BMJ open:使用行为激活来管理疼痛：范围综述协议

2021-07-17 NursingResearch护理研究前沿

慢性疼痛是一种令人痛苦的症状，通常治疗和管理不善。心理疗法被认为是慢性疼痛患者的一线干预措施。

BMJ open

使用行为激活来管理疼痛：范围综述协议

摘要

介绍

慢性疼痛是一种令人痛苦的症状，通常治疗和管理不善。心理疗法被认为是慢性疼痛患者的一线干预措施。常见的心理治疗需要广泛的临床医生培训和专家资格。一种不需要长时间培训或专家资格但在其他健康领域有经验支持的方法是行为激活 (BA)。BA 寻求增加对个人重视的行为的参与，并通过可以改善情绪和发展技能以建立令人满意的行为取得进步。BA 可以帮助人们通过安排行为、促进习惯养成和对病情的掌握来管理他们的病情。BA 用于支持慢性疼痛患者的程度尚不清楚。

方法和分析

本范围综述旨在采用了范围综述的方法，描述 BA 在支持慢性疼痛患者中的应用的已发表研究。以便于绘制关于 BA 和慢性疼痛的证据，包括研究类型和相关证据。将在文献数据库、临床试验注册和灰色文献中进行检索。检索策略没有任何日期限制。标题和摘要的筛选以及全文筛选将由两名研究人员使用 Covidence 软件独立进行。研究人员之间的任何分歧将由第三名研究者解决。将使用定制的数据提取工具从包含的出版物中提取数据。

伦理和传播

范围综述是对现有数据的分析，因此不需要伦理批准。本次范围综述的结果将进一步了解 BA 如何用于支持患有慢性疼痛的人，并为该领域的未来培训和教育计划提供信息。

Abstract

Introduction

Chronic pain is a distressing condition and often poorly treated and managed. Psychological therapies are considered first-line intervention for people with chronic pain. Common psychological therapies require extensive clinician training and specialist qualifications. One approach that does not need lengthy training nor specialist qualification, but has empirical support in other health domains, is behavioural activation (BA). BA seeks to increase engagement in behaviours that are valued by the person and progress through behaviours that can increase mood and develop skills that build satisfying routines. BA can help people to manage their condition through scheduling behaviours, promoting routine and mastery over their condition. The extent to which BA has been used to support people living with chronic pain is not clear.

Methods and analysis

This scoping review aims to identify published studies describing the application of BA to support people living with chronic pain. To map the evidence regarding BA and chronic pain, including the study type and the associated evidence, a scoping review was adopted. The search will be conducted in bibliographic databases, clinical trial registries and grey literature. No date limits will be applied to the search strategy. Screening of titles and abstracts, and full-text screening, will be independently undertaken by two investigators using Covidence software. Any disagreement between investigators will be resolved by a third investigator. Data from included publications will be extracted using a customised data extraction tool.

Ethics and dissemination

The scoping review is an analysis of existing data and therefore ethics approval is not required. The findings of this scoping review will further our understanding of how BA has been used to support people living with chronic pain and inform future training and education programmes in this area.