UMMS Affiliation

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

Publication Date

2020-03-30

Document Type

Article

Disciplines

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

Abstract

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.

Keywords

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

Rights and Permissions

Copyright © Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 30.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), 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 http://mhealth.jmir.org/, as well as this copyright and license information must be included.

DOI of Published Version

10.2196/14768

Source

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

Journal/Book/Conference Title

JMIR mHealth and uHealth

Related Resources

Link to Article in PubMed

PubMed ID

32224487

Creative Commons License

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

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