Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .
Changes in Coping, Pain, and Activity After Cognitive-Behavioral Training: A Randomized Clinical Trial for Pediatric Sickle Cell Disease Using Smartphones
Objectives : We examined the outcomes of a cognitive-behavioral therapy ( CBT ) intervention for pain in pediatric sickle cell disease ( SCD ) using smartphones as a novel delivery method . Material s and Methods : Forty-six children with SCD received CBT coping skills training using a r and omized , waitlist control design . The intervention involved a single session of CBT training and home-based practice using smartphones for 8 weeks . Pre-post question naires between the r and omized groups were used to evaluate changes in active psychological coping and negative thinking using the Coping Strategies Question naire . Daily diaries completed by the full sample during the treatment period were used to assess whether CBT skill use was related to reductions in next-day pain intensity and increases in same-day functional activity . Results : The pre-post group comparison suggested that the youth increased active psychological coping attempts with the intervention . Daily diary data indicated that when children used CBT skills on days with higher pain , there were reductions in next-day pain intensity . There was no such association between skill use and functional activity . Discussion : CBT coping skills training supported using smartphones can increase coping and reduce pain intensity for children with SCD ; however , additions to the study protocol s are recommended in future studies . Advantages and caveats of using smartphones are also discussed
Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .