Physiotherapy, Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. E-mail:
J Rehabil Med. 2021 Apr 1;53(4):jrm00175. doi: 10.2340/16501977-2796.
To determine the effectiveness of a person-centred intervention, including advice on physical activity, for improving pain intensity, physical activity, and other health-related outcomes in persons with chronic widespread pain , when delivered with digital eHealth support compared with standard telephone follow-up.
Randomized controlled trial.
Individuals with chronic widespread pain (n = 139), aged 20-65 years, who had previously participated in a pain educational programme at primary healthcare units, were contacted during the period 2018-19 and randomized to an intervention group (n = 69) or an active control group (n = 70).
Together with a physiotherapist, participants in both groups developed person-centred health plans for physical activity. The intervention group was supported via a digital platform for 6 months. The active control group received support via one follow-up phone call. Primary outcome was pain intensity. Secondary outcomes were physical activity and other health-related outcomes.
No significant differences were found between the groups after 6 months, except for a significant decrease in global fatigue in the active control group compared with the intervention group.
Future development of interventions supporting persons with chronic pain to maintain regular exercise is warranted.
与标准电话随访相比,确定包括身体活动建议在内的以人为中心的干预措施在提供数字电子健康支持时对改善慢性广泛性疼痛患者的疼痛强度、身体活动和其他健康相关结果的有效性。
随机对照试验。
年龄在 20-65 岁之间、曾在初级保健单位参加过疼痛教育计划的慢性广泛性疼痛患者(n=139),于 2018-19 年期间联系并随机分为干预组(n=69)或主动对照组(n=70)。
两组患者均与物理治疗师一起制定针对身体活动的以人为中心的健康计划。干预组在 6 个月内通过数字平台获得支持。主动对照组通过一次随访电话获得支持。主要结局为疼痛强度。次要结局为身体活动和其他健康相关结局。
6 个月后,两组之间没有发现显著差异,除了主动对照组的总体疲劳感明显低于干预组。
需要进一步开发支持慢性疼痛患者保持规律运动的干预措施。