Written online situational feedback via mobile phone to support self-management of chronic widespread pain: a usability study of a Web-based intervention
Open accessAbstract
BACKGROUND: This pretrial study aimed to develop and test the usability of a four-week Internet intervention delivered by a Web-enabled mobile phone to support self-management of chronic widespread pain. METHODS: The intervention included daily online entries and individualized written feedback, grounded in a mindfulness-based cognitive behavioral approach. The participants registered activities, emotions and pain cognitions three times daily using the mobile device. The therapist had immediate access to this information through a secure Web site. The situational information was used to formulate and send a personalized text message to the participant with the aim of stimulating effective self-management of the current situation. Six women participated and evaluated the experience. RESULTS: The intervention was rated as supportive, meaningful and user-friendly by the majority of the women. The response rate to the daily registration entries was high and technical problems were few. CONCLUSION: The results indicate a feasible intervention. Web-applications are fast becoming standard features of mobile phones and interventions of this kind can therefore be more available than before. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov: NCT01236209.
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A few studies have investigated a different approach to iCBT with daily communication with a therapist over a few weeks, using a personal digital assistant or smartphone.
“A few studies have investigated a different approach to iCBT with daily communication with a therapist over a few weeks, using a personal digital assistant (PDA) or smartphone [20-24].”
The purpose of including one diary at a randomly chosen time was to increase the validity of the assessment.
“The purpose of including one at a randomly chosen time was based on the experience of a previous study [19] and the intension was to increase the validity of the assessment.”
The development of the questionnaire was based on a similar questionnaire from a previous study.
“The development of this questionnaire was based on a similar questionnaire from a previous study [19] .”
Other studies have reported similar recruitment experiences.
“Other studies have reported similar experiences [19] and [26] .”
Few studies have used web-based ACT to support people with health problems.
“At present few studies have used web-based ACT to support people with health problems [19] and [20]”
The usability of the smartphone intervention was tested in a pretrial study with 6 women with chronic pain, and participation was experienced by the majority as supportive and motivating.
“The usability of the intervention was tested in a pretrial study with 6 women with chronic pain.”
A sample size of 70 participants per group was needed to detect a moderate effect size in the primary outcome variable with a 2-sided 5% significance level and 80% power.
“A sample size of 70 participants per group was needed to detect a moderate effect size in the primary outcome variable with a 2-sided 5% significance level and 80% power.”
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- Authors
- Kristjánsdóttir, Ó. B., Fors, E. A., Eide, E., Finset, A., van Dulmen, S., Wigers, S. H., & Eide, H.
- Affiliations
- Norwegian University of Science and Technology (NO)
- University of Oslo (NO)
- Buskerud University College (NO)
- Corresponding author
- Kristjánsdóttir, Ólöf Birna
- Venue
- BMC Musculoskeletal Disorders
- Published
- 2011-02-25
- Volume
- 12
- Issue
- 1
- Pages
- 51-51
- ISSN
- 1471-2474 (ISSN-L)
- PMC
- PMC3050782
- OpenAlex
- W2142730663
- Cited by
- 86
- References
- 34
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 7 · 2016: 11 · 2015: 5 · 2014: 11 · 2013: 10 · 2012: 10
- FWCI
- 18.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Musculoskeletal Disorders (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Norges Forskningsråd (182014)
- 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 › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic widespread pain, self-management, mobile phone intervention, online intervention, text messaging, mindfulness-based cognitive behavioral therapy, pain-related cognitions, usability, feasibility
- MeSH terms
- Adult, Chronic Disease, Feasibility Studies, Feedback, Female, Humans, Middle Aged, Online Systems, Pain, Surveys and Questionnaires, Self Care, Writing, Cognitive Behavioral Therapy, Patient Satisfaction, Internet, Cell Phone, Pain Management
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