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Development of a Novel Web-Based Intervention Targeting Pain-Related Outcomes in Individuals With Chronic Orofacial
Brenda C Lovette1,2, Jafar Bakhshaie1,2, Ronald Kulich3
1Center for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, United States.
JMIR Research Protocols
|August 20, 2025
Summary
A new web-based intervention, Face-Forward-Web, is being developed for chronic orofacial pain (COP). This talk-free program aims to provide accessible mind-body support for patients with COP.
Area of Science:
- Digital health interventions
- Mind-body medicine
- Chronic pain management
Background:
- Chronic orofacial pain (COP) presents significant challenges, including pain interference and emotional distress.
- Existing psychosocial treatments for COP are limited in availability and scalability.
- There is a need for accessible, "talk-free" interventions for COP patients.
Purpose of the Study:
- To develop Face-Forward-Web, a novel web-based, talk-free mind-body intervention for adults with COP.
- To optimize the intervention and study protocol through user-centered design, including focus groups and beta testing.
- To assess the feasibility of the intervention and study procedures.
Main Methods:
- User-centered design principles were applied across two phases.
- Phase 1 involved semistructured focus groups (n=22) to gather treatment needs and preferences.
- Phase 2 included beta testing (n=10) and an open feasibility trial (n=20) with exit interviews.
- Feasibility outcomes included recruitment, acceptability, credibility, expectancy, and satisfaction.
Main Results:
- Phase 1 recruitment occurred from October 2024 to January 2025.
- Data analysis for Phase 1 is expected in Fall 2025, with Phase 2 analysis in 2026.
- Results will iteratively inform the intervention's development and refinement.
Conclusions:
- Face-Forward-Web is poised to be the first talk-free, web-based intervention specifically for adults with COP.
- The findings will guide the design of a future efficacy trial for this novel treatment.
- This approach addresses the limitations of current COP treatments.
