Related Experiment Video
Updated: May 26, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
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.
Objectives:
The aim of this study was to gather insights from a diverse group of stakeholders, identify existing challenges and explore associated solutions to develop a conceptual framework that assists in the development of a chronic low back pain (CLBP) self-management app.
Design:
Codesign workshop methodology.
Setting:
The study was conducted online, allowing for the participation of a diverse group of stakeholders.
Participants:
Participants were recruited through social media platforms and professional networks, including individuals with LBP for at least 3 months, healthcare professionals experienced in CLBP management and app developers with a background in digital health applications.
Interventions:
The study used codesign workshops focused on brainstorming, communication and reflection exercises designed to foster collaboration and gather insights from stakeholders.
Outcome Measures:
Identification of key challenges and potential solutions for mobile health (mHealth) apps targeting CLBP.
Results:
Nine stakeholders identified four primary challenges in current back pain apps: belief and trust, motivation, safety and usability. The group also collaboratively developed and proposed practical solutions to these challenges.
Conclusions:
This study illustrated the utility of the codesign workshop approach in generating critical insights for the development of a mHealth solution for CLBP. The insights gathered from these workshops can be used to inform future app development, potentially improving user engagement.

