PDF(Pubmed)
Abstract：
BACKGROUND: Chronic pain is a highly prevalent condition that requires multidisciplinary treatment. However, in the United Kingdom, access to specialist pain clinics where patients can receive medical multidisciplinary treatment is limited, and provision varies between health boards. As such, self-management of chronic pain using digital tools has been gaining traction recently, but evidence of its effectiveness from clinical-based trials focuses mainly on quantitative outcomes.
OBJECTIVE: This systematic review aims to identify, appraise, and synthesize qualitative evidence on patients\' experiences with digital health interventions (DHIs) for the management of chronic pain.
METHODS: This systematic review will consider qualitative and mixed methods studies that explore the experience of patients (aged 18 years and older) with chronic pain engaging in DHIs to manage their pain. MEDLINE Ovid, PubMed, Embase, CINAHL, PsycINFO, and Scopus databases will be searched for published studies. The systematic review will be conducted in accordance with the ENTREQ (Enhancing Transparency in Reporting the Synthesis of Qualitative Research) guidelines. Following the 3-step thematic synthesis methodology of Thomas and Harden, titles and abstracts will be screened by 2 independent reviewers (AM and HM), and a third reviewer (MI or FM) will resolve any conflict that arises before the full-text screening. The Critical Appraisal Skills Programme checklist tool will be used to critically appraise the included studies. The extracted data will be imported to NVivo (QSR International), where thematic synthesis will be used to derive analytical themes from the included studies.
RESULTS: Themes that encapsulate the patient experience will be identified from qualitative evidence, and these themes will shed light on the perceived benefits and disadvantages, usability, acceptability, and the overall impact digital tools can have on the lives of those with chronic pain.
CONCLUSIONS: This systematic review will identify, appraise, and synthesize the overall experience of patients engaging in DHI to manage a diverse range of chronic pain conditions. By elaborating the patient experience through qualitative analysis, the findings from this review will enhance our current understanding of the experiences of patients with chronic pain using digital tools for the self-management of their pain and highlight what person-centered elements are essential for future DHI development.
BACKGROUND: PROSPERO CRD42023445100; http://tinyurl.com/4z77khfs.
UNASSIGNED: DERR1-10.2196/52469.
OBJECTIVE: This systematic review aims to identify, appraise, and synthesize qualitative evidence on patients\' experiences with digital health interventions (DHIs) for the management of chronic pain.
METHODS: This systematic review will consider qualitative and mixed methods studies that explore the experience of patients (aged 18 years and older) with chronic pain engaging in DHIs to manage their pain. MEDLINE Ovid, PubMed, Embase, CINAHL, PsycINFO, and Scopus databases will be searched for published studies. The systematic review will be conducted in accordance with the ENTREQ (Enhancing Transparency in Reporting the Synthesis of Qualitative Research) guidelines. Following the 3-step thematic synthesis methodology of Thomas and Harden, titles and abstracts will be screened by 2 independent reviewers (AM and HM), and a third reviewer (MI or FM) will resolve any conflict that arises before the full-text screening. The Critical Appraisal Skills Programme checklist tool will be used to critically appraise the included studies. The extracted data will be imported to NVivo (QSR International), where thematic synthesis will be used to derive analytical themes from the included studies.
RESULTS: Themes that encapsulate the patient experience will be identified from qualitative evidence, and these themes will shed light on the perceived benefits and disadvantages, usability, acceptability, and the overall impact digital tools can have on the lives of those with chronic pain.
CONCLUSIONS: This systematic review will identify, appraise, and synthesize the overall experience of patients engaging in DHI to manage a diverse range of chronic pain conditions. By elaborating the patient experience through qualitative analysis, the findings from this review will enhance our current understanding of the experiences of patients with chronic pain using digital tools for the self-management of their pain and highlight what person-centered elements are essential for future DHI development.
BACKGROUND: PROSPERO CRD42023445100; http://tinyurl.com/4z77khfs.
UNASSIGNED: DERR1-10.2196/52469.
摘要：
背景：慢性疼痛是一种非常普遍的疾病，需要多学科治疗。然而,在英国,患者可以接受医学多学科治疗的专科疼痛诊所的访问是有限的，卫生委员会的拨款各不相同。因此，使用数字工具对慢性疼痛的自我管理最近越来越受欢迎，但临床试验的有效性证据主要集中在定量结果上.
目的：本系统综述旨在确定，评价,并综合患者使用数字健康干预（DHIs）治疗慢性疼痛的经验的定性证据。
方法：本系统综述将考虑定性和混合方法研究，探索患有慢性疼痛的患者（18岁及以上）参与DHIs管理疼痛的经验。MEDLINEOvid,PubMed,Embase,CINAHL,PsycINFO,和Scopus数据库将搜索已发表的研究。系统审查将根据ENTREQ（提高报告质量研究综合的透明度）准则进行。遵循托马斯和哈登的三步主题综合方法，标题和摘要将由2名独立审稿人(AM和HM)筛选，第三审稿人（MI或FM）将解决在全文筛选之前出现的任何冲突。关键评估技能计划清单工具将用于严格评估所包括的研究。提取的数据将导入到NVivo（QSRInternational），其中主题综合将用于从所包含的研究中得出分析主题。
结果：包含患者体验的主题将从定性证据中确定，这些主题将揭示感知到的好处和缺点，可用性，可接受性,以及数字工具对慢性疼痛患者生活的总体影响。
结论：本系统综述将确定，评价,并综合使用DHI的患者的总体经验，以管理各种慢性疼痛状况。通过定性分析阐述患者的经验，本综述的结果将增强我们目前对慢性疼痛患者使用数字工具进行疼痛自我管理的经验的理解,并强调哪些以人为本的要素对未来DHI的发展至关重要.
背景：PROSPEROCRD42023445100;http://tinyurl.com/4z77khfs。
■DERR1-10.2196/52469。
目的：本系统综述旨在确定，评价,并综合患者使用数字健康干预（DHIs）治疗慢性疼痛的经验的定性证据。
方法：本系统综述将考虑定性和混合方法研究，探索患有慢性疼痛的患者（18岁及以上）参与DHIs管理疼痛的经验。MEDLINEOvid,PubMed,Embase,CINAHL,PsycINFO,和Scopus数据库将搜索已发表的研究。系统审查将根据ENTREQ（提高报告质量研究综合的透明度）准则进行。遵循托马斯和哈登的三步主题综合方法，标题和摘要将由2名独立审稿人(AM和HM)筛选，第三审稿人（MI或FM）将解决在全文筛选之前出现的任何冲突。关键评估技能计划清单工具将用于严格评估所包括的研究。提取的数据将导入到NVivo（QSRInternational），其中主题综合将用于从所包含的研究中得出分析主题。
结果：包含患者体验的主题将从定性证据中确定，这些主题将揭示感知到的好处和缺点，可用性，可接受性,以及数字工具对慢性疼痛患者生活的总体影响。
结论：本系统综述将确定，评价,并综合使用DHI的患者的总体经验，以管理各种慢性疼痛状况。通过定性分析阐述患者的经验，本综述的结果将增强我们目前对慢性疼痛患者使用数字工具进行疼痛自我管理的经验的理解,并强调哪些以人为本的要素对未来DHI的发展至关重要.
背景：PROSPEROCRD42023445100;http://tinyurl.com/4z77khfs。
■DERR1-10.2196/52469。
