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

Pain catastrophizing Depression mHealth
DOI: 10.2196/26528 Publication Date: 2021-03-04T16:00:57Z
ABSTRACT
Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic management app called Manage My Pain (MMP) can be used to enhance communication between providers patients promote self-management.The purpose of this study was evaluate the real-world engagement in urban rural settings Ontario, Canada with MMP alongside their standard care assess impact its usage clinical outcomes related mental health.A total 246 participants at 2 clinics were recruited into prospective, open-label, exploratory that compared use MMP, health for incorporates validated questionnaires provides summarized reports progress combination (app group), against data entered paper-based (nonapp group). Participants completed anxiety, depression, catastrophizing, satisfaction, daily opioid consumption up 4.5 months after initial visit (short-term follow-up) 7 (long-term follow-up). Engagement two groups.A 73.6% (181/246) agreed app, 63.4% (111/175) them using it least one month. Individuals who rated lower anxiety (reduction Generalized Anxiety Disorder 7-item questionnaire score by 2.10 points, 95% CI -3.96 -0.24) short-term follow-up had greater reduction catastrophizing Catastrophizing Scale 5.23 -9.55 -0.91) long-term relative did not engage app.The is associated improvements self-reported catastrophizing. Further research required understand factors continued pain.ClinicalTrials.gov NCT04762329; https://clinicaltrials.gov/ct2/show/NCT04762329.
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