A Pilot Comparison of a Smartphone App With or Without 2-Way Messaging Among Chronic Pain Patients: Who Benefits From a Pain App?

Jamison, Robert N.; Jurcik, Dylan C.; Edwards, Robert R.; Huang, Chuan-Chin; Ross, Edgar L.

doi:10.1097/ajp.0000000000000455

Cited by 83Mobile Health and mHealth ApplicationsMusculoskeletal pain and rehabilitationDigital Mental Health Interventions

A Pilot Comparison of a Smartphone App With or Without 2-Way Messaging Among Chronic Pain Patients: Who Benefits From a Pain App?

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Jamison, Robert N., Jurcik, Dylan C., Edwards, Robert R., Huang, Chuan-Chin, Ross, Edgar L.·2017·The Clinical Journal of Pain

DOI 10.1097/ajp.0000000000000455PMC PMC5443703

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Abstract

Objectives: The overall aim of this study was to determine the effect of introducing a smartphone pain application (app), for both Android and iPhone devices that enables chronic pain patients to assess, monitor, and communicate their status to their providers. Methods: This study recruited 105 chronic pain patients to use a smartphone pain app and half of the patients (N=52) had 2-way messaging available through the app. All patients completed baseline measures and were asked to record their progress every day for 3 months, with the opportunity to continue for 6 months. All participants were supplied a Fitbit to track daily activity. Summary line graphs were posted to each of the patients’ electronic medical records and physicians were notified of their patient’s progress. Results: Ninety patients successfully downloaded the pain app. Average age of the participants was 47.1 (range, 18 to 72), 63.8% were female and 32.3% reported multiple pain sites. Adequate validity and reliability was found between the daily assessments and standardized questionnaires (r=0.50) and in repeated daily measures (pain, r=0.69; sleep, r=0.83). The app was found to be easily introduced and well tolerated. Those patients assigned to the 2-way messaging condition on average tended to use the app more and submit more daily assessments (95.6 vs. 71.6 entries), but differences between groups were not significant. Pain-app satisfaction ratings overall were high. Discussion: This study highlights some of the challenges and benefits in utilizing smartphone apps to manage chronic pain patients, and provides insight into those individuals who might benefit from mHealth technology.

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The advent of telemedicine and mHealth technologies has offered ways to help monitor and assess patient treatment response, adherence to opioid therapy recommendations, and mood among persons with chronic pain.
“The advent of telemedicine and mHealth (mobile health) technologies has offered ways to help monitor and assess patient treatment response, adherence to opioid therapy recommendations, and mood among persons with chronic pain.67–69”
From Risk Factors for Self-Harm Ideation among Persons Treated with Opioids for Chronic Low Back Pain (2023) · cites this paper as [67]
The Methods section says the smartphone app collected daily ratings of pain, mood, and whether patients felt better or worse, supporting its use to monitor mood and treatment progress in chronic pain patients. It does not establish monitoring of adherence to opioid therapy recommendations; the paper defines adherence as completion of the app’s daily assessments, not adherence to opioid treatment. Page numbers were not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured
When an intervention was used as part of ongoing in-person therapy, the way therapists used or were willing to use it influenced participants' engagement.
“If an intervention was used as part of ongoing in-person therapy, the way that therapists used or were willing to use an intervention influenced participants’ engagement with an intervention [84,103,127,150,169,212,243].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [243]
The paper’s introductory discussion (page unavailable) reports that provider communication and support may increase app engagement, and its Discussion says participants receiving two-way messaging perceived their providers as less responsive. But its Results (page unavailable) found no significant difference in app-use frequency between messaging groups; it does not establish that therapists’ use of, or willingness to use, an intervention during ongoing in-person therapy influenced engagement. (LLM, conf=0.78)
Experimental — accuracy not yet measured

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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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Authors: Jamison, R. N., Jurcik, D. C., Edwards, R. R., Huang, C.-C., & Ross, E. L.
Affiliations: Brigham and Women's Hospital (US)
Anesthesiology, Perioperative and Pain Medicine, Pain Management Center
Corresponding author: Jamison, Robert N.
Jurcik, Dylan C.
Edwards, Robert R.
Huang, Chuan-Chin
Ross, Edgar L.
ORCID: Jamison, Robert N.
Jurcik, Dylan C.
Edwards, Robert R.
Ross, Edgar L.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-08
Volume: 33
Issue: 8
Pages: 676-686
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0000000000000455
PMC: PMC5443703
OpenAlex: W2551990423
Cited by: 83
References: 31
Citations by year: 2026: 5 · 2025: 3 · 2024: 12 · 2023: 5 · 2022: 8 · 2021: 12 · 2020: 14 · 2019: 12 · 2018: 8 · 2017: 4
FWCI: 14.88
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/4.0/%20http://creativecommons.org/licenses/by-nc-nd/4.0/ (unspecified)
Locations: Clinical Journal of Pain (publishedVersion, cc-by-nc-nd)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
PubMed Central (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Funders: National Institute of Biomedical Imaging and Bioengineering (U54EB015403)
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: chronic pain, mobile application, mobile health, two-way messaging, patient-provider communication, electronic health records, patient satisfaction, sleep assessment
MeSH terms: Smartphone, Adolescent, Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement, Physician-Patient Relations, Pilot Projects, Reproducibility of Results, Patient Satisfaction, Telemedicine, Young Adult, Electronic Health Records, Chronic Pain, Pain Management, Text Messaging, Mobile Applications

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A Pilot Comparison of a Smartphone App With or Without 2-Way Messaging Among Chronic Pain Patients: Who Benefits From a Pain App?

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