Translating e-pain research into patient care

McGuire, Brian E.; Henderson, Ellen M; McGrath, Patrick J.

doi:10.1097/j.pain.0000000000000686

Cited by 38 publications

(34 citation statements)

References 25 publications

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“…For those with pain, ICT systems are being developed to increase selfmanagement (through incorporating education components and information provision) (23) but their effectiveness for pain management has not yet been determined. Intended ICT system benefits need to be aligned with patient preferences; easy to access, secure, effective and having minimal or no cost (24).…”

Section: Discussionmentioning

confidence: 99%

Understanding patient requirements for technology systems that support pain management in palliative care services: A qualitative study

Allsop

Taylor

Bennett

et al. 2017

Health Informatics J

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Approaches to pain management using electronic systems are being developed for use in palliative care. This article explores palliative care patients' perspectives on managing and talking about pain, the role of technology in their lives and how technology could support pain management. Face-to-face interviews were used to understand patient needs and concerns to inform how electronic systems are developed. A total of 13 interviews took place with a convenience sample of community-based patients with advanced cancer receiving palliative care through a hospice. Data were analysed using framework analysis. Four meta-themes emerged:Technology could be part of my care; I'm trying to understand what is going on; My pain is ever-changing and difficult to control; I'm selective about who to tell about pain. Patients described technology as peripheral to existing processes of care. To be relevant, systems may need to take account of the complexity of a patient's pain experience alongside existing relationships with health professionals.

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Section: Discussionmentioning

confidence: 99%

Understanding patient requirements for technology systems that support pain management in palliative care services: A qualitative study

Allsop

Taylor

Bennett

et al. 2017

Health Informatics J

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“…More research is needed to explore the mechanisms of iCBT and other internet‐delivered pain management programs for a greater range psychological mechanisms and clinical outcomes found to be important in face‐to‐face pain management programs. Analogous research is in line with recommendations to move away from just efficacy trials towards more rigorous analyses of pain management interventions that can inform therapeutic models, identify important treatment targets and highlight effective components of interventions (Morley et al., ; Moore et al., ; McGuire et al., ).…”

Section: Introductionmentioning

confidence: 67%

Exploring psychological mechanisms of clinical response to an internet‐delivered psychological pain management program

Gandy

Karin

Jones

et al. 2018

European Journal of Pain

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“…Chronic pain is highly prevalent and a leading cause of long-term disability [39]. Much eHealth research has been conducted in the area of chronic pain, and eHealth interventions have shown to be efficacious [40]. However, despite the increasing variety of eHealth modalities used for chronic pain, studies typically focus on one modality and as a result, direct comparisons of modalities are rare [21].…”

Section: Ehealth and Chronic Painmentioning

confidence: 99%

An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis (Preprint)

Slattery¹,

Haugh²,

O’Connor³

et al. 2018

Preprint

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Abstract:Background: eHealth is the use of information and communication technology in the context of healthcare and health research. Recently, there has been a rise in the number of eHealth modalities and the frequency in which they are used to deliver technology-assisted self-management interventions for people living with chronic pain. However, there has been little or no research directly comparing these eHealth modalities. Objective:The aim of the current systematic review with a network meta-analysis is to directly compare the effectiveness of eHealth modalities in the context of chronic pain. Methods:Randomised controlled trials (N>20 per arm) that investigated technologically delivered interventions for adults with chronic pain were included. Data were extracted on pain severity, psychological distress and HRQoL, and the risk of bias was assessed. Studies were classified by their primary mode of delivery. Pair-wise meta-analyses were undertaken and a network meta-analysis was conducted to generate indirect comparisons of modalities for reducing pain severity. Results:The search returned 18,470 studies with 18,349 excluded (duplicates [2,310]; title and abstract [16,039]). Of the remaining papers, 30 studies with 4,595 randomised participants were included in the review. Rankings tentatively indicate that telephone supported interventions are the most effective, with a 46% chance that telephone intervention was the best modality, followed by studies delivered via interactive voice response, internet and virtual reality. Conclusions:This current systematic review with a network meta-analysis generated comparisons between previously un-compared technological modalities to determine which delivered the most effective interventions for the reduction of pain severity in chronic pain patients. There are limitations with this review; in particular, the underrepresented nature of some eHealth modalities included in the analysis. However, in the event that the review is regularly updated a clear ranking of eHealth modalities for the reduction of pain severity will emerge.

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Translating e-pain research into patient care

Abstract: address: Brian.mcguire@nuigalway.ie (B. McGuire). Tel: 1353 (0)91493266; fax 1353 (0)91 534930.

Cited by 38 publications

References 25 publications

Understanding patient requirements for technology systems that support pain management in palliative care services: A qualitative study

Understanding patient requirements for technology systems that support pain management in palliative care services: A qualitative study

Exploring psychological mechanisms of clinical response to an internet‐delivered psychological pain management program

An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis (Preprint)

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