Darnall Beth D, Edwards Karlyn A, Courtney Rena E, Ziadni Maisa S, Simons Laura E, Harrison Lauren E
Stanford Pain Relief Innovations Lab, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
Salem VA Health Care System, PREVAIL Center for Chronic Pain, Salem, VA, United States.
Front Pain Res (Lausanne). 2023 Jul 20;4:1223172. doi: 10.3389/fpain.2023.1223172. eCollection 2023.
Chronic pain is prevalent across the life span and associated with significant individual and societal costs. Behavioral interventions are recommended as the gold-standard, evidence-based interventions for chronic pain, but barriers, such as lack of pain-trained clinicians, poor insurance coverage, and high treatment burden, limit patients' ability to access evidenced-based pain education and treatment resources. Recent advances in technology offer new opportunities to leverage innovative digital formats to overcome these barriers and dramatically increase access to high-quality, evidenced-based pain treatments for youth and adults. This scoping review highlights new advances. First, we describe system-level barriers to the broad dissemination of behavioral pain treatment. Next, we review several promising new pediatric and adult pain education and treatment technology innovations to improve access and scalability of evidence-based behavioral pain treatments. Current challenges and future research and clinical recommendations are offered.
慢性疼痛在整个生命周期中普遍存在，并伴随着巨大的个人和社会成本。行为干预被推荐为慢性疼痛的金标准、循证干预措施，但诸如缺乏受过疼痛培训的临床医生、保险覆盖不足以及治疗负担高等障碍，限制了患者获取循证疼痛教育和治疗资源的能力。技术的最新进展提供了新的机会，可以利用创新的数字形式来克服这些障碍，并显著增加青少年和成年人获得高质量、循证疼痛治疗的机会。本范围综述突出了新进展。首先，我们描述行为疼痛治疗广泛传播的系统层面障碍。接下来，我们回顾了几种有前景的新的儿童和成人疼痛教育及治疗技术创新，以改善循证行为疼痛治疗的可及性和可扩展性。同时提出了当前的挑战以及未来的研究和临床建议。
