摘要
Abstract
Background Over 75％of children experience moderate to severe pain.With advancements in the field of medical applications(APPs),this emerging technology has garnered attention for its potential use in pediatric pain self-management.Objective To outline the current status of APP applications in pediatric pain self-management,including their development,feasibility,and effectiveness.Design Scoping review.Methods PubMed,Embase,Web of Science,CNKI,Wanfang Data,VIP,and CBM databases were searched from inception to November 14,2024.Literature search,screening,and data extraction were independently conducted by two researchers.Analyses were performed based on study type,population,APP functionalities,evaluation content,and outcome measures.Main outcome measures Feasibility and effectiveness of APPs in pediatric pain self-management.Results All 33 included studies meeting the inclusion/exclusion criteria were English-language publications,comprising 26 cross-sectional surveys and 7 RCTs.The study population totaled 2,377 participants,aged 5.3-17.4 years(median 13.3).All studies were conducted in European or American countries.APPs were applied to chronic pain(11 studies),cancer-related pain(9),postoperative pain(6),juvenile idiopathic arthritis(2),and sickle cell anemia,functional abdominal pain,intellectual disabilities,ADHD,and healthy volunteers(1 each).Twenty-seven studies assessed feasibility as an outcome.Three studies used the traditional Pain Visual Analog Scale(pVAS)as a reference to evaluate consistency between APP-based electronic VAS(eVAS)and electronic Color Analog Scale(eCAS)pain scores via intraclass correlation coefficients.Twenty-four studies collected or recorded pain-related data through APPs and evaluated feasibility via questionnaires or interviews.Eight studies reflected feasibility through willingness to use APPs for pain management.Six RCTs assessed APP effectiveness in pediatric pain management,using pain intensity,pain-related quality of life impact,psychological status,and self-management capacity as evaluation metrics.Conclusion APPs represent a promising clinical research tool for pediatric pain self-management.However,feasibility evaluation metrics require refinement,and culturally adapted APPs tailored to local contexts should be developed,particularly emphasizing patient-centered effectiveness assessment tools based on children's subjective experiences.关键词
儿童/青少年/疼痛/自我管理/应用程序/自我效能/综述Key words
Children/Adolescent/Pain/Self-management/Application/Self-efficacy/Review
