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Related Experiment Videos

Electronic pain diary: a randomized crossover study.

Jan Gaertner1, Frank Elsner, Klaus Pollmann-Dahmen

  • 1Department of Anesthesiology, University of Cologne, Cologne, Germany.

Journal of Pain and Symptom Management
|September 1, 2004
PubMed
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Electronic pain diaries offer higher patient satisfaction and support regular pharmacotherapy compared to paper versions. While some patients struggle with technology, electronic diaries are a valid method for pain documentation in clinical research.

Area of Science:

  • Pain Management
  • Clinical Research Technology
  • Digital Health

Background:

  • Electronic pain diaries are increasingly vital in clinical research and practice.
  • The Minimal Documentation System (MIDOS) is used for pain and symptom assessment.
  • Chronic pain patients require reliable methods for tracking symptoms and quality of life.

Purpose of the Study:

  • To compare patient satisfaction and data quality between electronic and paper pain diaries.
  • To assess the feasibility and validity of electronic pain diaries in chronic pain patients.
  • To evaluate the impact of electronic diaries on pharmacotherapy adherence.

Main Methods:

  • A randomized crossover trial involving 24 chronic pain patients.
  • Patients completed both electronic (palm-top computer) and paper MIDOS pain diaries.

Related Experiment Videos

  • Daily pain intensity (11-point NRS) and weekly quality-of-life questionnaires were recorded.

    • Main Results:

    • Patient satisfaction was significantly higher with the electronic diary.
    • Higher missing data rates were observed in the electronic version; retrospective fabrication was noted in the paper version.
    • No significant difference in documented pain/symptom intensity between diary types; electronic diary use correlated with more frequent use and better pharmacotherapy adherence.

    Conclusions:

    • Electronic pain diaries are a valid and feasible method for pain perception documentation.
    • Despite some usability challenges for certain patients, electronic diaries enhance patient satisfaction and streamline data collection.
    • Electronic palm-top pain diaries show promise for improving clinical research data accuracy and patient treatment management.