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慢性疼痛的数字疗法:电子健康干预的简要元综述——当前证据与未来方向。

Digital approaches to chronic pain: A brief meta-review of eHealth interventions - Current evidence and future directions.

作者信息

Bartels Sara Laureen, Pelika Angeliki, Taygar Afra S, Wicksell Rikard K

机构信息

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Psychiatry and Neuropsychology, Mental Health and Neuroscience Research Institute, Maastricht University, Maastricht, the Netherlands.

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

出版信息

Curr Opin Psychol. 2025 Apr;62:101976. doi: 10.1016/j.copsyc.2024.101976. Epub 2024 Dec 12.

Abstract

Digital approaches to chronic pain are emerging worldwide and rapidly gaining increased empirical support. This brief meta-review aims at providing a comprehensive overview of evidence and recommendations reported in recent reviews (2023-2024) on eHealth interventions for chronic pain promoting self-management. A systematic search provided 2041 records, of which 225 reviews were screened and 20 were synthesized. Existing reviews show that eHealth interventions for chronic pain are beneficial for patients, healthcare professionals, and society at large. However, long-term effects, change mechanisms, cost-effectiveness, and real-world utility are understudied. Moreover, quality, safety, relevance, and sustainable use are key targets for future research. Future researchers should utilize existing implementation frameworks and make explicit efforts to include diverse patient populations to advance digital approaches to chronic pain.

摘要

慢性疼痛的数字疗法正在全球兴起,并迅速获得越来越多的实证支持。本简要的元综述旨在全面概述近期(2023 - 2024年)关于促进自我管理的慢性疼痛电子健康干预措施的综述中所报告的证据和建议。系统检索得到2041条记录,其中筛选了225篇综述,综合了20篇。现有综述表明,慢性疼痛的电子健康干预措施对患者、医疗专业人员和整个社会都有益。然而,长期效果、改变机制、成本效益和实际效用的研究还不足。此外,质量、安全性、相关性和可持续使用是未来研究的关键目标。未来的研究人员应利用现有的实施框架,并明确努力纳入不同的患者群体,以推进慢性疼痛的数字疗法。

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