Health care providers’ experiences of pain management and attitudes towards digitally supported self-management interventions for chronic pain: a qualitative study

Varsi, Cecilie; Solem, Ingrid Konstanse Ledel; Eide, Hilde; Børøsund, Elin; Kristjánsdóttir, Ólöf Birna; Heldal, Karina; Waxenberg, Lori B.; Weiss, Karen E.; Schreurs, Karlein Maria Gertrudis; Morrison, Eleshia J. P.; Stubhaug, Audun; Nes, Lise Solberg

doi:10.1186/s12913-021-06278-7

Cited by 28 publications

(35 citation statements)

References 89 publications

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“…Patients with chronic pain and those providing treatment and care services to these patients have displayed an interest in, and a positive attitude toward, using eHealth self-management interventions for chronic pain [ 41 , 42 ]. Still, blended care in terms of PMP combined with eHealth self-management interventions is yet to be implemented and studied in clinical practice in Norway.…”

Section: Introductionmentioning

confidence: 99%

Patients’ Experiences of Using an eHealth Pain Management Intervention Combined With Psychomotor Physiotherapy: Qualitative Study

Eiken¹,

Nordanger²,

Nes³

et al. 2022

JMIR Form Res

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Background Chronic pain is a major health challenge to those affected. Blended care with psychomotor physiotherapy (PMP) combined with eHealth self-management might be beneficial. Objective This study aims to explore how patients with chronic pain experience the combination of PMP and the use of EPIO, an eHealth self-management intervention for chronic pain. Methods Individual semistructured interviews were conducted with 5 adult patients with chronic pain (ie, participants) who used EPIO in combination with PMP over a period of 10 to 15 weeks. Interviews explored participants’ experiences using this treatment combination in relation to their pain and analyzed their experiences using systematic text condensation. Results Participants described having benefited from using EPIO in combination with PMP in terms of increased awareness of bodily signals and how pain was related to stress and activity. They also described changes in the relationship to themselves in terms of increased self-acceptance, self-assertion, and hope and their relationship to their pain in terms of seeing pain as less harmful and engaging in more active coping strategies. Conclusions Results indicate that a blended care approach combining eHealth self-management interventions such as EPIO with PMP may be of value to patients living with chronic pain. Trial Registration ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104

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Section: Introductionmentioning

confidence: 99%

Patients’ Experiences of Using an eHealth Pain Management Intervention Combined With Psychomotor Physiotherapy: Qualitative Study

Eiken¹,

Nordanger²,

Nes³

et al. 2022

JMIR Form Res

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“…This exploratory qualitative study reports on qualitative ndings from follow-up phone calls and individual interviews conducted with participants in a pilot-study examining the feasibility [38] of EPIO, an app-based cognitive-behavioral pain self-management intervention program [35][36][37][38].…”

Section: Methodsmentioning

confidence: 99%

“…An animated avatar or "buddy", a bird called "EPIOS", accompanies and guides the user through the program. Details about the EPIO program, including the design, development and feasibility pilot testing processes have been previously published [35][36][37][38].…”

Section: Description Of the Epio Intervention Programmentioning

confidence: 99%

“…The EPIO research project has employed stakeholder involvement throughout all design and development phases [35][36][37] to ensure vital input for program use, usefulness and usability, as well as for adherence/attrition related aspects of the program [17]. Among key input from end-users (i.e., people living with chronic pain) during the early phases were requests for daily registration options, for example personal daily registrations of sleep, rest, activity, mood and pain [35].…”

Section: Motivation For Engagementmentioning

confidence: 99%

“…The current research team designed and developed an app-based cognitive-behavioral pain selfmanagement intervention called EPIO (i.e., inspired by the Greek goddess for the soothing of pain, Epione) [35][36][37] in response to some of the issues raised by existing research focusing on eHealth pain management programs. The EPIO intervention program is developed based on clinical and researchbased scienti c evidence, in close collaboration with key stakeholders, including people with chronic pain and related health care personnel [35][36][37]. EPIO's overall goal is to support self-management and wellbeing for people living with chronic pain in general (i.e., not pain condition speci c).…”

mentioning

confidence: 99%

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Engaging with EPIO, a digital pain self-management program: A qualitative study

Bostrøm

Varsi

Eide

et al. 2021

Preprint

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Background:Chronic pain conditions entail significant personal and societal burdens and improved outreach of evidence-based pain self-management programs are needed. Digital cognitive-behavioral self-management interventions have shown promise. However, evidence is still scarce and several challenges with such interventions for chronic pain exist. Exploring patients' experiences and engagement with digital interventions may be an essential step towards developing meaningful digital self-management interventions for those living with chronic pain. Objectives:This study aimed to gain insight into the experiences of people with chronic pain when engaging with EPIO, an application (app)-based cognitive-behavioral pain self-management intervention program.Methods: Participants (N=50) living with chronic pain received access to the EPIO intervention for 3 months. During this time, all participants received a follow-up phone call at 2-3 weeks, and a subsample (n=15) also participated in individual semi-structured interviews after 3 months. A qualitative design was used and thematic analysis was employed aiming to capture participants’ experiences when engaging with the EPIO intervention program. Results:Findings identifying program-related experiences and engagement were organized into three main topics, each with three sub-themes: (1) Engaging with EPIO; motivation to learn, fostering joy and enthusiasm, and helpful reminders and personalization, (2) Coping with pain in everyday life; awareness, practice and using EPIO, and (3) The value of engaging with the EPIO program; EPIO – a friend, making peace with the presence of pain, and fostering communication and social support. Conclusions: The current study explored participants’ experiences and engagement with EPIO, a digital self-management intervention program for people living with chronic pain. Findings highlighted identifying valued aspects related to motivation for engagement, incorporating content in support of daily coping, and encouraging a sense of acceptance and relatedness as vital components for facilitating program engagement.Trial Registration: ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104

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Musculoskeletal Pain: Current and Future Directions of Physical Therapy Practice

Fullen

Wittink

Groef

et al. 2023

Archives of Rehabilitation Research and Clinical Translation

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Health care providers’ experiences of pain management and attitudes towards digitally supported self-management interventions for chronic pain: a qualitative study

Cited by 28 publications

References 89 publications

Patients’ Experiences of Using an eHealth Pain Management Intervention Combined With Psychomotor Physiotherapy: Qualitative Study

Patients’ Experiences of Using an eHealth Pain Management Intervention Combined With Psychomotor Physiotherapy: Qualitative Study

Engaging with EPIO, a digital pain self-management program: A qualitative study

Musculoskeletal Pain: Current and Future Directions of Physical Therapy Practice

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