The effectiveness of digital interventions for self-management of chronic pain in employment settings: a systematic review.

IF 6.7 2区医学 Q1 Medicine British medical bulletin Pub Date : 2024-09-27 DOI:10.1093/bmb/ldae007

Holly Blake, Wendy J Chaplin, Alisha Gupta

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Abstract

Introduction: Chronic pain affects over a quarter of the workforce with high economic burden for individuals, employers and healthcare services. Access to work-related advice for people with chronic pain is variable. This systematic review aims to explore the effectiveness of workplace-delivered digital interventions for the self-management of chronic pain.

Source of data: MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Library, JBI, Open Science Framework, Epistemonikos and Google Scholar. Articles published between January 2001 and December 2023 were included. Searches were conducted between October 2023 and December 2023.

Areas of agreement: Workplace-delivered digital interventions to support self-management of chronic pain at work may improve pain and health-related quality of life in vocationally active adults. Delivering interventions outside of clinical services, through the workplace setting, may help to reduce inequity in access to work-related advice for people with chronic pain, and ultimately reduce the burden on individuals, employers and healthcare services. Interventions include mobile apps and web-based programmes.

Areas of controversy: Studies were moderate-to-low quality. Most studies focused on exercise, few considered other aspects of pain self-management. Given the limited evidence in the current literature, consensus on best intervention format and delivery is lacking.

Growing points: More high-quality studies are needed given the heterogeneity in study design, interventions and outcome measures.

Areas timely for developing research: No interventions included advice on work-related adjustments or support. Few studies included work-related outcomes, despite the known impact of pain on work and work on health.

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就业环境中自我管理慢性疼痛的数字干预措施的有效性：系统综述。

导言：慢性疼痛影响着超过四分之一的劳动力，给个人、雇主和医疗保健服务带来沉重的经济负担。慢性疼痛患者获得与工作相关的建议的途径不尽相同。本系统综述旨在探讨工作场所提供的数字干预对慢性疼痛自我管理的有效性：MEDLINE、EMBASE、CINAHL、PsycINFO、Cochrane Library、JBI、Open Science Framework、Epistemonikos 和 Google Scholar。2001年1月至2023年12月期间发表的文章均被收录。检索时间为 2023 年 10 月至 2023 年 12 月：通过工作场所提供的数字化干预措施来支持工作中慢性疼痛的自我管理，可以改善从事职业活动的成年人的疼痛和与健康相关的生活质量。通过工作场所环境在临床服务之外提供干预措施，可能有助于减少慢性疼痛患者在获得工作相关建议方面的不平等，并最终减轻个人、雇主和医疗保健服务的负担。干预措施包括移动应用程序和基于网络的计划：研究质量中下。大多数研究侧重于锻炼，很少考虑疼痛自我管理的其他方面。鉴于目前文献中的证据有限，在最佳干预形式和实施方法上还缺乏共识：成长点：鉴于研究设计、干预措施和结果测量的异质性，需要更多高质量的研究：适时开展研究的领域：没有干预措施包括与工作相关的调整或支持建议。尽管疼痛对工作和工作对健康的影响众所周知，但很少有研究包括与工作相关的结果。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.