Living well with chronic pain: a 12-month randomized controlled trial revealing impact from the digital pain self-management program EPIO-Reference-Cited by-同舟云学术

Living well with chronic pain: a 12-month randomized controlled trial revealing impact from the digital pain self-management program EPIO

Published:2024-07-02 Issue:4 Volume:9 Page:e1174
ISSN:2471-2531
Container-title:PAIN Reports
language:en
Short-container-title:PR9

Author:

Solberg Nes Lise¹²³^ORCID,Børøsund Elin¹⁴^ORCID,Varsi Cecilie¹⁵^ORCID,Eide Hilde¹⁶^ORCID,Waxenberg Lori B.⁷^ORCID,Weiss Karen E.³^ORCID,Morrison Eleshia J.³^ORCID,Støle Hanne Stavenes¹⁸^ORCID,Kristjansdottir Ólöf B.¹⁹¹⁰^ORCID,Bostrøm Katrine¹^ORCID,Strand Elin Bolle¹¹¹^ORCID,Hagen Milada Cvancarova Småstuen¹²^ORCID,Stubhaug Audun²¹³¹⁴^ORCID,Schreurs Karlein M.G.¹⁵^ORCID

Affiliation:

1. Division of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway

2. Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway

3. Department of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA

4. Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway

5. Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway

6. Centre for Health and Technology, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway

7. Department of Clinical & Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA

8. Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway

9. Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway

10. Mental Health Team West, Primary Care of the Capital Area, Reykjavik, Iceland

11. Institute of Health, Faculty of Health Science, VID—Scientific University, Oslo, Norway

12. Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway

13. Department of Pain Management and Research, Oslo University Hospital, Oslo, Norway

14. Regional Advisory Unit on Pain, Oslo University Hospital, Oslo, Norway

15. Department of Psychology, Health, and Technology, University of Twente, Enschede, Netherlands

Abstract

Abstract Introduction: Chronic pain affects a wide range of physical and psychological aspects of life for those impacted. Psychosocial treatment approaches may be of support, but outreach is still limited. Objectives: To evaluate the efficacy of EPIO, an evidence-informed, user-centered digital self-management intervention for people with chronic pain, in a 12-month randomized controlled trial. Methods: People living with chronic pain (N = 266) were randomized to the EPIO intervention (n = 132) or a usual-care control group (n = 134). The intervention was delivered in a simple blended care model, and outcome measures collected at baseline, 6 months, and 12 months. Generalized linear models for repeated measures were fitted to compare groups over time. Results: Participants were primarily female (81%), median age 49 years (range 22–78), with heterogeneous pain conditions, and had lived with pain >5 years (77.6%). A mixed linear model with all timepoints included revealed no statistically significant group differences for the primary outcome of pain interference. Significant psychological benefits in favor of the intervention group were however detected for depression (P = 0.022), self-regulatory fatigue (P = 0.024), vitality (P = 0.016), and mental health (P = 0.047). Baseline to 12-month changes showed additional favorable effects for anxiety (between-group mean differences [MDs] = 0.79, P = 0.047), depression (MD = 1.08, P = 0.004), self-regulatory fatigue (MD = 2.42, P = 0.021), pain catastrophizing (MD = 2.62, P = 0.009), and health-related quality of life. Conclusions: The EPIO program aims to improve outreach of evidence-based pain self-management interventions. Findings demonstrate how using EPIO can lead to sustainable psychological change, enhancing mental health and health-related quality of life for people suffering from pain, providing a chance to live well with the pain.

Funder

Norges ForskningsrÃ¥d

Publisher

Ovid Technologies (Wolters Kluwer Health)

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