Departments of Pediatric Psychology and Pediatric Pain and Palliative Medicine, Helen deVos Children's Hospital , Grand Rapids, MI, USA.
Department of Pediatrics and Human Development, Michigan State University College of Human Medicine , East Lansing, MI, USA.
Expert Rev Neurother. 2020 Nov;20(11):1177-1187. doi: 10.1080/14737175.2020.1819792. Epub 2020 Sep 23.
Chronic pain conditions are common among children and engender cascading effects across social, emotional, and behavioral domains for the child and family. Mobile health (mHealth) describes the practice of delivering healthcare via mobile devices and may be an ideal solution to increase access and reach of evidence-based behavioral health interventions.
The aim of this narrative review is to present a state-of-the-art overview of evidence-based mHealth efforts within the field of pediatric chronic pain and consider new and promising directions for study. Given the nascent nature of the field, published mHealth interventions in all stages of development are discussed. Literature was identified through a non-systematic search in PubMed and Google Scholar, and a review of reference lists of papers that were identified as particularly relevant or foundational (within and outside of the chronic pain literature).
mHealth is a promising interventional modality with early evidence suggesting it is primed to enhance behavioral health delivery and patient outcomes. There are many exciting future directions to be explored including drawing inspiration from digital health technology to generate new ways of thinking about the optimal treatment of pediatric chronic pain.
慢性疼痛疾病在儿童中很常见,会给儿童及其家庭的社会、情感和行为等各个领域带来连锁反应。移动医疗(mHealth)是指通过移动设备提供医疗保健的实践,它可能是增加基于证据的行为健康干预措施的可及性和覆盖面的理想解决方案。
本叙述性综述旨在介绍儿科慢性疼痛领域基于证据的移动医疗的最新进展,并考虑该领域新的有前景的研究方向。鉴于该领域的新兴性质,讨论了处于所有开发阶段的已发表移动医疗干预措施。文献是通过在 PubMed 和 Google Scholar 中进行非系统性搜索以及查阅被认为特别相关或基础的论文的参考文献列表(在慢性疼痛文献内外)确定的。
移动医疗是一种很有前途的干预方式,早期证据表明,它很有可能增强行为健康服务的提供和患者的治疗效果。未来有许多令人兴奋的发展方向值得探索,包括从数字健康技术中汲取灵感,为儿科慢性疼痛的最佳治疗方法提供新的思路。