User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial

JMIR mHealth and uHealth - Tập 9 Số 3 - Trang e26528
Anuj Bhatia1,2, Jamal Kara3,4, Tahir Janmohamed5, Atul Prabhu1, Gerald Lebovic6,2, Joel Katz1,7, Hance Clarke1,8
1Department of Anesthesia and Pain Medicine, University Health Network, University of Toronto, Toronto, ON, Canada
2Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
3Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
4Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
5ManagingLife Inc, Toronto, ON, Canada
6Applied Health Research Centre, Unity Health Toronto, Toronto, ON, Canada
7Department of Psychology, York University, Toronto, ON, Canada
8Transitional Pain Service, Toronto General Hospital, University Health Network, Toronto, ON, Canada

Tóm tắt

Background Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management app called Manage My Pain (MMP) can be used to enhance communication between providers and patients and promote self-management. Objective The purpose of this study was to evaluate the real-world engagement of patients in urban and rural settings in Ontario, Canada with the MMP app alongside their standard of care and assess the impact of its usage on clinical outcomes of pain and related mental health. Methods A total of 246 participants with chronic pain at a rural and 2 urban pain clinics were recruited into this prospective, open-label, exploratory study that compared the use of MMP, a digital health app for pain that incorporates validated questionnaires and provides patients with summarized reports of their progress in combination with standard care (app group), against data entered on paper-based questionnaires (nonapp group). Participants completed validated questionnaires on anxiety, depression, pain catastrophizing, satisfaction, and daily opioid consumption up to 4.5 months after the initial visit (short-term follow-up) and between 4.5 and 7 months after the initial visit (long-term follow-up). Engagement and clinical outcomes were compared between participants in the two groups. Results A total of 73.6% (181/246) of the participants agreed to use the app, with 63.4% (111/175) of them using it for at least one month. Individuals who used the app rated lower anxiety (reduction in Generalized Anxiety Disorder 7-item questionnaire score by 2.10 points, 95% CI –3.96 to –0.24) at short-term follow-up and had a greater reduction in pain catastrophizing (reduction in Pain Catastrophizing Scale score by 5.23 points, 95% CI –9.55 to –0.91) at long-term follow-up relative to patients with pain who did not engage with the MMP app. Conclusions The use of MMP by patients with chronic pain is associated with engagement and improvements in self-reported anxiety and pain catastrophizing. Further research is required to understand factors that impact continued engagement and clinical outcomes in patients with chronic pain. Trial Registration ClinicalTrials.gov NCT04762329; https://clinicaltrials.gov/ct2/show/NCT04762329

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JMIR mHealth and uHealth

Tập 9 Số 3

e26528

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