Development and pre-pilot testing of STAMP + CBT: an mHealth app combining pain cognitive behavioral therapy and opioid support for patients with advanced cancer and pain

Azizoddin, Desiree R.; DeForge, Sara M.; Baltazar, Ashton; Edwards, Robert R.; Allsop, Matthew; Tulsky, James A.; Businelle, Michael S.; Schreiber, Kristin L.; Enzinger, Andrea C.

doi:10.1007/s00520-024-08307-7

Cited by 2 publications

(3 citation statements)

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“…This work is a component of a larger research program intended to develop, refine, and test the STAMP þ CBT mHealth app. 24 We used a semi-structured interview guide (see online supplemental materials) to guide participant interviews (Figure 1 preference, with interview length ranging from 22 to 78 min (Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…To achieve this, we solicited patients' participation as we developed psycho-behavioral cancer pain education and refined a mobile health (mHealth) app designed for people with advanced cancer and pain. 24 mHealth apps can deliver accessible education and symptom management support to people with advanced cancer, whose symptom burden may preclude them from attending in-person treatments or engaging with extended telehealth interventions. The app integrates opioid management support and pain-cognitive behavioral therapy (pain-CBT) as adjunctive treatments to improve advanced cancer pain management.…”

Section: Introductionmentioning

confidence: 99%

“…The app integrates opioid management support and pain-cognitive behavioral therapy (pain-CBT) as adjunctive treatments to improve advanced cancer pain management. 24 We took an iterative, patient-centric approach to ensure that the app interface and pain-CBT content was relevant, engaging, and useable for target users. To do this, we conducted qualitative interviews to explore advanced cancer patients' pain management experiences, evaluate the relevance of app content, and review our recent findings.…”

Section: Introductionmentioning

confidence: 99%

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Pain coping, multidisciplinary care, and mHealth: Patients' views on managing advanced cancer pain

DeForge,

Smith,

Anderson

et al. 2024

Psycho-Oncology

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ObjectivePain is common among people with advanced cancer. While opioids provide significant relief, incorporating psycho‐behavioral treatments may improve pain outcomes. We examined patients' experiences with pain self‐management and how their self‐management of chronic, cancer‐related pain may be complemented by behavioral mobile health (mHealth) interventions.MethodsWe conducted semi‐structured qualitative interviews with patients with advanced cancer and pain. Each participant reviewed content from our behavioral mHealth application for cancer pain management and early images of its interface. Participants reflected on their experiences self‐managing cancer pain and on app content. Interviews were transcribed verbatim and analyzed using a combination of inductive and deductive thematic analysis.ResultsPatients (n = 28; 54% female; mean age = 53) across two geographic regions reported using psychological strategies (e.g., reframing negative thoughts, distraction, pain acceptance, social support) to manage chronic cancer‐related pain. Patients shared their perspectives on the integration of psycho‐behavioral pain treatments into their existing medical care and their experiences with opioid hesitancy. Patient recommendations for how mHealth interventions could best support them coalesced around two topics: 1.) convenience in accessing integrated pharmacological and psycho‐behavioral pain education and communication tools and 2.) relevance of the specific content to their clinical situation.ConclusionsIntegrated pharmacological and psycho‐behavioral pain treatments were important to participants. This underscores a need to coordinate complimentary approaches when developing cancer pain management interventions. Participant feedback suggests that an mHealth intervention that integrates pain treatments may have the capacity to increase advanced cancer patients' access to destigmatizing, accessible care while improving pain self‐management.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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