User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial

Bhatia, Anuj; Kara, Jamal; Janmohamed, Tahir; Prabhu, Atul; Lebovic, Gerald; Katz, Joel; Clarke, Hance

doi:10.2196/26528

Cited by 73Mobile Health and mHealth ApplicationsMusculoskeletal pain and rehabilitationDigital Mental Health Interventions

User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial

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Bhatia, Anuj, Kara, Jamal, Janmohamed, Tahir, Prabhu, Atul, Lebovic, Gerald, Katz, Joel, Clarke, Hance·2021·JMIR mHealth and uHealth

DOI 10.2196/26528PMC PMC7974758

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Abstract

Background: Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management app called Manage My Pain (MMP) can be used to enhance communication between providers and patients and promote self-management. Objective: The purpose of this study was to evaluate the real-world engagement of patients in urban and rural settings in Ontario, Canada with the MMP app alongside their standard of care and assess the impact of its usage on clinical outcomes of pain and related mental health. Methods: A total of 246 participants with chronic pain at a rural and 2 urban pain clinics were recruited into this prospective, open-label, exploratory study that compared the use of MMP, a digital health app for pain that incorporates validated questionnaires and provides patients with summarized reports of their progress in combination with standard care (app group), against data entered on paper-based questionnaires (nonapp group). Participants completed validated questionnaires on anxiety, depression, pain catastrophizing, satisfaction, and daily opioid consumption up to 4.5 months after the initial visit (short-term follow-up) and between 4.5 and 7 months after the initial visit (long-term follow-up). Engagement and clinical outcomes were compared between participants in the two groups. Results: A total of 73.6% (181/246) of the participants agreed to use the app, with 63.4% (111/175) of them using it for at least one month. Individuals who used the app rated lower anxiety (reduction in Generalized Anxiety Disorder 7-item questionnaire score by 2.10 points, 95% CI –3.96 to –0.24) at short-term follow-up and had a greater reduction in pain catastrophizing (reduction in Pain Catastrophizing Scale score by 5.23 points, 95% CI –9.55 to –0.91) at long-term follow-up relative to patients with pain who did not engage with the MMP app. Conclusions: The use of MMP by patients with chronic pain is associated with engagement and improvements in self-reported anxiety and pain catastrophizing. Further research is required to understand factors that impact continued engagement and clinical outcomes in patients with chronic pain. Trial Registration: ClinicalTrials.gov NCT04762329; https://clinicaltrials.gov/ct2/show/NCT04762329

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The findings are consistent with previous large randomized controlled trials and meta-analyses demonstrating the effectiveness of digital interventions for improving symptoms of depression, anxiety, and pain-related impairment in people with chronic pain.
“Our findings are consistent with previous large randomized controlled trials and meta-analyses that have demonstrated the effectiveness of digital interventions for improving symptoms of depression, anxiety, and even pain-related impairment in people with chronic pain who have been recruited from pain management clinics, primary care clinics, and community/internet referral sources [20,21,45-47].”
From Digital Mental Health Intervention Plus Usual Care Compared With Usual Care Only and Usual Care Plus In-Person Psychological Counseling for Orthopedic Patients With Symptoms of Depression or Anxiety: Cohort Study (2022) · cites this paper as [45]
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Authors: Bhatia, A., Kara, J., Janmohamed, T., Prabhu, A., Lebovic, G., Katz, J., & Clarke, H.
Affiliations: University Health Network (CA)
University of Toronto (CA)
Corresponding author: Bhatia, Anuj
ORCID: Bhatia, Anuj
Kara, Jamal
Janmohamed, Tahir
Prabhu, Atul
Lebovic, Gerald
Katz, Joel
Clarke, Hance
Venue: JMIR mHealth and uHealth
Publisher: JMIR Publications Inc.
Published: 2021-03-04
Volume: 9
Issue: 3
Pages: e26528
ISSN: 2291-5222 (ISSN-L)
DOI: 10.2196/26528
PMC: PMC7974758
OpenAlex: W3135107657
Cited by: 73
References: 58
Citations by year: 2026: 8 · 2025: 14 · 2024: 17 · 2023: 13 · 2022: 11 · 2021: 9
FWCI: 14.05
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: JMIR mhealth and uhealth (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders: University Health Network
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, digital health apps, patient engagement, self-management, pain catastrophizing, anxiety, depression, opioid consumption, patient-provider communication, mental health outcomes
MeSH terms: Self-Management, Humans, Ontario, Prospective Studies, Chronic Pain, Mobile Applications

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User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial

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