Randomized controlled trial investigating the effectiveness of a multimodal mobile application for the treatment of chronic pain

Autor: Cynthia J. Thomson, Hanna Pahl, Luisa V. Giles
Jazyk: English<br />French
Rok vydání: 2024
Předmět:
Zdroj: Canadian Journal of Pain, Vol 8, Iss 1 (2024)
Druh dokumentu: article
ISSN: 24740527
2474-0527
DOI: 10.1080/24740527.2024.2352399
Popis: Background Until recently, treatments for chronic pain commonly relied on in-person interventions, and despite more hybrid care options today, capacity for delivery remains challenged. Digital programs focusing on the psychosocial aspects of pain may provide low-barrier alternatives.Aims Through a randomized controlled trial, we investigated the effectiveness of a multimodal mobile application.Methods Participants (n = 198; 82% women, mean age = 46.7 [13.1] years; mean pain duration 13.6 [11.2] years) with nonmalignant chronic pain were randomized to either a 6-week intervention (n = 98) or a wait-listed usual care group (n = 100). The intervention involved regular engagement with a user-guided mobile application (Curable Inc.) informed by the biopsychosocial model of pain that included pain education, meditation, cognitive behavioral therapy, and expressive writing. The co-primary outcomes were pain severity and interference at 6 weeks.Results We observed significant improvements in the intervention group compared to the control group with estimated changes of −0.67 (95% confidence interval [CI] −1.04 to −0.29, P
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