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dc.contributor.authorSantana, Bruna de Melo-
dc.contributor.authorMoura, Julia Raffin-
dc.contributor.authorToledo, Aline Martins de-
dc.contributor.authorBurke, Thomaz Nogueira-
dc.contributor.authorProbst, Livia Fernandes-
dc.contributor.authorPasinato, Fernanda-
dc.contributor.authorCarregaro, Rodrigo Luiz-
dc.date.accessioned2024-11-13T18:04:24Z-
dc.date.available2024-11-13T18:04:24Z-
dc.date.issued2023-02-11-
dc.identifier.citationSANTANA, Bruna de Melo et al. Efficacy of mHealth interventions for improving the pain and disability of individuals with chronic low back pain: systematic review and meta-analysis. JMIR Mhealth Uhealth, [S.l.], v. 11, 2023. DOI: https://doi.org/10.2196/48204. Disponível em: https://mhealth.jmir.org/2023/1/e48204. Acesso em: 13 nov. 2024.pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/50897-
dc.language.isoengpt_BR
dc.publisherJMIR Publicationspt_BR
dc.rightsAcesso Abertopt_BR
dc.titleEfficacy of mHealth interventions for improving the pain and disability of individuals with chronic low back pain : systematic review and meta-analysispt_BR
dc.typeArtigopt_BR
dc.subject.keywordFisioterapiapt_BR
dc.subject.keywordDor nas costaspt_BR
dc.subject.keywordDor crônicapt_BR
dc.subject.keywordTecnologia em saúdept_BR
dc.subject.keywordTelemedicinapt_BR
dc.rights.licenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License (https:// creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited.pt_BR
dc.identifier.doihttps://doi.org/10.2196/48204pt_BR
dc.relation.publisherversionhttps://mhealth.jmir.org/2023/1/e48204pt_BR
dc.description.abstract1Background: Low back pain is one of the main causes of disability worldwide. Individuals with chronic conditions have been widely affected by the COVID-19 pandemic. In this context, mobile health (mHealth) has become popular, mostly due to the widespread use of smartphones. Despite the considerable number of apps for low back pain available in app stores, the effectiveness of these technologies is not established, and there is a lack of evidence regarding the effectiveness of the isolated use of mobile apps in the self-management of low back pain. Objective: We summarized the evidence on the effectiveness of mHealth interventions on pain and disability for individuals with chronic low back pain. Methods: We conducted a systematic review and meta-analysis comparing mHealth to usual care or no intervention. The search terms used were related to low back pain and mHealth. Only randomized controlled trials were included. The primary outcomes were pain intensity and disability, and the secondary outcome was quality of life. Searches were carried out in the following databases, without date or language restriction: PubMed, Scopus, Embase, Physiotherapy Evidence Database (PEDro), the Cochrane Library, and OpenGrey, in addition to article references. The risk of bias was analyzed using the PEDro scale. Data were summarized descriptively and through meta-analysis (pain intensity and disability). In the meta-analysis, eligible studies were combined while considering clinical and methodological homogeneity. The certainty of evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) criteria. Results: A total of 5 randomized controlled trials were included, totaling 894 participants (447 allocated to the mHealth group and 445 to the usual care group), and they had similar methodological structure and interventions. Follow-up ranged from 6 weeks to 12 months. The studies did not demonstrate significant differences for pain intensity (mean difference −0.86, 95% CI −2.29 to 0.58; P=.15) and disability (standardized mean difference −0.24, 95% CI −0.69 to 0.20; P=.14) when comparing mHealth and usual care. All studies showed biases, with emphasis on nonconcealed allocation and nonblinding of the outcome evaluator. The certainty of evidence was rated as low for the analyzed outcomes. Conclusions: mHealth alone was no more effective than usual care or no treatment in improving pain intensity and disability in individuals with low back pain. Due to the biases found and the low certainty of evidence, the evidence remains inconclusive, and future quality clinical trials are needed.pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7004-0433pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-1592-6004pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-0041-0750pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-4872-2139pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-4696-0862pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-1546-9579pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2382-0787pt_BR
dc.contributor.affiliationUniversidade de Brasília, Faculdade de Ceilândiapt_BR
dc.contributor.affiliationUniversidade de Brasília, Faculdade de Ceilândiapt_BR
dc.contributor.affiliationUniversidade de Brasília, Faculdade de Ceilândiapt_BR
dc.contributor.affiliationUniversidade Federal do Mato Grosso do Sulpt_BR
dc.contributor.affiliationHospital Alemão Oswaldo Cruzpt_BR
dc.contributor.affiliationUniversidade de Brasília, Faculdade de Ceilândiapt_BR
dc.contributor.affiliationUniversidade de Brasília, Faculdade de Ceilândiapt_BR
dc.description.unidadeFaculdade UnB Ceilândia (FCE)pt_BR
dc.description.ppgPrograma de Pós-Graduação em Ciências da Reabilitaçãopt_BR
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