Manage My Pain at Chronic Pain Clinics
Study Details
Study Description
Brief Summary
The overall objective of this Early Adoption project is to gather evidence for how Managing My Pain Program (MMP), a novel digital pain management application can enable better care at home for chronic pain sufferers in the province of Ontario, Canada across 4 sites in urban, community, and rural settings
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management application, Managing My Pain Program (MMP) that incorporates validated questionnaires can be used to enhance communication between providers and patients and promote self-management to evaluate the extent of patient engagement with the app when used in clinical settings.
The main objectives for this project is to evaluate the engagement in patients using MMP, and to assess improvements in clinical outcomes directly relevant for pain management, as measured by clinically-validated tools.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Patient group using Manage My Pain (MMP) digital application for pain data Participants completed pain related questionnaires on the following pain related outcomes - anxiety, depression, catastrophizing, disability, patient impression of change, and daily opioid consumption at baseline on initial visit and as a part of the first follow-up clinical visits, on the Manage My Pain (MMP) digital application |
Other: Manage My Pain (MMP) digital pain app group
To evaluate the extent of patient engagement with the Manage My Pain (MMP) digital application when used in a clinical setting
|
| No Intervention: Patient group using paper format for pain data Participants completed pain related questionnaires on the following pain related outcomes - anxiety, depression, catastrophizing, disability, patient impression of change, and daily opioid consumption at baseline on initial visit and as a part of the first follow-up clinical visits on paper format or phone interviews. |
Outcome Measures
Primary Outcome Measures
- Evaluating engagement based on adoption and retention rates [24 months]
Evaluating the number of patients who elected to use the Manage My Pain (MMP) application, and determining how long they used the app in the short-term (4.5 months) and long-term (4.5-7 months) follow-ups
Secondary Outcome Measures
- Change in depression as measured by the Patient Health Questionnaire 9-item (PHQ-9) [Short-term (4.5 months) and long-term (4.5-7 months)]
- Change in anxiety as measured by the General Anxiety Disorder 7-item Questionnaire (GAD-7) [Short-term (4.5 months) and long-term (4.5-7 months)]
- Change in pain disability as measured by the Pain Disability Index (PDI) [Short-term (4.5 months) and long-term (4.5-7 months)]
- Change in pain catastrophizing and measured by the Pain Catastrophizing Scale (PCS) [Short-term (4.5 months) and long-term (4.5-7 months)]
- Change in opioid consumption as measured by Oral Morphine Equivalents (OME) [Short-term (4.5 months) and long-term (4.5-7 months)]
- Change in patient satisfaction as measured by the Patient Global Impression of Change (PGIC) scale [Short-term (4.5 months) and long-term (4.5-7 months)]
Eligibility Criteria
Criteria
Inclusion Criteria:
- New patients with chronic pain conditions referred to participating sites with pain programs to adopt the MMP tool into clinical practice.
Exclusion Criteria:
-
Patients declining to consent for the study
-
Patients withdrawing from the study at a later time after consenting
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Toronto Western Hospital | Toronto | Ontario | Canada | M5T 2S8 |
Sponsors and Collaborators
- University Health Network, Toronto
- Ontario Centres of Excellence
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Alexander JC, Joshi GP. Smartphone applications for chronic pain management: a critical appraisal. J Pain Res. 2016 Sep 26;9:731-734. eCollection 2016.
- Portelli P, Eldred C. A quality review of smartphone applications for the management of pain. Br J Pain. 2016 Aug;10(3):135-40. doi: 10.1177/2049463716638700. Epub 2016 Apr 19.
- Salazar A, de Sola H, Failde I, Moral-Munoz JA. Measuring the Quality of Mobile Apps for the Management of Pain: Systematic Search and Evaluation Using the Mobile App Rating Scale. JMIR Mhealth Uhealth. 2018 Oct 25;6(10):e10718. doi: 10.2196/10718.
- 17-6201