific evaluation, a structured approach to development and design elements that enhance engagement. Increased awareness about the positive influence of mHealth along with the encouragement of researchers and healthcare providers to promote and develop mHealth programs has the potential to transform pediatric pain management. This merger of evidence-based pain management strategies and digital technology positions pediatric mHealth to have a profound impact by effectively augmenting standard of care and benefiting healthcare providers, parents, and especially children in need.
移动健康（mHealth）干预措施的开发与实施为在家庭环境中更优化地管理儿童疼痛提供了契机。利用数字移动设备的普及性、移动性和技术能力可能会减轻儿童疼痛。已经开发了几种移动健康应用程序，通过以引人入胜的方式数字交付干预策略、积累疼痛评估数据、促进患者与提供者的沟通以及提供交互式培训，来减轻急性和慢性儿童疼痛。尽管一些移动健康项目已在儿童疼痛管理方面取得进展，但随着移动健康实践的进一步发展和采用，仍有更多改进的可能性。本文提出了相关建议，主张继续推进儿童疼痛移动健康实施，重点是进行有力的科学评估，采用结构化方法进行开发和设计以增强参与度。提高对移动健康积极影响的认识，鼓励研究人员和医疗保健提供者推广和开发移动健康项目，有可能改变儿童疼痛管理。基于证据的疼痛管理策略与数字技术的这种融合使儿童移动健康能够通过有效提升护理标准并使医疗保健提供者、家长，尤其是有需要的儿童受益，从而产生深远影响。
