Digital therapeutics in pain medicine

Lee, Ho Jin

doi:10.3344/kjp.2021.34.3.247

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Digital therapeutics (DTx) are a type of digital health intervention created using bespoke software and relevant technology to assess, manage and treat medical diseases ( 18 ). Best practice, and arguably a gold standard in research, is for digital therapeutics to be evidence-based, and regulator approved ( 19 , 13 ).…”

Section: Digital Health: Promises and Potential That Require A Framew...mentioning

confidence: 99%

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Digital health in pain assessment, diagnosis, and management: Overview and perspectives

Hadjiat

Arendt‐Nielsen

2023

Front. Pain Res.

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Managing pain is essential for social, psychological, physical, and economic reasons. It is also a human right with a growing incidence of untreated and under-treated pain globally. Barriers to diagnosing, assessing, treating, and managing pain are complicated, subjective, and driven by patient, healthcare provider, payer, policy, and regulatory challenges. In addition, conventional treatment methods pose their own challenges including the subjectivity of assessment, lack of therapeutic innovation over the last decade, opioid use disorder and financial access to treatment. Digital health innovations hold much promise in providing complementary solutions to traditional medical interventions and may reduce cost and speed up recovery or adaptation. There is a growing evidence base for the use of digital health in pain assessment, diagnosis, and management. The challenge is not only to develop new technologies and solutions, but to do this within a framework that supports health equity, scalability, socio-cultural consideration, and evidence-based science. The extensive limits to physical personal interaction during the Covid-19 pandemic 2020/21 has proven the possible role of digital health in the field of pain medicine. This paper provides an overview of the use of digital health in pain management and argues for the use of a systemic framework in evaluating the efficacy of digital health solutions.

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Section: Digital Health: Promises and Potential That Require A Framew...mentioning

confidence: 99%

“…An example of such a device is “Kipuwex” which monitors physiological indicators remotely, allowing information to be tracked in real time, and analysed across distances ( 5 ). Similar devices have demonstrated efficacy in fibromyalgia patients using a smartwatch ( 18 ).…”

Section: Examples Of Digital Health Applications In Pain Managementmentioning

confidence: 99%

Digital health in pain assessment, diagnosis, and management: Overview and perspectives

Hadjiat

Arendt‐Nielsen

2023

Front. Pain Res.

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“…Such technology demonstrated its effectiveness in targeting various psychological and physical symptoms, [28][29][30] including chronic and acute pain. [31][32][33][34] DTx brings forward the added value of technology in terms of addressing the psychological treatment in FM. For instance, previous studies implemented 3D figures in software solutions to symbolize characteristics of acute pain with the ultimate goal of improving pain management.…”

Section: Introductionmentioning

confidence: 99%

VirtualPain. Preliminary findings from a group-based digital therapeutics intervention for fibromyalgia

Vilalta-Abella,

Porras-Garcia,

Ghiţă

et al. 2023

British Journal of Pain

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Introduction Fibromyalgia (FM) is a disorder characterized by chronic pain, with significant medical, psychological, and socio-economic implications. Although there is limited evidence, cognitive-behavioral therapy (CBT) has shown to be effective in improving FM symptoms. An alternative to enhance CBT effectiveness is to incorporate digital therapeutics (DTx). Aim We conducted a pilot study to investigate whether the addition of a DTx intervention ( VirtualPain) to cognitive-behavioral group therapy (CBGT) can reduce pain perception and associated symptoms in patients with FM. Method Ten patients with FM were initially recruited from a public hospital in Barcelona. The treatment consisted of 6 weeks of VirtualPain group sessions and 16 weeks of CBGT. Measures of catastrophizing, self-efficacy, and coping were recorded before, during, and after the protocol. In the DTx sessions, pain intensity was recorded before and after each session. Results The program (DTx and CBGT) showed a significant improvement in pain-related self-efficacy and relaxation measures. Improvement in pain perception was observed only after the DTx intervention. Conclusions This study provides preliminary results regarding the added value of DTx ( VirtualPain) as part of a CBGT for FM. The use of the program has facilitated a significant reduction in pain perception in each of the VirtualPain sessions, which provides further evidence of how this technology can be beneficial for improving FM treatments.

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