The effectiveness of information and communication technology-based psychological interventions for paediatric chronic pain: protocol for a systematic review, meta-analysis and intervention content analysis

Abstract

BackgroundResource and geographic barriers are the commonly cited constraints preventing the uptake of psychological treatment for chronic pain management. For adults, there is some evidence to support the use of information and communication technology (ICT) as a mode of treatment delivery. However, mixed findings have been reported for the effectiveness and acceptability of psychological interventions delivered using information and communication technology for children and adolescents. This is a protocol for a review that aims to (i) evaluate the effectiveness of psychological interventions delivered using information and communication technology for children and adolescents with chronic pain and (ii) identify the intervention components and usability factors in technology-based treatments associated with behaviour change.Methods/designWe will conduct a systematic review to evaluate the effectiveness of psychological interventions for paediatric chronic pain delivered using ICT. We plan to directly compare ICT-based, psychological interventions with active control, treatment as usual or waiting list control conditions. This systematic review will be reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance. Published and unpublished randomised controlled trials will be included and the literature search will comprise Ovid MEDLINE, Ovid Embase, PsycINFO and the Cochrane Library on Wiley, including CENTRAL and Cochrane Database of Systematic Reviews. Grey literature including theses, dissertations, technical and research reports will also be examined. Two review authors will independently conduct study selection, relevant data extraction and assessment of methodological quality. Risk of bias in included studies will be assessed using the Cochrane Collaboration risk of bias tool criteria. Two qualified coders will independently code behaviour change techniques according to the behaviour change taxonomy (v1) of 93 hierarchically clustered techniques and a novel coding scheme for mode of delivery and usability factors. A quantitative synthesis will be conducted if appropriate.DiscussionThe findings of this review may offer insight for healthcare professionals working in chronic pain services and to researchers involved in designing and evaluating information and communication technology-based interventions.Systematic review registrationPROSPERO CRD42016017657 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0350-1) contains supplementary material, which is available to authorized users.

Using avatars in weight management settings: A systematic review

“…To our knowledge there is no systematic review considering the effectiveness of avatar based digital technologies on weight loss outcomes. Previous identified reviews have focussed on VR in rehabilitation (Rose et al, 2018; Howard, 2017; Laver et al, 2017); digital chronic pain management through personification of an e-coach or online therapist in the form of an avatar (Traynor et al, 2016) and gamification for health and wellbeing (Sardi et al, 2017; Johnson et al, 2016). The aim of this review was to assess the quantity and quality of empirical support for the use of avatar technologies in adult weight loss interventions and determine if: (i) the inclusion of avatar technology leads to greater weight loss achievement compared to routine interventions; and (ii) whether weight loss achievement is improved by avatar personalisation (self-resembling avatar).…”