Engagement of Patients in the Self-Management of Pain

Okifuji, Akiko; Turk, Dennis C.

doi:10.1007/978-3-319-49206-3_14

Cited by 4 publications

(2 citation statements)

References 93 publications

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“…Example educational contents for fibromyalgia patients. [179][180][181]. Incorporation of MET in pain treatment is fairly young; however, the available evidence is encouraging.…”

Section: Motivational Enhancement Therapymentioning

confidence: 99%

Management of Fibromyalgia Syndrome in 2016

et al. 2016

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Fibromyalgia syndrome is a chronic pain disorder and defies definitively efficacious therapy. In this review, we summarize the results from the early treatment research as well as recent research evaluating the pharmacological, interventional and nonpharmacological therapies. We further discuss future directions of fibromyalgia syndrome management; we specifically focus on the issues that are associated with currently available treatments, such as the need for personalized approach, new technologically oriented and interventional treatments, the importance of understanding and harnessing placebo effects and enhancement of patient engagement in therapy.

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“…Example educational contents for fibromyalgia patients. [179][180][181]. Incorporation of MET in pain treatment is fairly young; however, the available evidence is encouraging.…”

Section: Motivational Enhancement Therapymentioning

confidence: 99%

Management of Fibromyalgia Syndrome in 2016

et al. 2016

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“…Practicing a variety of strategies learned from pain management interventions, individuals develop the capacity to monitor their symptoms ( self-monitoring ) and tailor strategies that work best for them ( self-tailoring ) [5]. With the help and support of peers and health professionals, they can actively problem solve ( problem solving ) and set meaningful goals [9]. Positive reinforcement from learning self-management skills and adhering to practicing those strategies [10] ultimately develops the confidence in one’s ability ( self-efficacy building ) to engage in meaningful activities despite pain ( acceptance ), thereby fostering sustained behavioral change [11].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Self-Management Support Functions in Apps for People With Persistent Pain: Systematic Review

Devan¹,

Farmery²,

Peebles³

et al. 2019

JMIR Mhealth Uhealth

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Background Smartphone apps are a potential mechanism for development of self-management skills in people with persistent pain. However, the inclusion of best-practice content items in available pain management apps fostering core self-management skills for self-management support is not known. Objective The aim of the study was to evaluate the contents of smartphone apps providing information on pain management strategies for people with persistent pain facilitating self-management support and to appraise the app quality. Methods A systematic search was performed in the New Zealand App Store and Google Play Store. Apps were included if they were designed for people with persistent pain, provided information on pain self-management strategies, and were available in English. App contents were evaluated using an a priori 14-item self-management support (SMS-14) checklist. App quality was assessed using the 23-item Mobile Apps Rating Scale. Results Of the 939 apps screened, 19 apps met the inclusion criteria. Meditation and guided relaxation were the most frequently included self-management strategies. Overall, the included apps met a median of 4 (range 1-8) of the SMS-14 checklist. A total of 3 apps (Curable, PainScale-Pain Diary and Coach, and SuperBetter) met the largest number of items (8 out of 14) to foster self-management of pain. Self-monitoring of symptoms (n=11) and self-tailoring of strategies (n=9) were frequently featured functions, whereas a few apps had features facilitating social support and enabling communicating with clinicians. No apps provided information tailored to the cultural needs of the user. The app quality mean scores using Mobile Apps Rating Scale ranged from 2.7 to 4.5 (out of 5.0). Although use of 2 apps (Headspace and SuperBetter) has been shown to improve health outcomes, none of the included apps have been evaluated in people with persistent pain. Conclusions Of the 3 apps (Curable, PainScale-Pain Diary and Coach, and SuperBetter) that met the largest number of items to support skills in self-management of pain, 2 apps (PainScale-Pain Diary and Coach and SuperBetter) were free, suggesting the potential for using apps as a scalable, wide-reaching intervention to complement face-to-face care. However, none provided culturally tailored information. Although 2 apps (Headspace and SuperBetter) were validated to show improved health outcomes, none were tested in people with persistent pain. Both users and clinicians should be aware of such limitations and make informed choices in using or recommending apps as a self-management tool. For better integration of apps in clinical practice, concerted efforts are required among app developers, clinicians, and people with persistent pain in developing apps and evaluating for clinical efficacy.

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