Designing a Self-Guided Digital Intervention for Self-Management of Shoulder Pain in People Living With Spinal Cord
Verna Stavric1, Nicola L Saywell1, Nicola M Kayes2
1Department of Physiotherapy, School of Allied Health, Auckland University of Technology, Private Bag 92006, Auckland, 1142, New Zealand, 64 9-921-9666 ext 7060.
JMIR Mhealth and Uhealth
|January 6, 2026
Summary
This study details the development of a self-guided online program, the Shoulder Pain Intervention delivered over the interNet (SPIN), to manage shoulder pain in individuals with spinal cord injury using the person-based approach (PBA). The research provides a blueprint for operationalizing the PBA in digital health interventions.
Area of Science:
- Digital Health Interventions
- Rehabilitation Technology
- Person-Based Approach (PBA) in Intervention Design
Background:
- Shoulder pain is a common issue for individuals with spinal cord injury (SCI).
- Existing digital rehabilitation tools do not adequately address self-guided shoulder pain management for SCI.
- A gap exists in understanding how to operationalize the Person-Based Approach (PBA) for developing such interventions.
Purpose of the Study:
- To explain the operationalization of the PBA in designing the Shoulder Pain Intervention delivered over the interNet (SPIN).
- To provide a detailed methodology for maximizing the relevance and engagement of digital health interventions for SCI.
- To offer a blueprint for future researchers utilizing the PBA in intervention development.
Main Methods:
- The study employed the Person-Based Approach (PBA) for intervention development.
- Key steps included identifying user needs and challenges from preparatory research.
- Intervention features were selected and refined using existing literature, behavioral theory, and the Behavior Change Wheel.
Main Results:
- The Shoulder Pain Intervention delivered over the interNet (SPIN) was designed based on user needs and evidence.
- The PBA was operationalized through specific steps, integrating evidence, theory, and tools.
- Guiding principles and design objectives were formulated to ensure the intervention was fit for purpose.
Conclusions:
- The paper explicates the PBA operationalization process for the SPIN intervention.
- This detailed explanation serves as a guide for future applications of the PBA in digital health.
- The developed intervention aims to maximize engagement and positive outcomes for individuals with SCI experiencing shoulder pain.


