Online Self-Management Treatment Program for Women Diagnosed with Interstitial Cystitis/Bladder Pain Syndrome
Notice bibliographique
Résumé
Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) is a chronic pelvic pain condition. An agreed-upon etiology for IC/BPS remains unspecified and medical treatment is often inadequate. Research has demonstrated the condition is associated with diminished quality of life (QoL), significant pain-related disability, greater pain catastrophizing, depressed mood, and decreased social support. Psychosocial treatments have been emphasized by health-care providers and researchers alike, but to date, no study has evaluated a psychosocial treatment program for this population. The literature suggests that online psychosocial treatments can effectively improve patient outcomes in various chronic pain samples. The present dissertation aimed to develop and evaluate the efficacy of an online psychosocial self-management treatment program for women with IC/BPS. Based on the literature on this population and evidence-based treatments, the program targeted psychosocial risk factors (pain catastrophizing, depression, social support, disability), with the aim of improving QoL. An expert review was conducted to gather feedback on program content. A pilot study assessed patient perceived usability of and satisfaction with the intervention, which was rated as satisfactory, useful, and valuable by patients. Improvements were made in accordance with patient feedback and the literature. Finally, a wait-list randomized controlled trial (RCT) evaluated the efficacy of the online self-management treatment program. It was hypothesized that treatment group participants would obtain improvements on the primary outcome measures of physical and mental QoL, as well as secondary outcome measures of depression, disability, pain catastrophizing, and social support, when compared with control group participants. Although these hypotheses were not supported, treatment group participants’ 3-month follow-up pain catastrophizing scores were statistically lower than baseline, and there was a clinically meaningful reduction in pain catastrophizing scores for treatment group participants, when compared with control group participants, at study end. The program was deemed highly satisfactory to patients who completed it. Theoretical and clinical implications are discussed. Study results led to considerations for future research. Important limitations of the present study include a large attrition rate and threats to internal validity in follow-up period analyses. Overall, an online self-management treatment program may be a potentially useful intervention for women with IC/BPS, but further research is needed.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».