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Department of Family Medicine and Community Health; Center for Integrated Primary Care Publications

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Alternative and Complementary Medicine | Behavioral Medicine | Family Medicine | Health Information Technology | Health Psychology | Health Services Administration | Integrative Medicine | Mental and Social Health | Movement and Mind-Body Therapies | Pain Management | Primary Care | Psychiatry and Psychology


BACKGROUND: Chronic pain affects millions of Americans. Our Whole Lives, an electronic health (eHealth) toolkit for Chronic Pain (Our Whole Lives for Chronic Pain [OWLCP]), is a mind-body chronic pain management platform that teaches self-management strategies to reduce pain impact and pain medication use.

OBJECTIVE: The primary goal of this study was to evaluate the feasibility of OWLCP in reducing pain impact and pain-related outcomes.

METHODS: We conducted a pre-post clinical study (2 cohorts) to assess the feasibility of OWLCP usage among low-income patients with chronic pain. Outcome data, collected at baseline and 9 weeks, included Patient-Reported Outcomes Measurement Information System (PROMIS-29), pain self-efficacy, and pain medication use. In the statistical analysis, we used descriptive statistics, logistic regression, linear regression, and qualitative methods.

RESULTS: Among the enrolled 43 participants, the average age was 50 years, (39/43) 91% were female, (16/43) 37% were black, and (7/43) 16% were Hispanic. From baseline to follow-up, the PROMIS measures showed a reduction in depression (P=.02), pain interference (P=.003), and average pain impact score (P=.007). Pain self-efficacy increased ((P < .001), whereas opioid use had a 13% reduction (P=.03).

CONCLUSIONS: The eHealth chronic pain management platform, OWLCP, is a potential tool to reduce the impact of chronic pain for low-income racially diverse populations.


Minority health, internet, Web-based, complementary therapies, mindfulness-based stress reduction

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Copyright © Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas. Originally published in JMIR mHealth and uHealth (, 30.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.

DOI of Published Version



Gardiner P, D'Amico S, Luo M, Haas N. An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial. JMIR Mhealth Uhealth. 2020 Mar 30;8(3):e14768. doi: 10.2196/14768. PMID: 32224487. Link to article on publisher's site

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JMIR mHealth and uHealth

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.