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Short-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain:
Katrine Bostrøm1,2, Elin Børøsund1,3, Hilde Eide1,4
1Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Journal of Medical Internet Research
|August 25, 2023
Summary
Digital pain self-management intervention EPIO showed no significant impact on pain interference but reduced depression and self-regulatory fatigue in chronic pain patients. Users found EPIO useful and easy to use.
Area of Science:
- Digital health interventions
- Chronic pain management
- Psychosocial interventions
Background:
- Chronic pain presents significant physical and psychological challenges.
- In-person psychosocial interventions are not always accessible.
- Digital self-management tools can bridge this accessibility gap for pain management.
Purpose of the Study:
- To evaluate the short-term effectiveness of EPIO, a digital self-management intervention.
- To assess EPIO's impact on pain interference, psychological distress, and self-regulation in chronic pain patients.
Main Methods:
- A randomized controlled trial comparing EPIO to care-as-usual.
- 266 patients with chronic pain were randomized.
- Outcomes included pain interference, anxiety, depression, self-regulatory fatigue, quality of life, pain catastrophizing, and pain acceptance.
Main Results:
- No significant change in pain interference (primary outcome).
- Significant reductions in depression and self-regulatory fatigue in the EPIO group.
- High user satisfaction with EPIO's usefulness and ease of use.
Conclusions:
- Digital interventions like EPIO show potential for improving psychological well-being in chronic pain.
- EPIO may help reduce depression and enhance self-regulation capacity.
- User-centered digital tools can support chronic pain self-management.

