The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
“There’s a Pain App for That”: Review of Patient-targeted Smartphone Applications for Pain Management
Abstract
OBJECTIVES: There are a growing number of pain self-management applications (apps) available for users to download on personal smartphones. The purpose of this study was to critically appraise the content and self-management functionality of currently available pain apps. METHODS: An electronic search was conducted between May and June 2014 of the official stores for the 4 major operating systems. Two authors independently identified patient-focused apps with a stated goal of pain management. Discrepancies regarding selection were resolved through discussion with a third party. Metadata from all included apps were abstracted into a standard form. The content and functionality of each app as it pertained to pain self-management was rated. RESULTS: A total of 279 apps met the inclusion criteria. Pain self-care skill support was the most common self-management function (77.4%). Apps also purported providing patients with the ability to engage in pain education (45.9%), self-monitoring (19%), social support (3.6%), and goal-setting (0.72%). No apps were comprehensive in terms of pain self-management, with the majority of apps including only a single self-management function (58.5%). In addition, only 8.2% of apps included a health care professional in their development, not a single app provided a theoretical rationale, and only 1 app underwent scientific evaluation. DISCUSSION: Currently available pain self-management apps for patients are simplistic, lack the involvement of health care professionals in their development, and have not been rigorously tested for effectiveness on pain-related health outcomes. There is a need to develop and test theoretically and evidence-based apps to better support patients with accessible pain care self-management.
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“Overall, the findings show that the majority of available applications do not follow evidence-based guidelines, do not involve health care providers or experts in the development process, and have not undergone any scientific studies of effect and/or validity.”
From ACTsmart: Guided Smartphone-Delivered Acceptance and Commitment Therapy for Chronic Pain—A Pilot Trial. (2021) · cites this paper as [32]
In the citing paper
“One significant challenge is the lack of guidance and involvement of health care providers and intended users in the development process [21,27,32-37].”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [34]
In the citing paper
“The process combining evidence-based and user-centered approaches is a previously recommended but underutilized approach to eHealth intervention development [27,33,34].”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [34]
In the citing paper
“The lack of user involvement (ie, patients and health care providers) and human centeredness in development of eHealth interventions have been criticized repeatedly [5,21,27,32,34,36,39], and this lack of user involvement in the development process can potentially also explain the high attrition rates and low adherence associated with such interventions [32,40-42].”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [34]
In the citing paper
“Despite these facts, the development of evidence-based eHealth pain management interventions has been limited [33-35], as has the incorporation of user involvement in these processes.”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [34]
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A review of mobile applications to help adolescent and young adult cancer patients
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“The process combining evidence-based and user-centered approaches is a previously recommended but underutilized approach to eHealth intervention development [27,33,34].”
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Patients’ Needs and Requirements for eHealth Pain Management Interventions: Qualitative Study
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Treatment of Low Back Pain with a Digital Multidisciplinary Pain Treatment App: Short-Term Results
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“Recent appraisals of commercially available apps revealed that the vast majority of apps available in app stores are not based on a scientific framework [13].”
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Sundararaman, L. V., Edwards, R. R., Ross, E. L., & Jamison, R. N. (2017) · Regional Anesthesia and Pain Medicine · doi:10.1097/aap.0000000000000621 · Cited by 72
“In another review article, 224 pain apps were evaluated, and the authors concluded that there was little involvement by health care professionals in those apps.(70) The authors determined that approximately 80% of them incorporated self-management strategies, 60% involved education, and 14% involved both self-manageme…”
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“Six (13 percent) frameworks assessed how the MMA provides social support to the users (15;17;28;29;37;47), for example, whether the MMA provides psychosocial support, if the MMA can provide support through social media, or if access to social support is facilitated.”
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“A primary deficiency in the development of majority of the health related apps is the fact that they are designed by nonhealth care practitioners (Lalloo et al., 2015).”
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Health and Fitness Apps for Hands-Free Voice-Activated Assistants: Content Analysis
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“Traditionally, the development of health mobile phone apps has lacked stakeholder involvement [17,18,26], which has contributed to high rates of app abandonment due to lack of usability and poor user experience.”
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Smartphone apps to help children and adolescents with cancer and their families: a scoping review
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“However, the number of randomized controlled trials conducted on these apps is relatively small, and more thorough evaluation is still necessary [18, 47, 58].”
BackgroundSmartphone apps for menstrual pain and symptom management: a scoping review
Trépanier, L. C. M., Lamoureux, É., Bjornson, S. E., Mackie, C., Alberts, N. M., & Gagnon, M. M. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100605 · Cited by 50
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“In particular, many currently available mobile phone apps targeted at low back pain (LBP) management are low in quality, offering content that is not based on current research and has not been reviewed or tested by health care providers [20,21].”
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“13 14–16 The conclusions of the authors are remarkably similar over time.”
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“Several recent reviews have highlighted the many commercially available pain-related apps that can be downloaded from online app stores by people with chronic pain [8-11].”
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Lalloo, C., Hundert, A. S., Harris, L., Phạm, Q., Campbell, F. A., Chorney, J. M. L., Dick, B. D., Simmonds, M. K., Cafazzo, J. A., & Stinson, J. (2019) · JMIR mhealth and uhealth · doi:10.2196/11838 · Cited by 41
“In phase 1B, a scoping review was completed to identify and characterize publicly available “pain apps” [8].”
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Villa, M. G., Palsson, T. S., Royo, A. C., Bjarkam, C. R., & Boudreau, S. A. (2020) · Journal of Medical Internet Research · doi:10.2196/21475 · Cited by 40
“A good compliance rate ensures that the requested information is collected [33-38].”
BackgroundThe Power of Visualization: Back to the Future for Pain Management in Fibromyalgia Syndrome
Molinari, G., García‐Palacios, A., Enrique, Á., Roca, P., Comella, N. F.-L., & Botella, C. (2017) · Pain Medicine · doi:10.1093/pm/pnx298 · Cited by 38
Translating e-pain research into patient care
McGuire, B. E., Henderson, E. M., & McGrath, P. J. (2017) · Pain · doi:10.1097/j.pain.0000000000000686 · Cited by 39
Leveraging Multi-Modal Sensing for Mobile Health: A Case Review in Chronic Pain
Aung, M. H., Alquaddoomi, F., Hsieh, C.-K., Rabbi, M., Yang, L., Pollak, J., Estrin, D. L., & Choudhury, T. (2016) · IEEE Journal of Selected Topics in Signal Processing · doi:10.1109/jstsp.2016.2565381 · Cited by 38
Gamwell, K. L., Kollin, S. R., Gibler, R. C., Bedree, H., Bieniak, K. H., Jagpal, A., Tran, S. T., Hommel, K. A., & Ramsey, R. R. (2020) · Pain · doi:10.1097/j.pain.0000000000002090 · Cited by 36
“” Pain management BCTs include (1) behavior-health link, which provides psychoeducation regarding the relationship between a specific behavior and the user’s health; (2) consequences, or psychoeducation, which informs the user of the consequences likely to occur if the targeted health behavior change is made or not; (…”
BackgroundResultInfluentialMacPherson, M., Bakker, A. M., Anderson, K., & Holtzman, S. (2022) · Canadian Journal of Pain · doi:10.1080/24740527.2022.2030212 · Cited by 36
mHealth for pediatric chronic pain: state of the art and future directions
Richardson, P. A., Harrison, L. E., Heathcote, L. C., Rush, G. Q., Shear, D., Lalloo, C., Hood, K. K., Wicksell, R. K., Stinson, J., & Simons, L. E. (2020) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2020.1819792 · Cited by 37
Lalloo, C., Kumbhare, D. A., Stinson, J., & Henry, J. L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3292 · Cited by 34
“A more recent scoping review, conducted in 2013, identified 224 pain apps, of which 14% allowed users to self-track their symptoms [44].”
MethodGrasaas, E., Fegran, L., Helseth, S., Stinson, J., Martinez, S., Lalloo, C., & Haraldstad, K. (2019) · JMIR Research Protocols · doi:10.2196/12940 · Cited by 35
“For instance, Lalloo et al [20] found a total of 279 apps that focused on pain self-management; only 8% of these had included health care professionals during their development and only 1 had undergone scientific evaluation.”
BackgroundBedson, J., Hill, J., White, D., Chen, Y., Wathall, S., Dent, S., Cooke, K., & van der Windt, D. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0741-z · Cited by 31
Lima, L. D. O., Saragiotto, B. T., Costa, L. O. P., Nogueira, L. A. C., Meziat‐Filho, N., & dos Reis, F. J. J. (2021) · Physical Therapy · doi:10.1093/ptj/pzab167 · Cited by 37
Pain relief in the palm of your hand: Harnessing mobile health to manage pediatric pain
Hunter, J. F., Kain, Z. N., & Fortier, M. A. (2018) · Pediatric Anesthesia · doi:10.1111/pan.13547 · Cited by 33
“A recent review found that the vast majority of currently available pain applications do not have strong theoretical foundations, have not been empirically tested, have no input from healthcare professionals or users, and do not incorporate comprehensive pain management components.(42) Furthermore, a significant gap e…”
BackgroundA Biofeedback App for Migraine: Development and Usability Study
Ingvaldsen, S. H., Tronvik, E., Brenner, E., Winnberg, I. G., Olsen, A., Gravdahl, G. B., & Stubberud, A. (2021) · JMIR Formative Research · doi:10.2196/23229 · Cited by 31
“Lalloo and colleagues [16] found that only 8.”
BackgroundRosser, B. A., Fisher, E., Janjua, S., Eccleston, C., Keogh, E., & Duggan, G. B. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013863.pub2 · Cited by 31
Shah, U. E. M., & Chiew, T. K. (2019) · Symmetry · doi:10.3390/sym11030400 · Cited by 31
Turnbull, A., Sculley, D., Escalona‐Marfil, C., Gispert, L. M. R., Ruíz-Moreno, J., Gironès, X., & Coda, A. (2020) · Journal of Medical Internet Research · doi:10.2196/18284 · Cited by 31
“At present, there are limited approaches available that combine evidence-based practice with health apps [40].”
BackgroundMartin, C. L., Bakker, C., Breth, M. S., Gao, G., Lee, K., Lee, M. A., Tiase, V. L., Tunby, L. J., Wyatt, T. H., & Janeway, L. M. (2020) · Research in Nursing & Health · doi:10.1002/nur.22097 · Cited by 31
Pham, Q., Graham, G., Lalloo, C., Morita, P. P., Seto, E., Stinson, J. N., & Cafazzo, J. A. (2018) · JMIR mHealth and uHealth · doi:10.2196/11447 · Cited by 30
“This trend is particularly evident within the field of pediatrics, where recent reviews have revealed a paucity of evidence-based apps for young people across chronic conditions [2-4].”
Self-citationPatient involvement and institutional logics: A discussion paper
Beedholm, K., & Frederiksen, K. (2018) · Nursing Philosophy · doi:10.1111/nup.12234 · Cited by 30
Stoppok, P., Teufel, M., Jahre, L. M., Rometsch, C., Müßgens, D., Bingel, U., Skoda, E., & Bäuerle, A. (2022) · JMIR Formative Research · doi:10.2196/37682 · Cited by 28
“None of the apps offered self-management options [32].”
BackgroundDevan, H., Godfrey, H., Perry, M., Hempel, D., Saipe, B., Hale, L., & Grainger, R. (2019) · Journal of Pain Research · doi:10.2147/jpr.s206539 · Cited by 26
“Similarly, a comprehensive review of smartphone apps for pain self-management identified no available comprehensive app that met core self-management skills.(29) Importantly, only 8% (22/279) of the identified apps had some form of health care providers’ input.”
BackgroundGentili, C., Zetterqvist, V., Rickardsson, J., Holmström, L., Simons, L. E., & Wicksell, R. K. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0228-4 · Cited by 24
User-Centric Design Methodology for mHealth Apps: The PainApp Paradigm for Chronic Pain
Koumpouros, Y. (2022) · Technologies · doi:10.3390/technologies10010025 · Cited by 27
“An increasing number of applications appear every day targeting the management, tracking and assessment of pain, providing a variety of features [12].”
BackgroundSulaiman, S. K., Wong, A. Y. L., Li, L. L., Antwi‐Afari, M. F., Ou, H., & Tsang, H. W. H. (2022) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2022.104937 · Cited by 26
Mobile App Tools for Identifying and Managing Mental Health Disorders in Primary Care
Magee, J. C., Adut, S., Brazill, K., & Warnick, S. (2018) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-018-0154-0 · Cited by 25
Vandersman, P., Newton-John, T. R. O., & Phillips, J. L. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104062 · Cited by 27
The Integration of Technology into Treatment Programs to Aid in the Reduction of Chronic Pain
Eckard, C., Asbury, C., Bolduc, B., Camerlengo, C., Gotthardt, J., healy, L., Waialae, L., Zeigler, C., Childers, J., & Horzempa, J. (2016) · Journal of Pain Management & Medicine · doi:10.35248/2684-1320.16.2.118 · Cited by 25
“Incorporation of internet and smart-phone based tools will make pain management more accessible to the patient [24].”
BackgroundLeBaron, V. T., Hayes, J., Gordon, K., Alam, R., Homdee, N., Martinez, Y., Ogunjirin, E., Thomas, T. D., Jones, R. A., Blackhall, L. J., et al. (2019) · JMIR Research Protocols · doi:10.2196/16178 · Cited by 25
“(2) Most Smart Health interventions rely on apps that live on people’s smartphones [58-60].”
Biofeedback Treatment App for Pediatric Migraine: Development and Usability Study
Stubberud, A., Tronvik, E., Olsen, A., Gravdahl, G. B., & Linde, M. (2020) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13772 · Cited by 25
“Recent research suggests that behavioral mHealth interventions for headache are feasible, but development processes and usability testing remain insufficient.(10) Additionally, efficacy measures are uncertain.”
BackgroundMethodLawitschka, Á., Bührer, S., Bauer, D., Peters, K., Silbernagl, M., Zubarovskaya, N., Brunmair, B., Kayali, F., Hlavacs, H., Mateus‐Berr, R., et al. (2020) · JMIR mhealth and uhealth · doi:10.2196/18781 · Cited by 24
“Medical professionals are rarely included in the development of health-related software [13].”
BackgroundGentili, C., Zetterqvist, V., Rickardsson, J., Holmström, L., Simons, L. E., & Wicksell, R. K. (2021) · Pain Medicine · doi:10.1093/pm/pnaa360 · Cited by 20
Emerging Mobile Platforms to Aid in Stone Management
Small, A., Thorogood, S. L., Shah, O. D., & Healy, K. A. (2019) · Urologic Clinics of North America · doi:10.1016/j.ucl.2018.12.010 · Cited by 23
Dunsmuir, D. T., Wu, H., Sun, T., West, N., LAUDER, G. R., Görges, M., & Ansermino, J. M. (2019) · JMIR Perioperative Medicine · doi:10.2196/12305 · Cited by 23
“A recent review of commercially available mobile phone apps for postoperative pain management demonstrated a lack of evidence-based content [14], and few were designed for use in children.”
BackgroundFritsch, C. G., Ferreira, P. H., Prior, J., McLachlan, A. J., & Ferreira, M. L. (2020) · Pain · doi:10.1097/j.pain.0000000000001958 · Cited by 23
“This issue has also been observed in the development of smartphone applications for chronic pain.(33) Although previous systematic reviews found that the theoretical framework did not positively impact messages’ effect(22) or may even cause a negative impact(2) on health promotion, their role in text message intervent…”
BackgroundJibb, L., Nathan, P. C., Breakey, V. R., Fernandez, C. V., Johnston, D. L., Lewis, V. A., McKillop, S. J., Patel, S., Sabapathy, C. A., Strahlendorf, C., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037251 · Cited by 23
Devan, H., Perry, M., van Hattem, A., Thurlow, G. R., Shepherd, S., Muchemwa, C., & Grainger, R. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.04.009 · Cited by 21
Birnie, K. A., Pavlova, M., Neville, A., Noel, M. E., Jordán, I., Jordan, E., Marianayagam, J., Stinson, J., Lorenzetti, D., Faulkner, V., et al. (2021) · Pain · doi:10.1097/j.pain.0000000000002339 · Cited by 23
“Furthermore, only 3 of 50 included reviews focused on virtual or remotely delivered care.(3,11,30) Virtual care includes therapies that are accessed by the patient or family, or delivered to the patient or family by health professionals, using any form of communication or information technology (eg, telehealth/telemed…”
BackgroundResultHoffmann, A., Christmann, C. A., Zolynski, G., & Bleser, G. (2020) · JMIR Formative Research · doi:10.2196/13170 · Cited by 22
“Rather than providing evidence-based behavior change programs, the reviewed pain management apps reveal a lack of combination of evidence-based functionalities [34-36].”
BackgroundResultInfluentialRichardson, J. E., Lee, J. I., Nirenberg, A., & Reid, M. C. (2016) · Pain Medicine · doi:10.1093/pm/pnw284 · Cited by 21
Lalloo, C., Nishat, F., Zempsky, W. T., Bakshi, N., Badawy, S. M., Ko, Y. J., Dampier, C., Stinson, J., & Palermo, T. M. (2022) · Journal of Medical Internet Research · doi:10.2196/40096 · Cited by 23
“Ubiquitous consumer technologies (eg, smartphones) offer opportunities to enhance the accessibility and interactivity of self-management support for youth with SCD [21,22]. iCanCope with pain is a digital pain self-management platform originally developed for youth with chronic pain [23-25].”
Tran-Nguyen, K., Berger, C., Bennett, R., Wall, M., Morin, S. N., & Rajabiyazdi, F. (2022) · JMIR Aging · doi:10.2196/37772 · Cited by 20
“However, systematic and scoping reviews have found that most mHealth apps were developed for chronic pain rather than for acute pain management [9-12].”
BackgroundSimon, J. D. H. P., Hooijman, I., van Gorp, M., Schepers, S. A., Michiels, E. M. C., Tissing, W. J. E., & Grootenhuis, M. A. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07629-2 · Cited by 22
Metadata
- Authors
- Lalloo, C., Jibb, L. A., Rivera, J., Agarwal, A., & Stinson, J. N.
- Affiliations
- University of Toronto (CA)
- Great Ormond Street Hospital (GB)
- McMaster University (CA)
- Corresponding author
- Lalloo, Chitra
- Jibb, Lindsay A.
- Rivera, Jordan
- Stinson, Jennifer N.
- Venue
- The Clinical Journal of Pain
- Published
- 2015-06
- Volume
- 31
- Issue
- 6
- Pages
- 557-563
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W1985859049
- Cited by
- 257
- References
- 41
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 16 · 2023: 19 · 2022: 29 · 2021: 24 · 2020: 30 · 2019: 36 · 2018: 32 · 2017: 20 · 2016: 16 · 2015: 5
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- pain self-management, mobile health apps, mobile application, pain education, self-monitoring, social support
- MeSH terms
- Smartphone, Humans, Self Care, Pain Management, Mobile Applications
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