Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project.

Autor:	Bartels SL; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden sara.bartels@ki.se., Johnsson SI; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden., Boersma K; Center for Health and Medical Psychology (CHAMP), School of Law, Psychology, and Social Work, Örebro University, Orebro, Sweden., Flink I; Center for Health and Medical Psychology (CHAMP), School of Law, Psychology, and Social Work, Örebro University, Orebro, Sweden., McCracken LM; Division of Clinical Psychology, Department of Psychology, Uppsala University, Uppsala, Sweden., Petersson S; Department of Medicine and Optometry, Linnaeus University, Kalmar, Sweden., Christie HL; Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, Netherlands., Feldman I; Department of Public Health and Caring Science, Uppsala Universitet, Uppsala, Sweden., Simons LE; Department of Anaesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA., Onghena P; Research Group on Methods, Individual and Cultural Differences, Affect and Social Behavior, KU Leuven, Leuven, Belgium., Vlaeyen JWS; Research Group Health Psychology, KU Leuven, Leuven, Belgium.; Research Group Experimental Health Psychology, Maastricht University, Maastricht, The Netherlands., Wicksell RK; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.; Pain Clinic, Capio St. Göran Hospital, Stockholm, Sweden.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Apr 15; Vol. 12 (4), pp. e059152. Date of Electronic Publication: 2022 Apr 15.
DOI:	10.1136/bmjopen-2021-059152
Abstrakt:	Introduction: Chronic pain affects about 20%-40% of the population and is linked to mental health outcomes and impaired daily functioning. Pharmacological interventions are commonly insufficient for producing relief and recovery of functioning. Behavioural health treatment is key to generate lasting benefits across outcome domains. However, most people with chronic pain cannot easily access evidence-based behavioural interventions. The overall aim of the DAHLIA project is to develop, evaluate and implement a widely accessible digital behavioural health treatment to improve well-being in individuals with chronic pain. Methods and Analysis: The project follows the four phases of the mHealth Agile Development and Evaluation Lifecycle: (1) development and pre-implementation surveillance using focus groups, stakeholder interviews and a business model; (2) iterative optimisation studies applying single case experimental design (SCED) method in 4-6 iterations with n=10 patients and their healthcare professionals per iteration; (3) a two-armed clinical randomised controlled trial enhanced with SCED (n=180 patients per arm) and (4) interview-based post-market surveillance. Data analyses include multilevel modelling, cost-utility and indicative analyses.In October 2021, inter-sectorial partners are engaged and funding is secured for four years. The treatment content is compiled and the first treatment prototype is in preparation. Clinical sites in three Swedish regions are informed and recruitment for phase 1 will start in autumn 2021. To facilitate long-term impact and accessibility, the treatment will be integrated into a Swedish health platform (www.1177.se), which is used on a national level as a hub for advice, information, guidance and e-services for health and healthcare. Ethics and Dissemination: The study plan has been reviewed and approved by Swedish ethical review authorities. Findings will be actively disseminated through peer-reviewed journals, conference presentations, social media and outreach activities for the wider public. Trial Registration Number: NCT05066087. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu