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Using codesign workshops to develop a conceptual framework for a mobile health app targeting chronic low back pain
Tianyu Zhou1, Sarah Kirby-Ginns2, David Salman3,4
1Department of Surgery and Cancer, Imperial College London, London, UK t.zhou20@imperial.ac.uk.
BMJ Open
|February 22, 2025
Summary
Co-design workshops with diverse stakeholders identified key challenges and solutions for chronic low back pain (CLBP) self-management apps. Insights will improve future mobile health (mHealth) app development and user engagement.
Area of Science:
- Digital health
- Human-computer interaction
- Chronic pain management
Background:
- Chronic low back pain (CLBP) poses a significant health burden.
- Mobile health (mHealth) applications offer potential for self-management, but require user-centered design.
- Existing CLBP apps face challenges in user engagement and effectiveness.
Purpose of the Study:
- To gather stakeholder insights for developing a CLBP self-management app.
- To identify challenges and solutions for mHealth apps targeting CLBP.
- To inform the creation of a conceptual framework for a CLBP self-management app.
Main Methods:
- Employed a codesign workshop methodology with diverse stakeholders.
- Conducted online workshops to facilitate participation from individuals with CLBP, healthcare professionals, and app developers.
- Utilized brainstorming, communication, and reflection exercises to foster collaboration.
Main Results:
- Identified four primary challenges in current back pain apps: belief and trust, motivation, safety, and usability.
- Nine stakeholders collaboratively proposed practical solutions to address these identified challenges.
- Generated critical insights for improving mHealth solutions for CLBP.
Conclusions:
- The codesign workshop approach is effective for generating insights into mHealth app development for CLBP.
- The identified challenges and proposed solutions can guide the development of more effective CLBP self-management apps.
- Future app development informed by these insights may lead to enhanced user engagement and better health outcomes.

