The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Smartphone applications for pain management
Abstract
Smartphone applications (or apps) are becoming increasingly popular. The lack of regulation or guidance for health-related apps means that the validity and reliability of their content is unknown. We have conducted a review of available apps relating to the generic condition of pain. The official application stores for five major smartphone platforms were searched: iPhone, Android, Blackberry, Nokia/Symbian and Windows Mobile. Apps were included if they reported a focus on pain education, management or relief, and were not solely aimed at health-care professionals (HCPs). A total of 111 apps met the inclusion criteria. The majority of apps reviewed claimed some information provision or electronic manual component. Diary tracking of pain variables was also a common feature. There was a low level of stated HCP involvement in app development and content. Despite an increasing number of apps being released, the frequency of HCP involvement is not increasing. Pain apps appear to be able to promise pain relief without any concern for the effectiveness of the product, or for possible adverse effects of product use. In a population often desperate for a solution to distressing and debilitating pain conditions, there is considerable risk of individuals being misled.
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In the citing paper
“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 [33]
In the citing paper
“Previous reviews of smartphone apps focused mainly on those developed by Apple Inc. 3,30”
From Smartphone applications for melanoma detection by community, patient and generalist clinician users: a review (2015) · cites this paper as [3]
In the citing paper
“The app, which has been developed by a multidisciplinary team including physicians, nurses, psychologists and engineers following guidelines on pain research and eHealth [38,39,40,41], was found to have valid content”
In the citing paper
“In fact, although it has been argued that mobile technology (mHealth)—especially the use of smartphone apps—facilitates this paradigm shift towards telemonitoring in chronic pain care, reviews on this topic have evidenced that randomized controlled trials (RCT) evaluating the usefulness of these tools are lacking in the chronic pain literature [39,41,43,44,45].”
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 [37]
In the citing paper
“There is a need for research in this field because many applications seem to have been developed without the involvement of a health care professional and, to our knowledge, none have been tested in randomized trials [22].”
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Kong, Y., Posada-Quintero, H. F., & Chon, K. H. (2020) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc44109.2020.9176077 · Cited by 39
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Gogovor, A., Visca, R., Auger, C., LeBlanc, L. B., Symeonidis, I., Poissant, L., Ware, M. A., Shir, Y., Viens, N., & Ahmed, S. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.10.005 · Cited by 32
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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
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“Age (median [IQR, range]) 16 (13-17, 9-21) Female sex (n) 5/7 Education status Completed high school (n) 1/7 In school (K-12) 6/7”
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Bhatheja, S., Fuster, V., Chamaria, S., Kakkar, S., Zlatopolsky, R., Rogers, J., Otobo, E. O., Atreja, A., Sharma, S. K., & Kini, A. S. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.08.2183 · Cited by 30
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Android mobile applications in eye care
Theruveethi, N., Karthikeyan, S., Thangarajan, R., & Srinivasan, K. (2019) · Oman Journal of Ophthalmology · doi:10.4103/ojo.ojo_226_2018 · Cited by 26
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Dunham, M., Bonacaro, A., Schofield, P., Bacon, L., Spyridonis, F., & Mehrpouya, H. (2021) · Geriatrics · doi:10.3390/geriatrics6020040 · Cited by 28
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User-Centric Design Methodology for mHealth Apps: The PainApp Paradigm for Chronic Pain
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Cortés, M. D. L. A. R., Cuenca, M. R. C., Verdugo, R. M., & Cidoncha, E. C. (2014) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2013.0262 · Cited by 26
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Advising patients on selecting trustful apps for diabetes self-care
Basilico, A., Marceglia, S. R. F., Bonacina, S., & Pinciroli, F. (2016) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2016.02.005 · Cited by 26
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“Few studies have examined mobile palliative care solutions in low-resource countries among those with noncommunicable diseases (NCDs), despite increasing awareness of the symptom control needs of patients with chronic diseases, including patients with cancer, and knowledge that by 2030, NCDs will be more prevalent tha…”
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“Personalized health care applications which support lifestyle changes such as smoking cessation (19), weight loss (20), exercise programmes, and the management of chronic pain disorders are gaining popularity (21).”
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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
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PainDroid: an android-based virtual reality application for pain assessment
Spyridonis, F., Hansen, J., Grønli, T., & Ghinea, G. (2013) · Multimedia Tools and Applications · doi:10.1007/s11042-013-1358-3 · Cited by 24
“This has been also confirmed by a number of clinicians involved in a study by Serif and Ghinea [9], who evaluated an electronic version of the 2-”
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Development of ProFibro — a mobile application to promote self-care in patients with fibromyalgia
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Huguet, A., Stinson, J., MacKay, B., Watters, C. R., Tougas, M. E., White, M., & McGrath, P. J. (2014) · Pain Research and Management · doi:10.1155/2014/631638 · Cited by 22
“Apart from this, the current ICT-based applications, regardless of their mode of delivery, are often criticized for lack of involvement of health care professionals, poor evidence of integration of research findings or theories in application features, and inadequate testing (eg, randomized controlled trials) (14).”
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Evaluation of Breastfeeding Mobile Health Applications Based on the Persuasive System Design Model
Meedya, S., Sheikh, M. K., Win, K. T., & Halcomb, E. (2019) · Lecture notes in computer science · doi:10.1007/978-3-030-17287-9_16 · Cited by 22
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“Rather than providing evidence-based behavior change programs, the reviewed pain management apps reveal a lack of combination of evidence-based functionalities [34-36].”
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Utilization of Smartphone Applications by Anesthesia Providers
Green, M. S., Mathew, J. J., Venkatesh, A. G., Green, P., & Tariq, R. (2018) · Anesthesiology Research and Practice · doi:10.1155/2018/8694357 · Cited by 22
“In a review of pain management apps, 86% of the apps had no professional involvement, thus increasing the risk for patients being misled [36].”
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“Over the years, the amount of digital health tools for pain management has grown rapidly [18–21].”
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“healthcare professionals) and access information or receive support via the internet at any time of day and from virtually any location [18].”
BackgroundDeveloping mHealth Apps with Researchers: Multi-Stakeholder Design Considerations
Craven, M. P., Lang, A. R., & Martin, J. L. (2014) · Lecture notes in computer science · doi:10.1007/978-3-319-07635-5_2 · Cited by 21
“However, it has been noted that Apps are often designed with little health professional involvement [5,6] and that end-user Apps are often produced from the healthcare system perspective rather than with a user-centred approach [7].”
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“Of the apps that are available the majority do not use evidence-based features (16).”
BackgroundSmartphone-Based Device in Exotic Pet Medicine
Huynh, M. (2019) · Veterinary Clinics of North America Exotic Animal Practice · doi:10.1016/j.cvex.2019.05.001 · Cited by 21
Health information: what can mobile phone assessments add?
Stomberg, M. W., Platon, B., Widén, A., Wallner, I., & Karlsson, O. (2012) · PubMed Central · Cited by 21
Improving pain treatment with a smartphone app: Study protocol for a randomized controlled trial
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“However, the existing commercially available apps were likely developed with limited regulatory oversight, resulting in little evidence for the validity and reliability of app content and questionable quality [36].”
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Acute Pain Management/Regional Anesthesia
Tedore, T. R., Weinberg, R. Y., Witkin, L. R., Giambrone, G. P., Faggiani, S. L., & Fleischut, P. M. (2015) · Anesthesiology Clinics · doi:10.1016/j.anclin.2015.07.005 · Cited by 19
Pain Assessment–Can it be Done with a Computerised System? A Systematic Review and Meta-Analysis
Pombo, N. G. C. C., García, N. M., Bousson, K., Spinsante, S., & Chorbev, I. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13040415 · Cited by 18
“In addition, some mobile-based systems were designed to interact directly with patients without the presence of a healthcare professional [77,78] and/or without evidence of reliability and accuracy.”
Göbel, H., Frank, B., Heinze, A., Zimmermann, W., Göbel, C. H., Göbel, A., Brunkhorst, J., & Rupp, K. (2019) · Der Schmerz · doi:10.1007/s00482-018-0355-x · Cited by 19
Mobile Applications in Otolaryngology–Head and Neck Surgery
Wong, M. C., & Fung, K. (2015) · Otolaryngology · doi:10.1177/0194599815568946 · Cited by 18
“This number is comparable to other specialties, with recent studies finding 39 apps in neurosurgery, 79 in dermatology, 108 in pain management, 66 in orthopedic surgery, and 63 relating to colorectal disease.(6,7,10-12) The number of apps published per year in OtoHNS has increased each year, which is consistent with t…”
BackgroundResultTranslating technology into patient care: Smartphone applications in pediatric health care
Sondhi, V., & Devgan, A. (2013) · Medical Journal Armed Forces India · doi:10.1016/j.mjafi.2013.03.003 · Cited by 18
“In 2008, medical applications (referred to as apps) became available for use on an iPhone as a newway to access medical information at the point of patient care.(6) Before the advent of apps mobile interventions included a website component which contributes to data transfer and viewing.”
BackgroundHow mobile devices are changing pharmacy practice
Aungst, T. D., Miranda, A. C., & Serag-Bolos, E. S. (2015) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp140139 · Cited by 18
Mobile Health in Adherence to Oral Anticancer Drugs
Gambalunga, F., Iacorossi, L., Notarnicola, I., Serra, V., Piredda, M., & Marinis, M. G. D. (2020) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000643 · Cited by 18
Pombo, N. G. C. C., Araújo, P., Viana, J., & da Costa, M. D. (2014) · Technology and Health Care · doi:10.3233/thc-130774 · Cited by 17
“Most of these systems were designed to interact directly with patients, i.e., without the presence of a healthcare professional [30,31] and/or without any check on the reliability or accuracy of the data.”
The Role of Cognitive Behavioral Therapy for Chronic Pain in Adolescents
Zagustin, T. (2013) · PM&R · doi:10.1016/j.pmrj.2013.05.009 · Cited by 17
“A great number of apps (at least 111 apps) have been released and identified with the focus on pain education, management, and/or relief, with a low level of stated health care professional involvement in the devel opment and content of these apps; therefore, the effective ness, validity, adverse events, and limitatio…”
BackgroundMobilizing mHealth for Moms: a Review of Mobile Apps for Tracking Gestational Weight Gain
Dahl, A. A., Dunn, C. G., Boutté, A. K., Crimarco, A. E., & Turner‐McGrievy, G. M. (2017) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-017-0030-6 · Cited by 17
Gannon, J., Atkinson, J. H., Chircop-Rollick, T., D’Andrea, J., Garfin, S. R., Patel, S. M., Penzien, D. B., Wallace, M. S., Weickgenant, A. L., Slater, M. A., et al. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000678 · Cited by 17
Kelleher, S. A., Winger, J. G., Fisher, H. M., Miller, S. N., Reed, S. D., Thorn, B. E., Spring, B. J., Samsa, G. P., Majestic, C. M., Shelby, R. A., et al. (2021) · Contemporary Clinical Trials · doi:10.1016/j.cct.2021.106287 · Cited by 19
Ben-Mussa, A., & Paget, A. M. (2016) · Health Informatics Journal · doi:10.1177/1460458216664193 · Cited by 17
Constructing an assessment framework for the quality of asthma smartphone applications
Guan, Z., Sun, L., Xiao, Q., & Wang, Y. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0923-8 · Cited by 18
Azam, M. A., Latman, V. V., & Katz, J. D. (2019) · JMIR Research Protocols · doi:10.2196/14119 · Cited by 17
“Furthermore, the literature on existing mobile apps marketed for chronic pain reveals that, with few exceptions [25], they rarely adhere to scientific guidelines and that health care professionals are rarely involved in their development [26-29].”
BackgroundA better regulation is required in viral hepatitis smartphone applications.
Cantudo-Cuenca, M. D., Cortés, M. D. L. A. R., Cantudo-Cuenca, M. D., & Morillo‐Verdugo, R. (2014) · PubMed · doi:10.7399/fh.2014.38.2.1125 · Cited by 16
Developments in the Use of E-Health for Chronic Pain Management
Keogh, E. (2012) · Pain Management · doi:10.2217/pmt.12.70 · Cited by 15
Pain Management Mobile Applications: A Systematic Review of Commercial and Research Efforts
Koumpouros, Y., & Γεωργούλας, Ά. (2023) · Sensors · doi:10.3390/s23156965 · Cited by 15
“Although the utilization of mobile apps for pain management and tracking has been observed for several years, the initial endeavors were relatively rudimentary [6].”
BackgroundPersian mHealth Apps: A Cross Sectional Study Based on Use Case Classification
Ghazi, S. M., Niakan, K. S. R., Nouri, R., & Yasini, M. (2016) · Studies in health technology and informatics · doi:10.3233/978-1-61499-678-1-230 · Cited by 15
“However, our founding is in line with other studies [12, 13, 15, 16, 19] that report the non-adherence of the apps to established guidelines.”
ResultIglesias, J. A., Ledezma, A., Sanchis, A., & Angelov, P. P. (2017) · Applied Sciences · doi:10.3390/app7080798 · Cited by 15
“Finally, in relation to public health studies, recent studies have demonstrated the potential application of smartphone apps in patient self-monitoring [5].”
ResultSmartphone apps for spinal surgery: is technology good or evil?
Robertson, G. A. J., Wong, S. J., Brady, R. R. W., & Subramanian, A. S. (2015) · European Spine Journal · doi:10.1007/s00586-015-3932-z · Cited by 15
“The range of smartphone applications available has been reported in various specialties, including orthopaedics [4, 5], neurosurgery [6], plastic surgery [7], colorectal surgery [8], bariatric surgery [9], radiology [1], pain medicine [10], dermatology [11], infectious diseases [12] and microbiology [13].”
BackgroundVuong, Q. (2016) · F1000Research · doi:10.12688/f1000research.10508.1 · Cited by 15
Bristol, T. J. (2014) · Cited by 15
How Older Adults with Chronic Pain Manage Social Support Interactions with Mobile Media
Chang, P. F., Bazarova, N. N., & Wethington, E. (2020) · Health Communication · doi:10.1080/10410236.2020.1846272 · Cited by 15
“…benefits for people with chronic pain (Bhattarai & Phillips, 2017; Mynatt et al., 2000; Richardson & Reid, 2013; Riche & Mackay, 2010) makes mHealth a promising platform for addressing social and emotional challenges of older adults with chronic pain (Parker et al., 2013; Rosser & Eccleston, 2011).”
BackgroundLopes, F., Rodrigues, M. J. F., & Silva, A. G. (2021) · JMIR mhealth and uhealth · doi:10.2196/25316 · Cited by 14
“The lack of inclusion of users and health professionals in the development process of digital solutions targeting the health care field is one of the limitations cited by several systematic reviews [14,48,49].”
BackgroundA Pictorial Schema for a Comprehensive User-oriented Identification of Medical Apps
Marceglia, S. R. F., Pinciroli, F., & Bonacina, S. (2014) · Methods of Information in Medicine · doi:10.3414/me13-01-0093 · Cited by 15
“6 Pain Apps focusing on pain education and/or management targeted not only to healthcare professionals but also to patients Application purpose, functions available, healthcare professionals involvement during development Pain researchers [8]”
BackgroundHo, K., Newton, L., Boothe, A. B., & Lauscher, H. N. (2015) · PubMed Central · Cited by 14
Monitoring Chronic Pain: Comparing Wearable and Mobile Interfaces
Rodríguez, I., Fuentes, C., Herskovic, V., & Campos, M. (2016) · Lecture notes in computer science · doi:10.1007/978-3-319-48746-5_24 · Cited by 14
Principles in the Design of Mobile Medical Apps: Guidance for Those who Care
Lienhard, K. R., & Legner, C. (2017) · Journal of the Association for Information Systems · Cited by 14
Anaesthetists and apps: content and contamination concerns
Rodrigues, M. A., & Brady, R. R. W. (2011) · Anaesthesia · doi:10.1111/j.1365-2044.2011.06972.x · Cited by 14
Metadata
- Authors
- Rosser, B. A., & Eccleston, C.
- Affiliations
- University of Bath (GB)
- Corresponding author
- Eccleston, Christopher
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2011-08-15
- Volume
- 17
- Issue
- 6
- Pages
- 308-312
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2127728884
- Cited by
- 364
- References
- 16
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 12 · 2023: 14 · 2022: 11 · 2021: 22 · 2020: 24 · 2019: 35 · 2018: 29 · 2017: 24 · 2016: 45 · 2015: 38 · 2014: 52 · 2013: 21 · 2012: 18
- FWCI
- 55.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Engineering and Physical Sciences Research Council (EP/F002815/1, EP/F001916/1)
- 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
- mobile application, pain management, pain education, health apps, app regulation, electronic manuals, misleading health claims, consumer health information
- MeSH terms
- Humans, Medical Records, Cell Phone, Chronic Pain, Pain Management
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