Telemonitoring in chronic pain management using smartphone apps: A randomized controlled trial comparing usual assessment against app-based monitoring with and without clinical alarms
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Other documents of the author: Suso-Ribera, Carlos; Castilla, Diana; Zaragozá, Irene; Mesas, Ángela; Server, Anna; Medel, Javier; García-Palacios, Azucena
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Title
Telemonitoring in chronic pain management using smartphone apps: A randomized controlled trial comparing usual assessment against app-based monitoring with and without clinical alarmsAuthor (s)
Date
2020-09-09Publisher
MDPIISSN
1660-4601Bibliographic citation
SUSO-RIBERA, Carlos, et al. Telemonitoring in Chronic Pain Management Using Smartphone Apps: A Randomized Controlled Trial Comparing Usual Assessment Against App-Based Monitoring with and without Clinical Alarms. International Journal of Environmental Research and Public Health, 2020, vol. 17, no 18, p. 6568.Type
info:eu-repo/semantics/articlePublisher version
https://www.mdpi.com/1660-4601/17/18/6568Version
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Abstract
Background. The usefulness of mHealth in helping to target face-to-face interventions
for chronic pain more effectively remains unclear. In the present study, we aim to test whether the
Pain Monitor mobile phone ... [+]
Background. The usefulness of mHealth in helping to target face-to-face interventions
for chronic pain more effectively remains unclear. In the present study, we aim to test whether the
Pain Monitor mobile phone application (app) is well accepted by clinicians, and can help improve
existent medical treatments for patients with chronic musculoskeletal pain. Regarding this last goal,
we compared three treatment conditions, namely usual treatment, usual treatment with an app
without alarms and usual treatment with an app with alarms. All treatments lasted one month.
The three treatments were compared for all outcomes, i.e., pain severity and interference, fatigue,
depressed mood, anxiety and anger. Methods. In this randomized controlled trial, the usual
monitoring method (i.e., onsite; n = 44) was compared with daily ecological momentary assessment
using the Pain Monitor app—both with (n = 43) and without alarms (n = 45). Alarms were sent
to the clinicians in the presence of pre-established undesired clinical events and could be used to
make treatment adjustments throughout the one-month study. Results. With the exception of anger,
clinically significant changes (CSC; 30% improvement) were greater in the app + alarm condition
across outcomes (e.g., 43.6% of patients experienced a CSC in depressed mood in the app + alarm
condition, which occurred in less than 29% of patients in the other groups). The clinicians were
willing to use the app, especially the version with alarms. Conclusions. The use of apps may have
some benefits in individual health care, especially when using alarms to tailor treatments. [-]
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© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
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