Improving chronic pain management with eHealth and mHealth: study protocol for a randomised controlled trial
Jaén, Irene ; Suso-Ribera, Carlos ; Castilla, Diana (Universidad de Zaragoza) ; Zaragoza, Irene ; García-Palacios, Azucena ; Gómez Palones, José Luis
Resumen: INTRODUCTION: Chronic pain has become a matter of public health concern due to its high prevalence and because public costs associated with treatment and disability increase each year. Research suggests that limitations in the traditional assessment of chronic pain patients limit the effectiveness of current medical treatments. The use of technology might serve change patient traditional monitoring into ecological momentary assessments, which might be visualised by physicians live. This study describes a randomised control trial designed to test the utility of a technology-based solution for pain telemonitoring consisting of a smartphone app for patients and a web application for physicians. The goal of this study will be to explore whether this combination of eHealth and mHealth improves the effectiveness of existing pain treatments. METHODS AND ANALYSIS: Participants will be 250 patients randomly assigned to one of these two conditions: treatment-as-usual (TAU) and TAU +app+¿web. All participants will receive the usual treatment for their pain. Only the TAU +app+¿web group use Pain Monitor app, which generates alarms that are sent to the physicians in the face of previously established undesired events. Physicians will be able to monitor app reports using a web application, which might result in an adjustment of treatment. We anticipate that the use of Pain Monitor plus the therapist web will result in a reduction of pain intensity and side effects of the medication. Improvements on secondary outcomes, namely fatigue, mood, pain interference, rescue medication use and quality of life, are also expected. Mixed repeated-measure multivariate analyses of variances will be conducted to investigate whether there are differences between preassessment and postassessment scores as a function of the experimental condition. ETHICS AND DISSEMINATION: Ethical approval from the Hospital General Universitari de Castellon was obtained. The findings will be published in peer-reviewed journals.
Idioma: Inglés
DOI: 10.1136/bmjopen-2019-033586
Año: 2019
Publicado en: BMJ open 9, 12 (2019), e033586 1-8
ISSN: 2044-6055
Factor impacto JCR: 2.496 (2019)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 52 / 165 = 0.315 (2019) - Q2 - T1
Factor impacto SCIMAGO: 1.247 - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Idioma: Inglés
DOI: 10.1136/bmjopen-2019-033586
Año: 2019
Publicado en: BMJ open 9, 12 (2019), e033586 1-8
ISSN: 2044-6055
Factor impacto JCR: 2.496 (2019)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 52 / 165 = 0.315 (2019) - Q2 - T1
Factor impacto SCIMAGO: 1.247 - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2020-07-16-09:38:18)
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Record created 2020-02-04, last modified 2020-07-16