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针对慢性疼痛青少年的数字疗法的开发、实施与评估:一项多阶段研究方案

Development, implementation and evaluation of a digital treatment for adolescents with chronic pain: a protocol for a multi-phase study.

作者信息

Miró Jordi, Sampietro Ariadna, Monterde Sonia, Ingelmo Pablo, Wicksell Rikard K, Nolla Carme, Alonso Mercedes, Lázaro Juan José, Martínez Ernesto, Rubio Paloma, Sánchez Armando, Sánchez Vanessa, Vázquez Alvaro, de la Vega Rocío, Reinoso-Barbero Francisco

机构信息

Unit for the Study and Treatment of Pain-ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira I Virgili, Tarragona, Spain.

Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira I Virgili, Tarragona, Spain.

出版信息

Front Digit Health. 2025 Jun 4;7:1555733. doi: 10.3389/fdgth.2025.1555733. eCollection 2025.

DOI:
10.3389/fdgth.2025.1555733
PMID:40534825
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12174134/
Abstract

UNLABELLED

Chronic pain in adolescents is an increasing public health concern with a significant physical, psychological, and social impact. This study aims to develop, implement, and evaluate DigiDOL-Ad, a digital psychosocial treatment for adolescents with chronic pain, supplemented by dedicated websites for their parents and teachers. This multicenter study will be conducted in four phases: (1) Development of the intervention framework and foundational planning; (2) Focus groups with adolescents with chronic pain, their parents, teachers, healthcare professionals and health authorities to identify specific needs and tailor the psychosocial treatment and related components; (3) Iterative usability testing of the digital treatment, using an a hermeneutical circle methodology to refine the design based on participant feedback; and (4) Evaluation of DigiDOL-Ad through a pre-treatment, post-treatment, and 3-month follow-up assessment. DigiDOL-Ad has the potential to improve the quality of life for adolescents with chronic pain. By leveraging digital health technologies, this innovative approach could establish a new benchmark for treating adolescents with chronic pain, emphasizing interdisciplinary and stakeholder-driven care.

CLINICAL TRIAL REGISTRATION

clinicaltrials.gov, identifier NCT06765200.

摘要

未标注

青少年慢性疼痛是一个日益受到关注的公共卫生问题,对身体、心理和社会都有重大影响。本研究旨在开发、实施和评估DigiDOL-Ad,这是一种针对青少年慢性疼痛的数字心理社会治疗方法,并为其父母和教师提供专门的网站作为补充。这项多中心研究将分四个阶段进行:(1)制定干预框架和基础规划;(2)与患有慢性疼痛的青少年、他们的父母、教师、医疗保健专业人员和卫生当局进行焦点小组讨论,以确定具体需求并调整心理社会治疗及相关组成部分;(3)使用诠释循环方法对数字治疗进行迭代可用性测试,根据参与者的反馈优化设计;(4)通过治疗前、治疗后和3个月随访评估对DigiDOL-Ad进行评估。DigiDOL-Ad有潜力改善患有慢性疼痛青少年的生活质量。通过利用数字健康技术,这种创新方法可为治疗患有慢性疼痛的青少年树立新的标杆,强调跨学科和利益相关者驱动的护理。

临床试验注册

clinicaltrials.gov,标识符NCT06765200。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/bb65f2301d0c/fdgth-07-1555733-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/cf1843dcfcce/fdgth-07-1555733-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/f1c9641985ff/fdgth-07-1555733-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/bb65f2301d0c/fdgth-07-1555733-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/cf1843dcfcce/fdgth-07-1555733-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/f1c9641985ff/fdgth-07-1555733-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3038/12174134/bb65f2301d0c/fdgth-07-1555733-g003.jpg

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本文引用的文献

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Unwanted or negative treatment reactions in digital psychological interventions for adolescents with chronic pain.针对患有慢性疼痛的青少年的数字心理干预中出现的不良或负面治疗反应。
J Pediatr Psychol. 2024 Dec 16. doi: 10.1093/jpepsy/jsae099.
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Pediatric pain physician workforce: an assessment of supply and demand.儿科疼痛科医生人力:供需评估
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Digital therapeutics and behavioral chronic pain management: closing the gap between innovation and effective use.
数字疗法与慢性疼痛行为管理:弥合创新与有效应用之间的差距。
Pain. 2025 Mar 1;166(3):475-480. doi: 10.1097/j.pain.0000000000003348. Epub 2024 Aug 1.
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The prevalence of chronic pain in children and adolescents: a systematic review update and meta-analysis.儿童和青少年慢性疼痛的患病率:系统评价更新与荟萃分析
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Updated recommendations on measures for clinical trials in pediatric chronic pain: a multiphase approach from the Core Outcomes in Pediatric Persistent Pain (Core-OPPP) Workgroup.儿科慢性疼痛临床试验措施的更新建议:来自儿科持续性疼痛核心结局(Core-OPPP)工作组的多阶段方法。
Pain. 2024 May 1;165(5):1086-1100. doi: 10.1097/j.pain.0000000000003105. Epub 2023 Dec 15.
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School bullying and peer relationships in children with chronic pain.慢性疼痛儿童中的校园欺凌与同伴关系。
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