Cited by 128Musculoskeletal pain and rehabilitationDigital Mental Health InterventionsMobile Health and mHealth Applications

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A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain: Looking Across Treatment Modalities

Heapy, Alicia A., Higgins, Diana M., Cervone, Dana, Wandner, Laura, Fenton, Brenda T., Kerns, Robert D.·2015·The Clinical Journal of Pain

DOI 10.1097/ajp.0000000000000185

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Abstract

OBJECTIVES: The use of technology to provide chronic pain self-management interventions has increased in the recent years. Individual studies have primarily focused on a single technology-assisted modality and direct comparisons of different technology-assisted modalities are rare. Thus, little is known about the relative strengths and weaknesses of each technology-assisted modality. MATERIALS AND METHODS: This article is a systematic review of technology-assisted self-management interventions for chronic nonheadache, noncancer pain in adults. We examined 3 treatment modalities: telephone, interactive voice response, and Internet. Electronic searches of OVID MEDLINE, OVID PsychINFO, and the Cochrane Database of Systematic Reviews were conducted. Forty-four articles including 9890 participants were reviewed. RESULTS: Across modalities, the existing evidence suggests that technology-assisted psychological interventions are efficacious for improving self-management of chronic pain in adults. All modalities have been shown to provide benefit and no clearly superior modality has emerged. The primary gaps in the literature are lack of in-person comparison groups, lack of direct comparison among technology-assisted modalities, and heterogeneity of methods and interventions that limit comparability across studies and modalities. DISCUSSION: Future trials should focus on direct comparisons of technology-assisted interventions with in-person treatment and head to head comparisons of different technology-assisted modalities. Additional areas of focus include quantifying the cost of technology-assisted interventions, examining the effect of treatment "dose" on outcomes, and establishing guidelines for developing treatments for the technology-assisted environment.

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e-Health Interventions Targeting Pain-Related Psychological Variables in Fibromyalgia: A Systematic Review
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“For example, technology-supported self-management interventions, such as telephone, interactive voice response, and website interventions have shown benefits in this population (Heapy et al., 2015).”
Background
Pain Management for Primary Care Providers: A Narrative Review of High-Impact Studies, 2014–2016
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Pilot Trial of the Reboot Online Program: An Internet-Delivered, Multidisciplinary Pain Management Program for Chronic Pain
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Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain
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Self-citation
An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial
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“Given the significant issues associated with chronic pain and its effect on work disability, social isolation, poor quality of life, and function, there is a great need for easily accessible culturally competent MBIs.”
BackgroundInfluential
Developing a Virtual Teach-To-Goal™ Inhaler Technique Learning Module: A Mixed Methods Approach
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Effectiveness of Self-Care Education for Chronic Neck Pain: A Systematic Review and Meta-Analysis
Valenza-Peña, G., Núñez, J. M., Ciuró, A. H., Navas‐Otero, A., López‐López, L., Valenza, M. C., & Martos, I. C. (2023) · Healthcare · doi:10.3390/healthcare11243161 · Cited by 14
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Result
Protocol for a systematic review with network meta-analysis of the modalities used to deliver eHealth interventions for chronic pain
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BackgroundInfluential
Primary care experiences of people who live with chronic pain and receive opioids to manage pain
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“…care from clinicto web-based monitor, education, and support to help reduce absenteeism from work and offer convenient healthcare encounters (Heapy et al., 2015), (b) providing system-based education of healthcare providers and systems coordinators that the negative consequences of…”
Background
Predictors of engagement in an internet-based cognitive behavioral therapy program for veterans with chronic low back pain
Solar, C. A., Halat, A. M., MacLean, R. R., Rajeevan, H., Williams, D. A., Krein, S. L., Heapy, A. A., Bair, M. J., Kerns, R. D., & Higgins, D. M. (2020) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaa098 · Cited by 11
Self-citation
‘I think there is nothing . . . that is really comprehensive’: healthcare professionals’ views on recommending online resources for pain self-management
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Patients’ Experiences of Using an eHealth Pain Management Intervention Combined With Psychomotor Physiotherapy: Qualitative Study
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Background
Effects of Remote Web-Based Interventions on the Physiological and Psychological States of Patients With Cancer: Systematic Review With Meta-Analysis
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Psychological therapies delivered remotely for the management of chronic pain (excluding headache) in adults
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Psychological Support for Chronic Low Back Pain: A Systematic Review on the Validity of a Growing Remote Approach
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Method
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Physical rehabilitation research and pain science
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“18 However, there is little evidence for online self-management programming specific to persistent pelvic pain, a highly stigmatized pain condition.”
Background
Hypnosis and relaxation interventions for chronic pain management in cancer survivors: a randomized controlled trial
Eaton, L. H., Jang, M. K., Jensen, M. P., Pike, K. C., Heitkemper, M. M., & Doorenbos, A. Z. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07498-1 · Cited by 11
Technological Interventions for Pain Management
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If you personalize it, will they use it?: Self-reported and observed use of a tailored, internet-based pain self-management program
Reuman, L., Solar, C. A., MacLean, R. R., Halat, A. M., Rajeevan, H., Williams, D. A., Heapy, A. A., Bair, M. J., Krein, S. L., Kerns, R. D., et al. (2022) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab165 · Cited by 5
Self-citation
Content and Quality of Mobile Apps for the Monitoring of Musculoskeletal or Neuropathic Pain in Australia: Systematic Evaluation
Simmich, J., Ross, M. H., Andrews, N. E., Vaezipour, A., & Russell, T. G. (2023) · JMIR mhealth and uhealth · doi:10.2196/46881 · Cited by 6
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Background
An analysis of psychotherapies delivered online and in person for patients with chronic pain: protocol for a systematic review and network meta-analysis.
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“The use of eHealth interventions enable patients to overcome a number of treatment barriers, including the cost of face-to-face treatment, unavailability of qualified clinicians, and travel and mobility issues (Heapy et al., 2015; Liaw & Humphreys, 2006; Stroetmann et al., 2006).”
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Authors: Heapy, A. A., Higgins, D. M., Cervone, D., Wandner, L., Fenton, B. T., & Kerns, R. D.
Affiliations: Boston University (US)
VA Connecticut Healthcare System (US)
Yale University (US)
Corresponding author: Heapy, Alicia A.
Cervone, Dana
Wandner, Laura
Fenton, Brenda T.
Kerns, Robert D.
ORCID: Heapy, Alicia A.
Higgins, Diana M.
Wandner, Laura
Fenton, Brenda T.
Kerns, Robert D.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2015-06
Volume: 31
Issue: 6
Pages: 470-492
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0000000000000185
OpenAlex: W2049541278
Cited by: 128
References: 62
Citations by year: 2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 22 · 2021: 20 · 2020: 15 · 2019: 10 · 2018: 8 · 2017: 16 · 2016: 11 · 2015: 2
FWCI: 1.24
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: chronic pain, self-management interventions, technology-based interventions, telephone-delivered intervention, interactive voice response, online intervention, psychological intervention, treatment dose
MeSH terms: Humans, Self Care, Telephone, Randomized Controlled Trials as Topic, Internet, Chronic Pain, Pain Management

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A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain: Looking Across Treatment Modalities

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