The efficacy of e-health in the self-management of chronic low back pain: A meta analysis

Du, Shizheng; Li, Wen; Cai, Shining; Hu, Yan; Dong, Jianshu

doi:10.1016/j.ijnurstu.2019.103507

Cited by 149 publications

(161 citation statements)

References 44 publications

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“…This conclusion is consistent with a study by Niznik et al [24] who reported advantages of telephone calls, and concluded that telephone calls have positive effects on clinical disease management, patient management, and patient compliance. This study has similarities and differences with the results of another study [35] that examined differences in mHealth between a web-based health program and an mHealth-based program. No significant effects on pain or disability were found among participants in the web health program versus the controls.…”

Section: Principal Findingsmentioning

confidence: 58%

“…Since few studies have examined the impact of mHealth on patients with low back pain, there are no related articles for comparison. Only a systematic review and meta-analysis of 5 articles performed by Du et al [35] on the effectiveness of mHealth in the self-management of patients with chronic low back pain was found in the published literature. The results revealed that mHealth-based self-management might play a positive role in improving short-term pain intensity and short-term disability in patients with chronic low back pain.…”

Section: Xsl • Fomentioning

confidence: 99%

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Efficacy of Mobile Health in Patients With Low Back Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Chen¹,

Wang²,

Lv³

et al. 2021

JMIR Mhealth Uhealth

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Background Low back pain is one of the most common health problems and a main cause of disability, which imposes a great burden on patients. Mobile health (mHealth) affects many aspects of people’s lives, and it has progressed rapidly, showing promise as an effective intervention for patients with low back pain. However, the efficacy of mHealth interventions for patients with low back pain remains unclear; thus, further exploration is necessary. Objective The purpose of this study was to evaluate the efficacy of mHealth interventions in patients with low back pain compared to usual care. Methods This was a systematic review and meta-analysis of randomized controlled trials designed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) statement standard. We searched for studies published in English before October 2020 in the PubMed, EMBASE, Web of Science, and Cochrane Library databases. Two researchers independently scanned the literature, extracted data, and assessed the methodological quality of the included studies. Bias risks were assessed using the Cochrane Collaboration tool. We used RevMan 5.4 software to perform the meta-analysis. Results A total of 9 studies with 792 participants met the inclusion criteria. The simultaneous use of mHealth and usual care showed a better reduction in pain intensity than usual care alone, as measured by the numeric rating scale (mean difference [MD] –0.85, 95% CI –1.29 to –0.40; P<.001), and larger efficacy in reducing disability, as measured by the Rolland-Morris Disability Questionnaire (MD –1.54, 95% CI –2.35 to –0.73; P<.001). Subgroup analyses showed that compared with usual care, mHealth using telephone calls significantly reduced pain intensity (MD –1.12, 95% CI –1.71 to –0.53; P<.001) and disability score (MD –1.68, 95% CI –2.74 to –0.63; P<.001). However, without the use of telephone calls, mHealth had no obvious advantage over usual care in improving pain intensity (MD –0.48, 95% CI –1.16 to 0.20; P=.16) and the disability score (MD –0.41, 95% CI –1.88 to 1.05; P=.58). The group that received a more sensitive feedback intervention showed a significantly reduced disability score (MD –4.30, 95% CI –6.95 to –1.69; P=.001). Conclusions The use of simultaneous mHealth and usual care interventions has better efficacy than usual care alone in reducing pain intensity and disability in patients with low back pain. Moreover, the results of subgroup analysis revealed that mHealth using telephone calls might play a positive role in improving pain intensity and disability in patients with low back pain.

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Section: Principal Findingsmentioning

confidence: 58%

Section: Xsl • Fomentioning

confidence: 99%

Efficacy of Mobile Health in Patients With Low Back Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Chen¹,

Wang²,

Lv³

et al. 2021

JMIR Mhealth Uhealth

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“…Considering the heterogeneity, however, it may be more appropriate to conduct meta-analysis within specific pain conditions (e.g., chronic low back pain, neck pain, arthritis-related pain, fibromyalgia, etc. ), rather than across mixed chronic pain disorders (Du et al, 2011(Du et al, , 2020GBD 2017 DALYs and HALE Collaborators, 2018). Secondly, most of the published systematic reviews did not explicitly specify primary outcomes in inclusion criteria except one (Hughes et al, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…The location of the pain can be anywhere, usually including lower back pain, neck pain, arthritis-related pain, fibromyalgia, etc. and excluding headache and pain related to malignant diseases (Du et al, 2011(Du et al, , 2020GBD 2017 DALYs andHALE Collaborators, 2018;Hughes et al, 2017).…”

Section: P (Population)mentioning

confidence: 99%

Acceptance and commitment therapy for chronic pain conditions on functioning: A systematic review protocol

Dong

Jin

et al. 2020

Journal of Advanced Nursing

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Aim To explore the efficacy of acceptance and commitment therapy (ACT) on chronic pain in terms of functioning; and to identify the most promising modes and patterns for implementing ACT. Design Systematic review and meta‐analysis. Methods We will include randomized controlled trials which focus on the efficacy of ACT on chronic pain conditions with functioning as the primary outcome. Seven databases have been searched and grey literature will also be systematically searched for. Eligible studies will be screened. The newly revised Cochrane risk of bias tool will be used to assess the quality of the included studies. Data will be extracted, and meta‐analyses will be performed within specific condition groups of chronic pain. Meta‐regression and subgroup analyses will be employed to identify the efficacious modes and patterns for implementing the therapy. Grading of Recommendations Assessment, Development, and Evaluation approach will be applied to reach a convincing conclusion. The study has been funded since July 2018. Discussion This systematic review aims to explore the efficacy of ACT for chronic pain on functioning based on the latest evidence. The most promising manners will be identified for designing and delivering the therapy. An accurate, transparent, and standardized review process is expected by adhering to the instructions of relevant guidelines. Impact Chronic pain is prevalent worldwide and reduced functioning is one of the leading consequences. With the anticipated evidence of high level, this research attempts to examine the role of acceptance and commitment therapy, a promising psychological intervention, in the management of chronic pain for improving individual's functioning status. The systematic review may contribute to a more convincing and targeted conclusion compared with the existing studies of its kind.

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“…Additionally, medical resources are unevenly distributed in China [12] ,as a result, patients in remote areas have di culty in receiving accurate and scienti c-educational information. With the emergence of mobile health (m-health), solutions to di cult problems are provided [13][14] . A preliminary study suggested that application (app)-based patient self-management has a better effect [15] .…”

Section: Introductionmentioning

confidence: 99%

Does m-health based exercise (guidance plus education) improve efficacy in patients with chronic low-back pain？A preliminary report on the intervention’s significance

Zheng

Zhang

et al. 2021

Preprint

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Objectives: The utilization of mobile health (m-health) has rapidly expanded during the COVID-19 pandemic, and there is still a lack of relevant clinical data pertaining to chronic low-back pain（CLBP）management. This study was designed to compare the effectiveness of m-health based exercise (via guidance plus education) versus exercise (via guidance) during CLBP management.Methods: Participants (n = 40) were randomly assigned to intervention and control groups. The intervention group received m-health based exercise (via guidance plus education), whereas the control group received m-health based exercise (via guidance). The exercise prescription video and educational content were sent to participants by the application (app), Ding Talk. Repeated-measures analysis of variance was used to test the baseline’s intervention effects, 6-week follow-up, and 18-week follow-up. We selected function（Roland and Morris Disability Questionnaire）and pain intensity (current, mean, and most severe Numeric Rating Scale in the last 2 weeks）as the primary outcomes, changes of negative emotion (depression, anxious), and quality of life as the secondary outcomes.Results: Time’s significant effect was found in pain, function, and health-related quality of life in both groups, but time did not show significant interaction effects. Participants were able to use m-based education with their anxiety and depression after treatment, but the relief only lasted until Week 6. No differences were found on the aspect of mental health-related quality of life.Conclusion: M-health based exercise (via guidance) is a convenient and effective method to treat CLBP. Additionally, plus education is more helpful in relieving short-term negative emotions and improving treatment adherence than guidance only. However, at the last follow-up（18-week）, no significant differences were found between the intervention and control groups.

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The efficacy of e-health in the self-management of chronic low back pain: A meta analysis

Cited by 149 publications

References 44 publications

Efficacy of Mobile Health in Patients With Low Back Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Efficacy of Mobile Health in Patients With Low Back Pain: Systematic Review and Meta-analysis of Randomized Controlled Trials

Acceptance and commitment therapy for chronic pain conditions on functioning: A systematic review protocol

Does m-health based exercise (guidance plus education) improve efficacy in patients with chronic low-back pain？A preliminary report on the intervention’s significance

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