@Article{信息:doi 10.2196 / / jmir。8826，作者=“Martorella, Geraldine和Boitor, Madalina和Berube, Melanie和Fredericks, Suzanne和Le May, Sylvie和G{\'e}linas, C{\'e}line”，标题=“定制的基于网络的疼痛干预:系统回顾和元分析”，期刊=“J Med Internet Res”，年=“2017”，月=“11”，日=“10”，卷=“19”，数=“11”，页=“e385”，关键词=“基于网络的干预;定制的干预;疼痛管理;慢性疼痛;急性疼痛;审查;系统评价;背景:在过去十年中，强调疼痛管理重要性的努力成倍增加。对于急性和慢性疼痛管理，各种障碍产生了相当大的治疗可及性问题，因此提供了实施替代干预格式的机会。 Several systematic reviews on Web-based interventions with a large emphasis on chronic pain and cognitive behavioral therapy have been recently conducted to explore the influence of these interventions on pain management However, to our knowledge, the specific contribution of tailored Web-based interventions for pain management has not been described and their effect on pain has not been evaluated. Objective: The primary aim of this systematic review was to answer the following research question: What is the effect of tailored Web-based pain management interventions for adults on pain intensity compared with usual care, face-to-face interventions, and standardized Web-based interventions? A secondary aim was to examine the effects of these interventions on physical and psychological functions. Methods: We conducted a systematic review of articles published from January 2000 to December 2015. We used the DerSimonian-Laird random effects models with 95{\%} confidence intervals to calculate effect estimates for all analyses. We calculated standardized mean differences from extracted means and standard deviations, as outcome variables were measured on different continuous scales. We evaluated 5 different outcomes: pain intensity (primary outcome), pain-related disability, anxiety, depression, and pain catastrophizing. We assessed effects according to 3 time intervals: short term (<1 month), medium term (1-6 months), and long term (6-12 months). Results: After full-text review, we excluded 31 articles, resulting in 17 eligible studies. Only 1 study concerned acute pain and was removed from the meta-analysis, resulting in 16 studies available for quantitative assessment. Compared with standard care or a waiting list, tailored Web-based intervention showed benefits immediately after, with small effect sizes (<0.40) for pain intensity (10 randomized controlled trials [RCTs], n=1310, P=.003) and pain-related disability (6 RCTs, n=953, P<.001). No other improvements were observed at follow-up in the medium and long terms. Compared with the active control group, no improvements were found for the primary outcome (pain intensity) or any of the outcomes except for a small effect size on pain catastrophizing (2 RCTs, n=333, P<.001) immediately after the intervention. Conclusions: Tailored Web-based interventions did not prove to be more efficacious than standardized Web-based interventions in terms of pain intensity, pain-related disability, anxiety, and depression. An interesting finding was that some efficacy was shown on pain catastrophizing compared with active control interventions. Considering the diversity of approaches used in tailored Web-based interventions for chronic pain management, their efficacy is yet to be explored. Moreover, their contribution to acute pain management is embryonic. Trial Registration: International prospective register of systematic reviews (PROSPERO): CRD42015027669; http://www.crd.york.ac.uk/PROSPERO/display{\_}record.php?ID=CRD42015027669 (Archived by WebCite at http://www. webcitation.org/6uneWAuyR) ", issn="1438-8871", doi="10.2196/jmir.8826", url="//www.mybigtv.com/2017/11/e385/", url="https://doi.org/10.2196/jmir.8826", url="http://www.ncbi.nlm.nih.gov/pubmed/29127076" }