Xu Wanli, Zhang Yiming, Wang Zequan, Dorsey Susan G, Starkweather Angela, Kim Kyounghae
University of Connecticut School of Nursing, Storrs, Connecticut, USA.
Center for Advancement in Managing Pain, University of Connecticut, Storrs, Connecticut, USA.
BMC Nurs. 2023 Jun 25;22(1):217. doi: 10.1186/s12912-023-01365-y.
Chronic low back pain can lead to individual suffering, high medical expenditures, and impaired social well-being. Although the role of physical activity in pain management is well established, the underlying mechanisms of biological and clinical outcomes are unknown. This study aimed to assess the feasibility and acceptability of a pain self-management intervention, Problem-Solving Pain to Enhance Living Well, which employs wearable activity tracking technology and nurse consultations for people with chronic low back pain.
This one-arm longitudinal study recruited 40 adults aged 18-60 years with chronic low back pain. Over 12 weeks, participants watched 10 short video modules, wore activity trackers, and participated in nurse consultations every 2 weeks. At baseline and the 12-week follow-up, they completed study questionnaires, quantitative sensory testing, and blood sample collection.
Forty participants were recruited, and their mean age was 29.8. Thirty-two participants completed the survey questionnaire, quantitative sensory testing, Fitbit activity tracker, and bi-weekly nurse consultation, and 25 completed the evaluation of biological markers. The overall satisfaction with the Problem-Solving Pain to Enhance Living Well video modules, nurse consultations, and Fitbit in pain management was rated as excellent. No adverse events were reported. Between the baseline and 12-week follow-up, there was a significant decrease in pain intensity and interference and an increase in the warm detection threshold at the pain site.
Despite concerns about the participant burden due to multidimensional assessment and intensive education, the feasibility of the Problem-Solving Pain to Enhance Living Well intervention was favorable. Technology-based self-management interventions can offer personalized strategies by integrating pain phenotypes, genetic markers, and physical activity types affecting pain conditions.
This pilot study was registered with ClinicalTrials.gov [NCT03637998, August 20, 2018]. The first participant was enrolled on September 21, 2018.
慢性下腰痛会给个人带来痛苦，导致高昂的医疗费用，并损害社会福祉。尽管体育活动在疼痛管理中的作用已得到充分证实，但其生物学和临床结果的潜在机制尚不清楚。本研究旨在评估一种疼痛自我管理干预措施“解决疼痛以提升生活质量”的可行性和可接受性，该措施采用可穿戴活动追踪技术并为慢性下腰痛患者提供护士咨询服务。
这项单臂纵向研究招募了40名年龄在18至60岁之间的慢性下腰痛成年人。在12周的时间里，参与者观看10个短视频模块，佩戴活动追踪器，并每2周参加一次护士咨询。在基线和12周随访时，他们完成研究问卷、定量感觉测试和血液样本采集。
招募了40名参与者，他们的平均年龄为29.8岁。32名参与者完成了调查问卷、定量感觉测试、Fitbit活动追踪器以及每两周一次的护士咨询，25名参与者完成了生物标志物评估。对“解决疼痛以提升生活质量”视频模块、护士咨询以及Fitbit在疼痛管理方面的总体满意度被评为优秀。未报告不良事件。在基线和12周随访之间，疼痛强度和干扰显著降低，疼痛部位的热检测阈值升高。
尽管担心多维评估和强化教育会给参与者带来负担，但“解决疼痛以提升生活质量”干预措施的可行性良好。基于技术的自我管理干预措施可以通过整合影响疼痛状况的疼痛表型、基因标记和体育活动类型来提供个性化策略。
这项试点研究已在ClinicalTrials.gov注册 [NCT03637998，2018年8月20日]。第一名参与者于2018年9月21日入组。
