dc.contributor.author | Bostrøm, Katrine | |
dc.contributor.author | Børøsund, Elin | |
dc.contributor.author | Eide, Hilde | |
dc.contributor.author | Varsi, Cecilie | |
dc.contributor.author | Kristjansdottir, Olöf Birna | |
dc.contributor.author | Schreurs, Karlein M. G. | |
dc.contributor.author | Waxenberg, Lori B. | |
dc.contributor.author | Weiss, Karen E. | |
dc.contributor.author | Morrison, Eleshia J. | |
dc.contributor.author | Støle, Hanne | |
dc.contributor.author | Småstuen, Milada Cvancarova | |
dc.contributor.author | Stubhaug, Audun | |
dc.contributor.author | Solberg Nes, Lise | |
dc.date.accessioned | 2024-01-08T13:32:53Z | |
dc.date.available | 2024-01-08T13:32:53Z | |
dc.date.created | 2023-09-11T14:13:02Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Bostrøm, K., Børøsund, E., Eide, H., Varsi, C., Kristjansdottir, Ó. B., Schreurs, K. M. G., Waxenberg, L. B., Weiss, K. E., Morrison, E. J., Stavenes Støle, H., Cvancarova Småstuen, M., Stubhaug, A., & Solberg Nes, L. (2023). Short-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain: Randomized Controlled Trial [Original Paper]. J Med Internet Res, 25, Artikkel e47284. | en_US |
dc.identifier.issn | 1438-8871 | |
dc.identifier.uri | https://hdl.handle.net/11250/3110404 | |
dc.description.abstract | Background: Chronic pain conditions involve numerous physical and psychological challenges, and while psychosocial self-management interventions can be of benefit for people living with chronic pain, such in-person treatment is not always accessible. Digital self-management approaches could improve this disparity, potentially bolstering outreach and providing easy, relatively low-cost access to pain self-management interventions.
Objective: This randomized controlled trial aimed to evaluate the short-term efficacy of EPIO (ie, inspired by the Greek goddess for the soothing of pain, Epione), a digital self-management intervention, for people living with chronic pain.
Methods: Patients (N=266) were randomly assigned to either the EPIO intervention (n=132) or a care-as-usual control group (n=134). Outcome measures included pain interference (Brief Pain Inventory; primary outcome measure), anxiety and depression (Hospital Anxiety and Depression Scale), self-regulatory fatigue (Self-Regulatory Fatigue 18 scale), health-related quality of life (SF-36 Short Form Health Survey), pain catastrophizing (Pain Catastrophizing Scale), and pain acceptance (Chronic Pain Acceptance Questionnaire). Linear regression models used change scores as the dependent variables.
Results: The participants were primarily female (210/259, 81.1%), with a median age of 49 (range 22-78) years and a variety of pain conditions. Analyses (n=229) after 3 months revealed no statistically significant changes for the primary outcome of pain interference (P=.84), but significant reductions in the secondary outcomes of depression (mean difference −0.90; P=.03) and self-regulatory fatigue (mean difference −2.76; P=.008) in favor of the intervention group. No other statistically significant changes were observed at 3 months (all P>.05). Participants described EPIO as useful (ie, totally agree or agree; 95/109, 87.2%) and easy to use (101/109, 92.7%), with easily understandable exercises (106/109, 97.2%).
Conclusions: Evidence-informed, user-centered digital pain self-management interventions such as EPIO may have the potential to effectively support self-management and improve psychological functioning in the form of reduced symptoms of depression and improved capacity to regulate thoughts, feelings, and behavior for people living with chronic pain. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Short-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain: Randomized Controlled Trial | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © Katrine Bostrøm, Elin Børøsund, Hilde Eide, Cecilie Varsi, Ólöf Birna Kristjansdottir, Karlein M G Schreurs, Lori B Waxenberg, Karen E Weiss, Eleshia J Morrison, Hanne Stavenes Støle, Milada Cvancarova Småstuen, Audun Stubhaug, Lise Solberg Nes. | en_US |
dc.source.pagenumber | 1-14 | en_US |
dc.source.volume | 25 | en_US |
dc.source.journal | Journal of Medical Internet Research | en_US |
dc.identifier.doi | https://doi.org/10.2196/47284 | |
dc.identifier.cristin | 2174037 | |
dc.relation.project | Norges forskningsråd: 256574 | en_US |
dc.source.articlenumber | e47284 | en_US |
cristin.ispublished | true | |
cristin.fulltext | preprint | |
cristin.qualitycode | 2 | |