Web-based Support to Manage Arthritis Pain

基于网络的关节炎疼痛治疗支持

基本信息

批准号：
7800048
负责人：
Kimberlee Jean Trudeau
金额：
$ 32.34万
依托单位：
INFLEXXION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-11-01 至 2012-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7800048
关键词：
Address Adult Affect Ankylosing spondylitis Arthritis Awareness Behavior Characteristics Chronic Disease Clinical Cognition Collaborations Communication Complement Custom Data Degenerative polyarthritis Development Diagnosis Education Exercise Face Frequencies Health Health Personnel Health Professional Healthy People 2010 Individual Internet Intervention Knowledge Learning Left Medical Migraine Neurobehavioral Manifestations Online Systems Outcome Pain Pain management Participant Patients Pharmaceutical Preparations Phase Physicians Production Provider Psoriatic Arthritis Quality of life Randomized Controlled Trials Recommendation Resources Rheumatoid Arthritis Self Assessment Self Efficacy Self Management Site Small Business Innovation Research Grant Social support Societies Symptoms Technology Testing Time United States United States Dept. of Health and Human Services Work Writing arthritis education arthropathies behavior change behavioral health bone chronic back pain design economic cost efficacy testing experience improved improved functioning meetings painful neuropathy pressure programs public health relevance response satisfaction skills social social cognitive theory symptom management systematic review technological innovation trafficking usability web site

项目摘要

DESCRIPTION (provided by applicant): One of every five adults in the United States (46.4 million people) is affected by arthritis. Increasing the number of days individuals are free of arthritis pain is one of the Healthy People 2010 objectives. Although there are a variety of medical treatments and medications available, self-management is a critical component in helping arthritis sufferers learn how to identify, avoid, and help manage their pain. Unfortunately, clinicians face significant time pressure, leaving little time for desired patient-provider education and collaboration. This is an important omission as tailored advice (e.g., specific exercises to reduce pain) from health providers could enable behavior change and improve outcomes. Therefore, widely accessible and tailored interventions that address motivational issues are needed to facilitate self-management education among arthritis patients. Because of its reach across demographic groups, the Internet is an excellent vehicle for offering a self- management program to arthritis sufferers. We propose to develop an interactive, online pain self- management program for adults who suffer from pain associated with osteoarthritis, rheumatoid arthritis, Ankylosing spondylitis, and other arthritic conditions (e.g., psoriatic arthritis) using principles from Social Cognitive Theory (Bandura, 1977, 1997). This online health intervention, painACTION: Arthritis, will provide clinically reliable information about diagnosis, treatment, and management of arthritis, written for health consumers in a clear and engaging manner to help increase their skills and confidence to use self- management strategies. Moreover, it will be designed to complement and connect to our other SBIR- supported pain online health interventions (chronic back pain, migraine pain, neuropathic pain) to be a more comprehensive resource for those seeking pain management assistance. The most unique aspect of painACTION: Arthritis is that it includes three technological innovations -- a Web 2.0-enabled platform, a Custom Recommendation Engine, and Dynamic Lessons - to help people self manage their arthritis pain. In Phase I we accomplished two important objectives: 1) established the feasibility of painACTION: Arthritis as an intervention and a technical project and 2) generated preliminary plans for the content, design, and technical development of painACTION: Arthritis. In Phase II we will produce the program and test its efficacy. PUBLIC HEALTH RELEVANCE: One of every five adults in the United States (46.4 million people) is currently affected by arthritis and this number is expected to continue to grow to 67 million over the next twenty years. In 2003, $128 billion was spent on arthritis treatment in the United States alone. During the Phase I project we worked with consultants, people with arthritis pain, health professionals, and technical staff to: a) establish the feasibility of creating an online self management program for people with arthritis pain and b) develop plans for content, design, and features for a fully functional painACTION: Arthritis program. In Phase II, we propose to create painACTION: Arthritis then conduct a study to find out if it helps people with arthritis pain to increase their self management skills and functioning.

描述（由申请人提供）：美国每 5 名成年人（4,640 万人）中就有 1 人患有关节炎。增加个人摆脱关节炎疼痛的天数是“健康人 2010”的目标之一。尽管有多种医疗方法和药物可供选择，但自我管理是帮助关节炎患者学习如何识别、避免和帮助控制疼痛的关键组成部分。不幸的是，临床医生面临着巨大的时间压力，几乎没有时间进行所需的患者-提供者教育和协作。这是一个重要的遗漏，因为医疗服务提供者的定制建议（例如减轻疼痛的具体练习）可以促进行为改变并改善结果。因此，需要广泛使用和定制的干预措施来解决动机问题，以促进关节炎患者的自我管理教育。由于其覆盖人群广泛，互联网成为向关节炎患者提供自我管理计划的绝佳工具。我们建议利用社会认知理论（Bandura，1977， 1997）。这种在线健康干预措施“painACTION：关节炎”将以清晰、引人入胜的方式为健康消费者提供有关关节炎诊断、治疗和管理的临床可靠信息，帮助他们提高使用自我管理策略的技能和信心。此外，它旨在补充和连接我们其他 SBIR 支持的疼痛在线健康干预措施（慢性背痛、偏头痛、神经性疼痛），成为那些寻求疼痛管理帮助的人的更全面的资源。 painACTION: Arthritis 最独特的方面是它包含三项技术创新——支持 Web 2.0 的平台、自定义推荐引擎和动态课程——帮助人们自我管理关节炎疼痛。在第一阶段，我们实现了两个重要目标：1）确定 painACTION：关节炎作为干预措施和技术项目的可行性；2）为 painACTION：关节炎的内容、设计和技术开发制定初步计划。在第二阶段，我们将制定该程序并测试其功效。公共卫生相关性：目前美国每 5 名成年人（4640 万人）中就有 1 人受到关节炎的影响，预计这一数字在未来 20 年内将继续增长至 6700 万人。 2003年，仅美国就在关节炎治疗上花费了1280亿美元。在第一阶段项目中，我们与顾问、关节炎疼痛患者、健康专业人员和技术人员合作：a) 确定为关节炎疼痛患者创建在线自我管理计划的可行性；b) 制定内容、设计、以及功能齐全的 painACTION：关节炎程序的功能。在第二阶段，我们建议创建 painACTION：关节炎，然后进行一项研究，看看它是否可以帮助患有关节炎疼痛的人提高自我管理技能和功能。