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Improving pain treatment with a smartphone app: study protocol for a randomized controlled trial.
Carlos Suso-Ribera1, Ángela Mesas2, Javier Medel2
1Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Av. de Vicent Sos Baynat, s/n, 12071, Castellon de la Plana, Spain. susor@uji.es.
This study explores using smartphone apps for chronic pain management. Telemonitoring via app may improve treatment effectiveness and patient safety by enabling faster detection of adverse events.
Area of Science:
- Pain Management
- Digital Health
- Clinical Trials
Background:
- Chronic pain is a global health issue, particularly affecting older adults, with modest treatment effectiveness.
- Improved assessment strategies are needed to enhance medical intervention outcomes.
- Ecological momentary assessment (EMA) via smartphones is a leading monitoring method in healthcare.
Purpose of the Study:
- To investigate the effects of a smartphone app for telemonitoring chronic pain patients.
- To determine if telemonitoring improves the effectiveness of medical treatments for chronic pain.
Main Methods:
- A randomized controlled trial with 150 participants across three groups: treatment as usual (TAU), TAU+app, and TAU+app+alarms.
- Daily assessments using the Pain Monitor smartphone app for TAU+app and TAU+app+alarms groups.
- Telemonitoring and potential treatment adjustments in the TAU+app+alarms group based on app-generated alarms.
Main Results:
- Primary outcomes include pain intensity and medication side effects.
- Secondary outcomes encompass pain interference, activity levels, rescue medication use, pain catastrophizing, and pain acceptance.
- The study aims to provide data on the efficacy of app-based telemonitoring in chronic pain management.
Conclusions:
- Telemonitoring with EMA via smartphone apps holds significant clinical potential for improving pain interventions.
- Rapid detection of adverse events through app-based telemonitoring can enhance patient safety and treatment effectiveness.
- Leveraging mainstream smartphone technology is essential for advancing healthcare, particularly in pain management.
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