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dc.contributor.authorBostrøm, Katrine
dc.contributor.authorBørøsund, Elin
dc.contributor.authorEide, Hilde
dc.contributor.authorVarsi, Cecilie
dc.contributor.authorKristjansdottir, Olöf Birna
dc.contributor.authorSchreurs, Karlein M. G.
dc.contributor.authorWaxenberg, Lori B.
dc.contributor.authorWeiss, Karen E.
dc.contributor.authorMorrison, Eleshia J.
dc.contributor.authorStøle, Hanne
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorStubhaug, Audun
dc.contributor.authorSolberg Nes, Lise
dc.identifier.citationBostrøm, 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.description.abstractBackground: 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.rightsNavngivelse 4.0 Internasjonal*
dc.titleShort-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain: Randomized Controlled Trialen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_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.journalJournal of Medical Internet Researchen_US
dc.relation.projectNorges forskningsråd: 256574en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal