Manage My Pain

Weinrib, Aliza; Azam, Muhammad; Latman, Vered; Janmohamed, Tahir; Clarke, Hance; Katz, Joel

doi:10.4018/978-1-5225-2958-3.ch004

Cited by 4 publications

(6 citation statements)

References 43 publications

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“…An important feature of MMP is the ability of users to share their app data via a randomized user ID with the clinical and research team, who can then access a summary of a patient’s ratings and activities ( Figure 2 ). 9 In the context of the current study, research staff accessed participant’s MMP summary and shared this with medical providers prior to visits.…”

Section: Methodsmentioning

confidence: 99%

“…Manage My Pain (MMP) is a user-driven mobile health platform developed by ManagingLife. 9 – 11 MMP was first developed as an independent, commercially-available application designed to allow users to track their pain on a daily basis and provide reports to facilitate communication of this information to healthcare providers. After over 100 iterations of the application, incorporating user beta-testing as well as user feedback and reviews, in 2016, ManagingLife partnered with the Transitional Pain Service (TPS) at the Toronto General Hospital, a multidisciplinary clinic dedicated to identification and treatment of individuals at risk of developing chronic pain after major surgery.…”

Section: Introductionmentioning

confidence: 99%

“… 12 This partnership facilitated further development and refinement of the application through creation of a scientific advisory committee consisting of clinical researchers with expertise in pain and focus group discussions with health care providers. 9 After research ethics board approval and institutional approval regarding privacy issues, patients at the TPS were encouraged to use Manage My Pain throughout treatment as an adjunct to self-management and to aid with clinical decision making.…”

Section: Introductionmentioning

confidence: 99%

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Engagement with Manage My Pain mobile health application among patients at the Transitional Pain Service

Slepian

Peng

Janmohamed³

et al. 2020

DIGITAL HEALTH

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Objective Mobile health platforms have become an important component of pain self-management programs and hundreds of mobile applications are commercially available for patients to monitor pain. However, few of these applications have been developed in collaboration with healthcare professionals or have been critically evaluated. Manage My Pain is a user-driven mobile health platform developed by ManagingLife in collaboration with clinician researchers. Manage My Pain allows patients to keep a “pain record” and supports communication of this information with clinicians. The current report describes a user engagement study of Manage My Pain among patients at the Transitional Pain Service (TPS) at Toronto General Hospital, a multidisciplinary clinic for patients at high risk of developing postsurgical pain. Methods Patients at the TPS were encouraged to register on Manage My Pain as one component of a larger, non-randomized prospective study of treatment predictors and treatment enhancement. Uptake of the application and rates of registration, use, and retention were tracked for 90 days. Results Of the 196 patients who consented to the larger study, 132 (67%) also provided consent to the Manage My Pain component, indicating that they found this to be an acceptable treatment adjunct, and 119 (61%) completed registration. Of those who used the app, 67.9% and 43.2% continued to use Manage My Pain beyond 30 and 90 days, respectively. On average, users engaged with the app for 93.14 days (SD = 151.9 days) logged an average of 47.39 total records (SD = 136.1). Conclusions Manage My Pain was found acceptable by a majority of patients at an academic pain management program. Rates of user registration and retention were favorable compared to those reported by other applications. Further research is needed to develop strategies to retain users and maximize patient benefit.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Engagement with Manage My Pain mobile health application among patients at the Transitional Pain Service

Slepian

Peng

Janmohamed³

et al. 2020

DIGITAL HEALTH

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“…In dealing with C.D.’s case, telephone, provincial telemedicine, and social media services were utilized. The Toronto General Hospital TPS clinic has already implemented a mobile health e-platform (Manage My Pain) into clinical care 34 and is testing this solution. As e-health technology evolves, platforms that can enable physical examination would be preferable for new consultations.…”

Section: Case #2: Home Induction Protocol For Buprenorphine-naloxone During the Covid-19 Crisis In The Opioid Deprescribing Program Calgamentioning

confidence: 99%

Remote buprenorphine-naloxone initiation as an essential service for people with chronic pain and opioid dependence during the COVID-19 pandemic: Case reports, clinical pathways, and implications for the future

Clarke

Weinrib

Kotteeswaran

et al. 2020

Canadian Journal of Pain

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“…In 2016, the TPS began a partnership with ManagingLife, whose mobile platform and app, Manage My Pain, allows TPS patients to quickly and easily track their pain on a daily basis using an Apple iPhone, Android smartphone, or a responsively designed web app through their mobile or desktop browser. 62 …”

Section: Toronto General Hospital Transitional Pain Service—development and Descriptionmentioning

confidence: 99%

Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service

Katz

Weinrib

Clarke

2019

Canadian Journal of Pain

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Background: Chronic postsurgical pain is a highly prevalent public health problem associated with substantial emotional, social, and economic costs. Aims: (1) To review the major risk factors for chronic postsurgical pain (CPSP); (2) to describe the implementation of the Transitional Pain Service (TPS) at the Toronto General Hospital, a multiprofessional, multimodal preventive approach to CPSP involving intensive, perioperative psychological, physical, and pharmacological management aimed at preventing and treating the factors that increase the risk of CPSP and related disability; and (3) to present recent empirical evidence for the efficacy of the TPS. Methods: The Toronto General Hospital TPS was specifically developed to target patients at high risk of developing CPSP. The major known risk factors for CPSP are perioperative pain, opioid use, and negative affect, including depression, anxiety, pain catastrophizing, and posttraumatic stress disorder-like symptoms. At-risk patients are identified early and provided comprehensive care by a multidisciplinary team consisting of pain physicians, advanced practice nurses, psychologists, and physical therapists. Results: Preliminary results from two nonrandomized, clinical practice-based trials indicate that TPS treatment is associated with improvements in pain, pain interference, pain catastrophizing, symptoms of anxiety and depression, and opioid use. Almost half of opioid-naïve patients and one in four opioid-experienced patients were opioid free by the 6-month point. Conclusions: These promising results suggest that the TPS benefits patients at risk of CPSP. A multicenter randomized controlled trial of the TPS in several Ontario hospitals is currently underway.

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Manage My Pain

Cited by 4 publications

References 43 publications

Engagement with Manage My Pain mobile health application among patients at the Transitional Pain Service

Engagement with Manage My Pain mobile health application among patients at the Transitional Pain Service

Remote buprenorphine-naloxone initiation as an essential service for people with chronic pain and opioid dependence during the COVID-19 pandemic: Case reports, clinical pathways, and implications for the future

Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service

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