Pfeifer Ann-Christin, Uddin Riaz, Schröder-Pfeifer Paul, Holl Felix, Swoboda Walter, Schiltenwolf Marcus
Department of Orthopedics, Trauma Surgery and Paraplegiology, Heidelberg University Hospital, Schlierbacher Landstr. 200a, D-69118 Heidelberg, Germany.
Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Victoria 3220, Australia.
J Clin Med. 2020 Nov 5;9(11):3557. doi: 10.3390/jcm9113557.
Chronic pain is one of the major causes of disability in the general population. Even though there are effective treatment options available for reducing symptoms, these treatments often do not have consistent lasting effects. As the usage of mobile devices has increased enormously during the last few years, mobile application-based treatment options are widespread. Such app-based programs are not yet empirically proven but might enable patients to become more independent in their pain management in order to prevent relapse. The aim of this meta-analysis was to summarize the literature on mobile application-based interventions for chronic pain patients. Therefore, three electronic bibliographic databases, PubMed, PsycINFO, and Web of Science, were searched for studies that investigated the effectiveness of mobile application-based intervention for chronic pain on pain intensity. The final sample comprised twenty-two studies, with a total of 4679 individuals. Twelve of these twenty-two studies used a randomized control trial (RCT) design, while ten studies only used an observational design. For all twenty-two studies, a small but significant effect ( = -0.40) was found when compared to baseline measures or control groups. The results suggest that apps-based treatment can be helpful in reducing pain, especially in the long-term.
慢性疼痛是普通人群致残的主要原因之一。尽管有有效的治疗方法可减轻症状，但这些治疗往往没有持续一致的效果。在过去几年中，随着移动设备的使用大幅增加，基于移动应用程序的治疗方法广泛存在。这类基于应用程序的项目尚未得到实证验证，但可能使患者在疼痛管理方面更加独立，以防止复发。本荟萃分析的目的是总结有关针对慢性疼痛患者的基于移动应用程序干预措施的文献。因此，在三个电子文献数据库（PubMed、PsycINFO和Web of Science）中检索了调查基于移动应用程序的干预措施对慢性疼痛患者疼痛强度有效性的研究。最终样本包括22项研究，共4679名个体。这22项研究中有12项采用了随机对照试验（RCT）设计，而10项研究仅采用了观察性设计。与基线测量或对照组相比，在所有22项研究中均发现了小但显著的效果（=-0.40）。结果表明，基于应用程序的治疗有助于减轻疼痛，尤其是长期来看。
