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首页> 外文期刊>BMC Medical Informatics and Decision Making >Development and validation of a pain monitoring app for patients with musculoskeletal conditions (The Keele pain recorder feasibility study)
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Development and validation of a pain monitoring app for patients with musculoskeletal conditions (The Keele pain recorder feasibility study)

机译：开发和验证用于肌肉骨骼疾病患者的疼痛监测应用程序（Keele疼痛记录仪可行性研究）

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Assessing daily change in pain and related symptoms help in diagnosis, prognosis, and monitoring response to treatment. However, such changes are infrequently assessed, and usually reviewed weeks or months after the start of treatment. We therefore developed a smartphone application (Keele Pain Recorder) to record information on the severity and impact of pain on daily life. Specifically, the study goal was to assess face, content and construct validity of data collection using the Pain Recorder in primary care patients receiving new analgesic prescriptions for musculoskeletal pain, as well as to assess its acceptability and clinical utility. The app was developed with Keele’s Research User Group (RUG), a clinical advisory group (CAG) and software developer for use on Android devices. The app recorded pain levels, interference, sleep disturbance, analgesic use, mood and side effects. In a feasibility study, patients aged ?18 attending their general practitioner (GP) with a painful musculoskeletal condition were recruited to use the app twice per day for 28?days. Face and construct validity were assessed through baseline and post-study questionnaires (Spearman’s rank correlation coefficient). Usability and acceptability were determined through post-study questionnaires, and patient, GP, RUG and CAG interviews. An app was developed which was liked by both patients and GPs. It was felt that it offered the opportunity for GPs to discuss pain control with their patients in a new way. All participants found the app easy to use (it did not interfere with their activities) and results easy to interpret. Strong associations existed between the first 3?days (Spearman r?=?0.79) and last 3?days (r?=?0.60) of pain levels and intensity scores on the app with the validated questionnaires. Collaborating with patient representatives and clinical stakeholders, we developed an app which can be used to help clinicians and patients monitor painful musculoskeletal conditions in response to analgesic prescribing. Recordings were accurate and valid, especially, for pain intensity ratings, and it was easy to use. Future work needs to examine how pain trajectories can help manage changes in a patient’s condition, ultimately assisting in self-management.
机译：评估疼痛和相关症状的每日变化有助于诊断，预后和监测对治疗的反应。但是，这种变化很少评估，通常在治疗开始后数周或数月进行评估。因此，我们开发了智能手机应用程序（Keele Pain Recorder）来记录有关疼痛的严重程度和对日常生活的影响的信息。具体而言，该研究目标是评估使用Pain Recorder在接受新的镇痛处方以解决肌肉骨骼疼痛的初级保健患者中数据收集的面容，内容和有效性，以及评估其可接受性和临床实用性。该应用是由Keele的研究用户组（RUG），临床咨询组（CAG）和可用于Android设备的软件开发人员开发的。该应用程序记录了疼痛程度，干扰，睡眠障碍，止痛药使用，情绪和副作用。在一项可行性研究中，招募了年龄≥18岁且患有普通骨骼肌疾病的全科医生（GP），每天使用该应用两次，共28天。通过基线和研究后问卷（斯皮尔曼等级相关系数）评估了面部和结构的有效性。可用性和可接受性是通过研究后的问卷调查以及患者，GP，RUG和CAG访谈来确定的。开发了一款深受患者和全科医生欢迎的应用程序。人们认为这为全科医生提供了以新的方式与患者讨论疼痛控制的机会。所有参与者都认为该应用程序易于使用（它不会干扰他们的活动），并且结果易于解释。在经过验证的问卷中，应用程序的前3天（Spearman r = 0.79）和后3天（r = 0.60）之间存在强烈的关联。与患者代表和临床利益相关者合作，我们开发了一个应用程序，可用于帮助临床医生和患者监测止痛药处方对痛苦的骨骼肌肉状况的影响。记录准确有效，尤其是对于疼痛强度等级，并且易于使用。未来的工作需要研究疼痛轨迹如何帮助控制患者状况的变化，最终帮助自我管理。

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