Mobile health intervention for self-management of adolescent chronic pain (WebMAP mobile): Protocol for a hybrid effectiveness-implementation cluster randomized controlled trial
Open accessAbstract
INTRODUCTION: Approximately 5-8% of children report severe chronic pain and disability. Although evidence supports pain-self management as effective for reducing pain and disability, most youth do not have access to psychological intervention. Our prior studies demonstrate that an existing internet-delivered pain self-management program (WebMAP) can reduce barriers to care, is feasible, acceptable, and is effective in reducing pain-related disability in youth with chronic pain. The current trial seeks to: 1) determine the effectiveness of a mobile app version of WebMAP for improving patient pain-related outcomes, and 2) evaluate a novel implementation strategy to maximize the public health impact of the intervention including the determination of adoption, reach, and sustainability of WebMAP in specialty clinics serving children with chronic pain in the United States. METHODS: This hybrid effectiveness-implementation cluster randomized controlled trial employs a stepped wedge design in which the WebMAP mobile intervention is sequentially implemented in 8 specialty pain clinics following a usual care period. This trial aims to enroll a minimum of 120 youth (ages 10-17) who have chronic pain. Outcome analyses will determine effectiveness of treatment on adolescent pain-related outcomes as well as public health impact via reach, adoption, implementation, and maintenance. CONCLUSIONS: This trial examines an innovative approach to evaluate a technology-delivered pain self-management program for youth with chronic pain. Findings are expected to yield a strategic approach for delivering a digital pain management program for youth with chronic pain that can be sustained in clinical settings. Clinical Trial Registration #: NCT03332563.
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The WebMAP program was further developed into a mobile app version with data indicating greater reduction in pain intensity and functional disability post treatment compared to waitlist control.
“The program was further developed into a mobile app version with data also indicating greater reduction in pain intensity and functional disability post treatment compared to waitlist control [54].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [54]
The Introduction and Methods > Intervention procedures describe WebMAP Mobile as an app version of the earlier internet program. But this paper is a trial protocol: Methods > Effectiveness outcomes describes planned post-treatment measurements, not results showing greater reductions in pain intensity or disability. Its control condition is usual care, not a waitlist. (LLM, conf=0.90)
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References 25 · Cited by 32
- Authors
- Palermo, T. M., de la Vega, R., Dudeney, J., Murray, C., & Law, E.
- Affiliations
- University of Washington (US)
- Seattle Children's Research Institute (US)
- Corresponding author
- Palermo, Tonya M.
- Venue
- Contemporary Clinical Trials
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 74
- Pages
- 55-60
- ISSN
- 1551-7144 (ISSN-L)
- PMC
- PMC7080266
- OpenAlex
- W2895421794
- Cited by
- 32
- References
- 25
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 7 · 2020: 10 · 2019: 2
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Contemporary Clinical Trials (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (acceptedVersion, cc-by-nc-nd)
- Funders
- American Pain Society
- Pfizer Independent Grants for Learning and Change (27971161)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- adolescent chronic pain, pain self-management, mobile health apps, online intervention, pain-related disability, implementation strategies, stepped wedge design, digital health interventions
- MeSH terms
- Social Learning, Patient Health Questionnaire, Self-Management, Adolescent, Child, Female, Humans, Male, Pain Measurement, United States, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Telemedicine, Internet, Chronic Pain, Mobile Applications
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