Abstract:
BACKGROUND:Internet-based interventions using cognitive behavioral approaches can be effective in promoting self-management of chronic pain conditions. Web-based programs delivered via smartphones are increasingly used to support the self-management of various health disorders, but research on smartphone interventions for persons with chronic pain is limited. OBJECTIVE:The aim of this trial was to study the efficacy of a 4-week smartphone-delivered intervention with written diaries and therapist feedback following an inpatient chronic pain rehabilitation program. METHODS:A total of 140 women with chronic widespread pain who participated in a 4-week inpatient rehabilitation program were randomized into 2 groups: with or without a smartphone intervention after the rehabilitation. The smartphone intervention consisted of 1 face-to-face session and 4 weeks of written communication via a smartphone. Participants received 3 smartphone diary entries daily to support their awareness of and reflection on pain-related thoughts, feelings, and activities. The registered diaries were immediately available to a therapist who submitted personalized written feedback daily based on cognitive behavioral principles. Both groups were given access to a noninteractive website after discharge to promote constructive self-management. Outcomes were measured with self-reported questionnaires. The primary outcome measure of catastrophizing was determined using the pain catastrophizing scale (score range 0-52). Secondary outcomes included acceptance of pain, emotional distress, functioning, and symptom levels. RESULTS:Of the 140 participants, 112 completed the study: 48 in the intervention group and 64 in the control group. Immediately after the intervention period, the intervention group reported less catastrophizing (mean 9.20, SD 5.85) than the control group (mean 15.71, SD 9.11, P<.001), yielding a large effect size (Cohen's d=0.87) for study completers. At 5-month follow-up, the between-group effect sizes remained moderate for catastrophizing (Cohen's d=0.74, P=.003), acceptance of pain (Cohen's d=0.54, P=.02), and functioning and symptom levels (Cohen's d=0.75, P=.001). CONCLUSIONS:The results suggest that a smartphone-delivered intervention with diaries and personalized feedback can reduce catastrophizing and prevent increases in functional impairment and symptom levels in women with chronic widespread pain following inpatient rehabilitation. TRIAL REGISTRATION:Clinicaltrials.gov NCT01236209; http://www.clinicaltrials.gov/ct2/show/NCT01236209 (Archived by WebCite at http://www.webcitation.org/6DUejLpPY).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Kristjánsdóttir OB,Fors EA,Eide E,Finset A,Stensrud TL,van Dulmen S,Wigers SH,Eide Hdoi
10.2196/jmir.2249subject
Has Abstractpub_date
2013-01-07 00:00:00pages
e5issue
1eissn
1439-4456issn
1438-8871pii
v15i1e5journal_volume
15pub_type
杂志文章,随机对照试验abstract:BACKGROUND:There is substantial interest in use of the Internet for surveys, but there have been few health-oriented, large, randomized trials of general population surveys on the Internet. It is unclear whether providing the option to respond via Internet increases the response rate, and to what degree the results wil...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.9.5.e40
更新日期:2007-12-31 00:00:00
abstract:BACKGROUND:Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making. OBJECTIVE:The aim was to determine long-term use of an online evidence system in routine clinical p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.974
更新日期:2008-03-19 00:00:00
abstract::The recent global outbreak of SARS (severe acute respiratory syndrome) provides an opportunity to study the use and impact of public health informatics and population health technology to detect and fight a global epidemic. Population health technology is the umbrella term for technology applications that have a popul...
journal_title:Journal of medical Internet research
pub_type: 社论
doi:10.2196/jmir.5.2.e14
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Social support is known to reduce risks of postnatal depression (PND) and improve maternal emotional well-being. However, the Asian cultural context is often neglected when appraising maternal needs and mothers' preferences for social support. While many preventive efforts have experimented with technology, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12915
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:Respecting patient privacy and confidentiality is critical for doctor-patient relationships and public trust in medical professionals. The frequency of potentially identifiable disclosures online during periods of active engagement is unknown. OBJECTIVE:The objective of this study was to quantify potentiall...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19746
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Although the use of patient-generated data (PGD) in the optimization of patient care shows great promise, little is known about whether patients who track their PGD necessarily share the data with their clinicians. Meanwhile, health literacy-an important construct that captures an individual's ability to man...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18937
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Alcohol is often consumed in social contexts. An emerging social context in which alcohol is becoming increasingly apparent is social media. More and more young people display alcohol-related posts on social networking sites such as Facebook and Instagram. OBJECTIVE:Considering the importance of the social ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9355
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:Over the last two decades, the number of studies on electronic symptom reporting has increased greatly. However, the field is very heterogeneous: the choices of patient groups, health service innovations, and research targets seem to involve a broad range of foci. To move the field forward, it is necessary t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2214
更新日期:2012-10-03 00:00:00
abstract:BACKGROUND:Antimicrobial resistance has reached globally alarming levels and is becoming a major public health threat. Lack of efficacious antimicrobial resistance surveillance systems was identified as one of the causes of increasing resistance, due to the lag time between new resistances and alerts to care providers....
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2043
更新日期:2012-05-29 00:00:00
abstract:BACKGROUND:Patient registries are commonly used to track survival and medical outcomes in large cohorts. However, large-scale collection of health-related quality of life (HRQOL) data is more challenging because such data must be collected directly from patients. Internet-based HRQOL questionnaires are a potential solu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1214
更新日期:2010-08-19 00:00:00
abstract:BACKGROUND:Misdiagnosis, arbitrary charges and annoying queues, and clinic waiting times among others are long-standing phenomena in the medical industry across the world, These factors can con-tribute to patient anxiety about misdiagnosis by clinicians. However, with the increasing use of big data growth in biomedical...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22841
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:The use of eHealth tools (eg, the internet, mobile apps, and connected devices) in the management of chronic diseases and for rheumatoid arthritis is growing. eHealth may improve the overall quality of care provided to patients with chronic diseases. OBJECTIVE:The primary objective of this study was to desc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19998
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:Coronavirus disease (COVID-19) has been an unprecedented challenge to the global health care system. Tools that can improve the focus of surveillance efforts and clinical decision support are of paramount importance. OBJECTIVE:The aim of this study was to illustrate how new medical informatics technologies ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18948
更新日期:2020-04-22 00:00:00
abstract::Information on the costs and benefits of eHealth interventions is needed, not only to document value for money and to support decision making in the field, but also to form the basis for developing business models and to facilitate payment systems to support large-scale services. In the absence of solid evidence of it...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4521
更新日期:2015-11-09 00:00:00
abstract:BACKGROUND:In addition to the aging process, risk factors for hearing loss in adults include, among others, exposure to noise, use of ototoxic drugs, genetics, and limited access to medical care. Differences in exposure to these factors are bound to be reflected in the prevalence of hearing loss. Assessment of hearing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17238
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Local and organic foods have shown increased importance and market size in recent years. However, attitudes, sentiment, and habits related to such foods in the context of video social networks have not been thoroughly researched. Given that such media have become some of the most important venues of internet...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16761
更新日期:2020-08-10 00:00:00
abstract:BACKGROUND:In support of professional practice, asynchronous communication between the patient and the provider is implemented separately or in combination with Internet-based self-management interventions. This interaction occurs primarily through electronic messaging or discussion boards. There is little evidence as ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3000
更新日期:2014-01-16 00:00:00
abstract:BACKGROUND:Web-based self-help interventions for problem drinking are coming of age. They have shown promising results in terms of cost-effectiveness, and they offer opportunities to reach out on a broad scale to problem drinkers. The question now is whether certain groups of problem drinkers benefit more from such Web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1102
更新日期:2008-11-22 00:00:00
abstract:BACKGROUND:Type 2 diabetes is a serious, pervasive metabolic condition that disproportionately affects ethnic minority patients. Telehealth interventions can facilitate type 2 diabetes monitoring and prevent secondary complications. However, trials designed to test the effectiveness of telehealth interventions may unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6374
更新日期:2016-09-26 00:00:00
abstract:BACKGROUND:The increasing use of the Internet and its array of social networks brings new ways for psychotherapists to find out information about their patients, often referred to as patient-targeted googling (PTG). However, this topic has been subject to little empirical research; there has been hardly any attention g...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4306
更新日期:2016-01-05 00:00:00
abstract:BACKGROUND:Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how be...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7897
更新日期:2017-07-12 00:00:00
abstract:BACKGROUND:Much has been written about the Internet's potential to revolutionize health care delivery. As younger populations increasingly utilize Internet-based health care information, it will be essential to ensure that the elderly become adept at using this medium for health care purposes, especially those from min...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.2.e19
更新日期:2005-06-30 00:00:00
abstract:BACKGROUND:Conversational assistants, such as Siri, Alexa, and Google Assistant, are ubiquitous and are beginning to be used as portals for medical services. However, the potential safety issues of using conversational assistants for medical information by patients and consumers are not understood. OBJECTIVE:To determ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11510
更新日期:2018-09-04 00:00:00
abstract:BACKGROUND:Physical activity promotes health and longevity. Further elaboration of the role of physical activity for human health in epidemiological studies on large samples requires accurate methods that are easy to use, cheap, and possible to repeat. The use of telecommunication technologies such as cell phones is hi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1686
更新日期:2011-09-25 00:00:00
abstract:BACKGROUND:The increasing incidence of inflammatory bowel disease (IBD) has imposed heavy financial burdens for Chinese patients; however, data about their financial status and access to health care are still lacking. This information is important for informing patients with IBD about disease treatment budgets and heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20629
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:The Internet is widely available and commonly used for health information; therefore, Web-based weight loss programs could provide support to large parts of the population in self-guided weight loss. Previous studies showed that Web-based weight loss interventions can be effective, depending on the quality o...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2648
更新日期:2013-10-14 00:00:00
abstract:BACKGROUND:Preexposure prophylaxis (PrEP) is available as a daily pill for preventing infection with the human immunodeficiency virus (HIV). Innovative methods of administering PrEP systemically or topically are being discussed and developed. OBJECTIVE:The objective of our study was to assess attitudes toward differen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5713
更新日期:2016-05-19 00:00:00
abstract:BACKGROUND:Many interventions find that social media engagement with health promotion materials can translate into behavioral changes. However, only a few studies have examined the ways in which specific actions on various social media platforms are correlated with health behaviors. OBJECTIVE:The objective of this stu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7251
更新日期:2017-07-19 00:00:00
abstract:BACKGROUND:Frequent home blood pressure (BP) measurements result in a better estimation of the true BP. However, traditional cuff-based BP measurements are troublesome for patients. OBJECTIVE:This study aimed to evaluate the feasibility of a cuffless device for ambulatory systolic blood pressure (SBP) measurement. ME...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11164
更新日期:2019-06-19 00:00:00