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The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial
Caroline Larsson1, Joanne Marley2, Flavia Piccinini3
1Department of Health Sciences, Lund University, Sölvegatan 19, Lund, 223 62, Sweden, 46 736673026.
JMIR Formative Research
|August 27, 2025
Summary
Digital interventions like MyRelief show promise for low back pain (LBP) self-management. While recruitment was feasible, retention was low, and usability requires optimization for better accessibility and navigation in future studies.
Area of Science:
- Digital Health Interventions
- Chronic Pain Management
- Health Services Research
Background:
- Low back pain (LBP) is a significant global cause of work absence.
- Digital interventions offer potential for increased access to self-management support for persistent LBP.
- The MyRelief program is a digital educational tool designed for LBP self-management.
Purpose of the Study:
- To evaluate the feasibility, usability, and acceptability of the MyRelief digital educational program.
- To assess the program's potential for supporting self-management strategies in individuals with persistent LBP.
Main Methods:
- A prospective, uncontrolled feasibility study conducted across four countries (Italy, Portugal, Sweden, UK) from 2020-2021.
- Participants with persistent LBP (>3 months) accessed the 8-unit MyRelief program.
- Feasibility assessed by recruitment and retention rates; outcomes measured by Oswestry Disability Index (ODI), EuroQol 5-level questionnaire, Patient Enablement Instrument, and System Usability Scale.
Main Results:
- Recruitment met feasibility thresholds (80% enrollment).
- Retention rate was 42.5%, with a 57.5% dropout rate, not meeting the <35% target.
- Health-related quality of life improved significantly; usability and enablement scores were good, but qualitative feedback highlighted navigation/access issues.
Conclusions:
- The MyRelief program demonstrated recruitment feasibility but not retention feasibility.
- Participant baseline disability levels may not represent the broader persistent LBP population.
- Future research should enhance recruitment strategies and optimize digital platform navigation and accessibility based on user feedback.
