Tailored Self-Management of TMD Pain using Health Information Technology

利用健康信息技术定制 TMD 疼痛自我管理

基本信息

批准号：
8683624
负责人：
James Ryan Fricton
金额：
$ 23.1万
依托单位：
HEALTHPARTNERS INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2016-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8683624
关键词：
Absenteeism at work Adherence Area Behavioral Budgets Caring Chronic Clinical Clinical Trials Cognitive Communities Control Groups Dental Dental Staff Dentists Development Diagnostics Research Education Effectiveness Enrollment Evaluation Studies Exercise Fill-It Future Goals Grant Health Care Costs High Prevalence Institute of Medicine (U.S.)Institutional Review Boards Intervention Intervention Studies Lead Manuals Measurement Measures Medical Methods Modeling Multi-Institutional Clinical Trial Opioid Oral Outcome Pain Pain Research Pain management Participant Patient Education Patients Pharmaceutical Preparations Phase Pilot Projects Procedures Randomized Clinical Trials Recruitment Activity Research Research Design Self Care Self Management Severities Site Splint Device Symptoms Temporomandibular Joint Disorders Temporomandibular joint disorder pain Testing Training Training Programs Translating Translations United States National Institutes of Health active control arm base chronic pain comparative effectiveness design empowered follow-up functional status group intervention health care service utilization health information technology improved innovation novel operation phase 3 study prevent programs public health relevance standardize measure success treatment as usual trial comparing

项目摘要

DESCRIPTION (provided by applicant): The National Institutes of Health, with PA-13-119 Mechanisms, Models, Measurement, & Management in Pain Research, have made research on pain conditions such as temporomandibular disorders (TMD) a high-priority area of research because of its high prevalence and functional limitations, missed work, and high health care cost when it becomes chronic. In 2011, the Institute of Medicine also established research involving self- management strategies as one of the highest priority topics. To support self-management, the use of consumer-based health information technology (HIT) has been proposed in many fields to train patients, but not yet in pain management. Thus, research in the fidelity, acceptability, outcomes, and sustainability of employing HIT to engage patients in self-management of pain conditions has been encouraged. The overall goal of this R34 planning grant is to design a U01 pilot clinical trial that will determine feasibility of methods and the outcomes of an innovative HIT platform to deliver self-management training for TMD pain. The pilot study will then lead to a future application for a full-scale multi-site clinical trial. Thistrial would be designed to determine the comparative effectiveness of the HIT-based self-management program to decrease pain and improve functional status and health care utilization in TMD patients in real-world settings. The self- management program, Personalized Activated Care and Training (PACT), is a tailored 10-week progressive self-management training program supported by HIT and implemented by dentists to enhance understanding, compliance, and success in self-management of TMD pain. The self-management strategies of education, exercise, and cognitive and behavioral changes have documented efficacy. In the U01 study, we will evaluate the feasibility of methods involved in the HIT-delivered intervention to enhance education, compliance, and follow up and describe preliminary program outcomes on standardized measures of symptom severity, functional status, and health care utilization. We will recruit a total of 80 patients with TMD pain into either: 1) the HIT-based intervention arm; o 2) an active control arm consisting of usual care of medication and splints as ordered by the treating dentist.

描述（由申请人提供）：国立卫生研究院，具有PA-13-119的疼痛研究机制，模型，测量和管理，已经对诸如颞下颌疾病（TMD）等疼痛状况进行了研究，因为它的高优先级别是研究的高优势领域，由于其高龄和功能限制，缺失的工作，以及高度的医疗保健成本。 2011年，医学研究所还建立了涉及自我管理策略作为最高优先级主题之一的研究。为了支持自我管理，在许多领域都提出了基于消费者的健康信息技术（HIT）的使用来培训患者，但尚未在疼痛管理中进行培训。因此，鼓励利用受打击使患者参与疼痛状况的自我管理的忠诚，可接受性，结果和可持续性的研究。这项R34计划补助金的总体目标是设计一个U01试点临床试验，该试验将确定方法的可行性以及创新的HIT平台的结果，以进行TMD疼痛的自我管理培训。然后，试点研究将导致将来的全尺度多站点临床试验应用。此试验旨在确定基于命中的自我管理计划的比较有效性，以减轻疼痛并改善现实世界中TMD患者的功能状况和医疗保健利用。自我管理计划，个性化的激活护理和培训（PACT），是一项量身定制的10周渐进式自我管理培训计划，受牙医的命中和实施支持，以增强理解，合规性和在TMD疼痛的自我管理方面的成功。教育，锻炼，认知和行为变化的自我管理策略已证明了功效。在U01研究中，我们将评估涉及命中率干预措施的方法的可行性，以增强教育，遵守和跟进，并描述症状严重程度，功能状况和医疗保健利用的标准化措施的初步计划。我们将总共招募80例TMD疼痛患者：1）基于命中的干预组； o 2）由治疗牙医订购的药物和夹板通常护理的主动控制臂。