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Conversational Agents to Support Pain Management: A Scoping Review
Filipe L Souza1,2,3, Hannah Bowman2, Francis Yang2,3
1School of Health Sciences, University of Vale Do Itajaí, Itajaí, Brazil.
European Journal of Pain (London, England)
|April 2, 2025
Summary
Conversational agents offer promising, diverse applications for adult pain management, but evidence for their effectiveness is limited. Future research should focus on feasibility and user experience to improve these digital health tools.
Area of Science:
- Digital health technologies
- Pain management research
- Conversational agent applications
Background:
- Pain is a global leading cause of disability, presenting complex management challenges.
- Biopsychosocial factors and evidence-based treatment delivery are key difficulties in pain management.
- Digital health technologies, like conversational agents, show potential for personalized pain management.
Purpose of the Study:
- To comprehensively evaluate the applications of conversational agents in adult pain management.
- To assess the effectiveness of conversational agents in supporting individuals with pain.
- To understand the current landscape of conversational agent use in pain management.
Main Methods:
- Systematic searches conducted across six major databases and five trial registries.
- Inclusion of studies on conversational agents supporting pain management in adults.
- Scoping review methodology to synthesize diverse applications and effectiveness data.
Main Results:
- Twenty-eight studies were included, with applications in health information capture, emotional support, self-management adherence, psychological treatment, organizational support, and provider education.
- Studies addressed various pain-related conditions, including dementia, cancer, and musculoskeletal disorders.
- No conversational agents covered all four recommended stages of translational research.
Conclusions:
- Conversational agent use in pain management is emerging with diverse applications.
- Evidence for effectiveness in improving pain outcomes is limited and varied.
- Future research should prioritize feasibility, reliability, and user experience to inform robust trials.
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