School of Nursing, University of Notre Dame Australia, Sydney, NSW, Australia.
Graduate School of Health, Sydney, NSW, Australia.
Pain Med. 2020 Apr 1;21(4):686-694. doi: 10.1093/pm/pnz218.
BACKGROUND: Chronic arthritic pain is one of the major causes of physical suffering and disability among older people. Primary care and allied health clinicians use various approaches to help their older clients better manage their arthritic pain. The growing uptake of technology among older people offers the potential for clinicians to integrate an arthritic pain app into their patients' self-management plans. This study explored the perspectives of Australian primary care and allied health clinicians regarding the use of pain self-management apps to help their older patients/clients better manage their arthritic pain. METHODS: Qualitative design using a semistructured interview approach. Interviews were conducted via telephone with primary and allied health clinicians (N = 17) across Australia. RESULTS: The overarching theme underlying participants' views on integration of apps into older people's pain self-management strategy was that this approach is an idealistic but uniquely challenging endeavor. Four subthemes emerged, namely: 1) self-management apps are a potentially useful tool but require careful consideration; 2) clinicians' involvement is crucial yet potentially onerous; 3) no single app is right for every older person with arthritic pain; and 4) patient data access is beneficial, but caution is needed for real-time data access. DISCUSSION: The predominant clinician perspective of integrating apps into their older patients/clients' pain self-management strategies was that this approach is an idealistic but uniquely challenging endeavor. Apps were seen as having potential to support various aspects of patients' self-management behaviors; however, there were notable concerns with regards to the challenges inherent in this approach for both clinicians and older users (patients/clients).
背景:慢性关节炎疼痛是老年人身体痛苦和残疾的主要原因之一。初级保健和联合健康临床医生采用各种方法来帮助他们的老年患者更好地管理关节炎疼痛。老年人对技术的接受程度不断提高,为临床医生将关节炎疼痛应用程序整合到患者的自我管理计划中提供了潜力。本研究探讨了澳大利亚初级保健和联合健康临床医生对使用疼痛自我管理应用程序帮助老年患者/客户更好地管理关节炎疼痛的看法。 方法:使用半结构化访谈方法的定性设计。通过电话对澳大利亚各地的初级和联合健康临床医生(N=17)进行了访谈。 结果:参与者对将应用程序整合到老年人疼痛自我管理策略中的观点的总体主题是,这种方法是一种理想主义但极具挑战性的努力。出现了四个子主题,即:1)自我管理应用程序是一种潜在有用的工具,但需要仔细考虑;2)临床医生的参与至关重要,但可能很繁重;3)没有一个应用程序适合每个患有关节炎疼痛的老年人;4)患者数据访问是有益的,但对于实时数据访问需要谨慎。 讨论:将应用程序整合到他们的老年患者/客户的疼痛自我管理策略中的临床医生的主要观点是,这种方法是一种理想主义但极具挑战性的努力。应用程序被认为具有支持患者自我管理行为各个方面的潜力;然而,临床医生和老年用户(患者/客户)都对这种方法固有的挑战表示关注。
Arch Gerontol Geriatr. 2020-5-16
JMIR Mhealth Uhealth. 2019-2-12
BMC Health Serv Res. 2019-9-6
Disabil Rehabil Assist Technol. 2024-11
Curr Pain Headache Rep. 2022-8