PDF(Pubmed)
Abstract：
The COVID-19 pandemic prompted a rapid shift from in-person to virtually-delivered care. Many youth with chronic pain have the ability to access care virtually; however, little is known about the efficacy of pain care for youth with chronic pain delivered virtually when compared to in-person. Such evidence is essential to guide youth in making decisions about their care, but also to inform what options health professionals present to youth. The purpose of this systematic review and meta-analysis was to examine the efficacy of interventions that are delivered in-person versus virtually for youth with chronic pain. Five databases (i.e., CINAHL, EMBASE, MEDLINE, APA PsycINFO, and Web of Science) were searched in October 2022 to identify randomized controlled trials that compare single/multimodal interventions for pediatric chronic pain delivered in-person versus virtually. A total 3638 unique studies were identified through database and other searching, two of which satisfied established criteria for inclusion in this review. Both studies compared psychological interventions delivered virtually versus in-person for youth with chronic pain and showed comparable efficacy across modalities. The planned meta-analyses could not be conducted due to different outcomes within each study that could not be combined. This systematic review highlights a critical gap in the evidence regarding the efficacy of virtually delivered interventions for youth with chronic pain. This evidence is necessary to inform treatment decisions for youth, and further research is required to develop the evidence to inform clinical interventions, especially as virtual treatments continue to be offered.
摘要：
COVID-19大流行促使人们从亲自护理迅速转变为虚拟护理。许多患有慢性疼痛的年轻人实际上有能力获得护理；然而，与面对面治疗相比，几乎对患有慢性疼痛的青少年疼痛护理的疗效知之甚少。这些证据对于指导青年做出有关其护理的决定至关重要，而且还要告知卫生专业人员向年轻人提出的选择。本系统评价和荟萃分析的目的是检查亲自实施的干预措施与实际上对患有慢性疼痛的年轻人的干预措施的有效性。五个数据库(即，CINAHL,EMBASE,MEDLINE,APAPsycINFO,和WebofScience）于2022年10月进行了搜索，以确定随机对照试验，这些试验比较了亲自交付的儿科慢性疼痛的单/多模式干预措施与虚拟干预措施。通过数据库和其他搜索，总共确定了3638项独特的研究，其中两项符合纳入本审查的既定标准。两项研究都比较了针对患有慢性疼痛的年轻人的虚拟心理干预与面对面心理干预，并显示出不同模式的可比疗效。由于无法合并的每项研究中的不同结果，因此无法进行计划的荟萃分析。本系统综述强调了关于慢性疼痛青年实际实施干预措施疗效的证据中的关键差距。这些证据对于为青少年做出治疗决定是必要的，需要进一步的研究来开发证据，为临床干预提供信息，特别是虚拟治疗继续提供。
