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eHealth interventions for chronic pain: Protocol for a systematic review and meta-analysis
Rosario Caruso1,2, Pier Mario Perrone3, Karen Barros Parron Fernandes4,5
1Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Methodsx
|July 18, 2025
Summary
eHealth interventions show promise for chronic pain management, but their effectiveness varies. This review synthesizes evidence to identify optimal digital health strategies for improving patient outcomes and informing clinical practice.
Area of Science:
- Digital Health
- Pain Management
- Evidence Synthesis
Background:
- Chronic pain is a widespread, debilitating condition requiring long-term management.
- eHealth interventions offer potential for improved access to care, education, and support for chronic pain patients.
- Current evidence on eHealth efficacy for chronic pain is inconsistent, necessitating a comprehensive review.
Purpose of the Study:
- To systematically review and meta-analyze the efficacy of eHealth interventions for adults with chronic non-cancer pain.
- To compare various eHealth modalities using network meta-analysis to determine effective components.
- To assess impacts on pain severity, function, quality of life, mental health, adherence, satisfaction, and cost-effectiveness.
Main Methods:
- Systematic review and meta-analysis of eHealth interventions for chronic non-cancer pain.
- Network meta-analysis to compare different digital health modalities and intervention features.
- Cochrane guidelines for statistical analysis; Cochrane RoB 2.0 and GRADE for bias and certainty assessment.
Main Results:
- This section will present synthesized findings on the efficacy of various eHealth interventions.
- Identification of specific eHealth features associated with improved outcomes in chronic pain management.
- Evaluation of clinical, functional, psychological, adherence, and cost-related outcomes.
Conclusions:
- eHealth interventions present a viable avenue for enhancing chronic pain management strategies.
- Network meta-analysis will elucidate the most effective digital health approaches and components.
- Findings will guide evidence-based integration of digital health solutions for chronic pain care.

