Technology-Mediated Therapy for Chronic Pain Management: The Challenges of Adapting Behavior Change Interventions for Delivery with Pervasive Communication Technology.

Autor: Benjamin A. Rosser, Paul McCullagh, Richard Davies, Gail A. Mountain, Lance McCracken, Christopher Eccleston
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Zdroj: Telemedicine & e-Health; Apr2011, Vol. 17 Issue 3, p211-216, 6p
Abstrakt: AbstractObjective:Adapting therapeutic practice from traditional face-to-face exchange to remote technology-based delivery presents challenges for the therapist, patient, and technical writer. This article documents the process of therapy adaptation and the resultant specification for the SMART2 project—a technology-based self-management system for assisting long-term health conditions, including chronic pain.Materials and Methods:Focus group discussions with healthcare professionals and patients were conducted to inform selection of therapeutic objectives and appropriate technology.Results:Pertinent challenges are identified, relating to (1) reduction and definition of therapeutic objectives, and (2) how to approach adaptation of therapy to a form suited to technology delivery. The requirement of the system to provide dynamic and intelligent responses to patient experience and behavior is also emphasized.Conclusion:Solutions to these challenges are described in the context of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index