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App-based intervention among adolescents with persistent pain: a pilot feasibility randomized controlled trial
Erik Grasaas1, Sølvi Helseth2,3, Liv Fegran2
1Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway. erik.grasaas@uia.no.
Pilot and Feasibility Studies
|July 27, 2022
Summary
An app-based self-management intervention for persistent pain in adolescents showed high attrition and low engagement, indicating a need for trial design improvements. Further research is needed to optimize digital health tools for this population.
Area of Science:
- Adolescent Health
- Digital Health Interventions
- Pain Management
Background:
- Persistent pain in adolescents significantly impacts daily life and public health.
- App-based self-management interventions are being explored to address this issue.
- Previous research highlights the need for effective digital tools for adolescent chronic pain.
Purpose of the Study:
- To assess the feasibility of an 8-week app-based self-management intervention for adolescents with persistent pain.
- To evaluate the intervention's impact on pain reduction and quality of life.
- To explore differences in health outcomes between intervention and control groups.
Main Methods:
- 73 adolescents (16-19 years) with persistent pain were randomized.
- Intervention group used the iCanCope with Pain app; control group used a symptom tracking app.
- Feasibility assessed by attrition rates and app engagement; outcomes included pain, quality of life, and mental health.
Main Results:
- 62% attrition rate and low app engagement were observed in the intervention group.
- No significant differences in primary outcomes between groups.
- A large effect size for depression suggested potential benefits in the intervention group.
Conclusions:
- High attrition and low engagement necessitate modifications to trial design for future studies.
- The study highlights challenges in implementing app-based interventions for adolescents with persistent pain.
- Further research is required to optimize digital interventions for improved participant retention and effectiveness.
