Technology-Mediated Therapy for Chronic Pain Management: The Challenges of Adapting Behavior Change Interventions for Delivery with Pervasive Communication Technology

Rosser, Benjamin A.; McCullagh, Paul; Davies, Richard; Mountain, Gail; McCracken, Lance M.; Eccleston, Christopher

doi:10.1089/tmj.2010.0136

Cited by 29 publications

(28 citation statements)

References 24 publications

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“…Research on designing interactive technology for people with CP is limited (Rosser et al, 2011). Most technologies aimed at people with CP provide information on pain and pain reduction through web-based resources and more recently through smartphone apps (Rosser & Eccleston, 2011a, 2011b; e.g.…”

Section: Technology For Physical Activity Technology For Physical Actmentioning

confidence: 99%

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

Singh

Piana

Pollarolo

et al. 2015

Human–Computer Interaction

105

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Chronic (persistent) pain (CP) affects 1 in 10 adults; clinical resources are insufficient, and anxiety about activity restricts lives. Technological aids monitor activity but lack necessary psychological support. This article proposes a new sonification framework, Go-with-the-Flow, informed by physiotherapists and people with CP. The framework proposes articulation of user-defined sonified exercise spaces (SESs) tailored to psychological needs and physical capabilities that enhance body and movement awareness to rebuild confidence in physical activity. A smartphone-based wearable device and a Kinect-based device were designed based on the framework to track movement and breathing and sonify them during physical activity. In control studies conducted to evaluate the sonification strategies, people with CP reported increased performance, motivation, awareness of movement, and relaxation with sound feedback. Home studies, a focus group, and a survey of CP patients conducted at the end of a hospital pain management session provided an in-depth understanding of how different aspects of the SESs and their calibration can facilitate self-directed rehabilitation and how the wearable version of the device can facilitate transfer of gains from exercise to feared or demanding activities in real life. We conclude by discussing the implications of our findings on the design of technology for physical rehabilitation

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Section: Technology For Physical Activity Technology For Physical Actmentioning

confidence: 99%

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

Singh

Piana

Pollarolo

et al. 2015

Human–Computer Interaction

105

View full text Add to dashboard Cite

show abstract

“…Existing technology (including information on the Web and treatment by Internet or telephone) does not provide the detailed clinical help valued by people with pain [25].…”

Section: Technology For Physical Activity In Cpmentioning

confidence: 99%

Motivating people with chronic pain to do physical activity

Singh

Klapper

Jia

et al. 2014

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

125

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Physical activity is important for improving quality of life in people with chronic pain. However, actual or anticipated pain exacerbation, and lack of confidence when doing physical activity, make it difficult to maintain and build towards long-term activity goals. Research guiding the design of interactive technology to motivate and support physical activity in people with chronic pain is lacking. We conducted studies with: (1) people with chronic pain, to understand how they maintained and increased physical activity in daily life and what factors deterred them; and (2) pain-specialist physiotherapists, to understand how they supported people with chronic pain. Building on this understanding, we investigated the use of auditory feedback to address some of the psychological barriers and needs identified and to increase self-efficacy, motivation and confidence in physical activity. We conclude by discussing further design opportunities based on the overall findings.

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“…Telehealth, or distance health services, are those in which communication technologies are used for information exchange, whether directed to diagnoses, prevention and treatment of diseases 6,7 , continuing 8 or permanent 9 education, as well as research purposes 4,10 , with no presential requirement of those involved. Among several tools, cybertutor, or electronic tutor, is a platform designed to provide information, tasks and/or illustrative problems via the web, combined with tutorial aspects which assist students and/or professionals in solving problems, therefore, a computer system sustained by the web 11 .…”

Section: Methodsmentioning

confidence: 99%

Requisitos para utilização de cybertutor com agentes comunitarios de saúde

Daza

Berretin-Felix²,

Machado³

2014

Rev. CEFAC

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Objetivo verificar e caracterizar os requisitos para efetiva participação dos Agentes Comunitários de Saúde (ACS) em ambientes virtuais de aprendizagem, utilizando o tema “amamentação”;. Métodos participaram do estudo 49 ACS do município de Monte Negro-RO; após 45 dias, durante os quais o processo foi monitorado, ocorreu uma videoconferência para coletar depoimentos sobre o acesso e conteúdo. Foi utilizada a Análise do Discurso do Sujeito Coletivo para identificar dificuldades/facilidades/sugestões/proposições dos participantes, considerando três categorias: (a) Desejo de adquirir conhecimentos; (b) Consecução do estudo e (c) Avaliação da formação do profissional e do conteúdo. Resultados oito ACS (15,69%) acessaram o cybertutor em tempo hábil; destes 100% cursou o módulo introdutório completo; 62,5% os módulos 2 e 3; 37,5% os módulos de 4 à 8. Para a Categoria (a) oito ACS relataram que estiveram motivados no uso do cybertutor, visto ser um meio para reforçar e adquirir novos conhecimentos. Quanto à Categoria (b), as maiores dificuldades descritas foram a falta de conhecimento da informática, de recursos materiais e financeiros, além de tempo disponível. Na Categoria (c) referiram ter obtido novos conhecimentos que puderam levar para a população imediatamente e o desejo de ter outras experiências semelhantes. Conclusão os requisitos necessários para ministrar cursos a distância aos ACS implicam a viabilização de recursos pelos gestores locais, conhecimentos prévios de informática básica, acesso à Internet, computadores disponíveis em locais apropriados, assim como outros aspectos como disponibilizar tempo em horário de trabalho e/ou extra, e temas desafiadores para efetivar a educação continuada à distância.

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Technology-Mediated Therapy for Chronic Pain Management: The Challenges of Adapting Behavior Change Interventions for Delivery with Pervasive Communication Technology

Abstract: Solutions to these challenges are described in the context of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged.

Cited by 29 publications

References 24 publications

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

Motivating people with chronic pain to do physical activity

Requisitos para utilização de cybertutor com agentes comunitarios de saúde

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