Evidence map›Paper›PMID 30664472›Full record

Trial reportJMIR mHealth and uHealth2019

Capturing Daily Disease Experiences of Adolescents With Chronic Pain: mHealth-Mediated Symptom Tracking.

Chitra Lalloo, Amos Hundert, Lauren Harris, Quynh Pham, Fiona Campbell, Jill Chorney, Bruce Dick, Mark Simmonds, Joseph Cafazzo, Jennifer Stinson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02601755 (iCanCope With Pain), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02601755 nacompletednot on this map

iCanCope With Pain: An Integrated Smartphone and Web Self-management Program for Adolescents and Young Adults With Chronic Pain

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2017 to 2023Enrolled302ConditionsChronic PainArmsiCanCope app and website, Attention control group
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chitra LallooiOUCH Pain Lab, Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-2794-7061
Amos HundertiOUCH Pain Lab, Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-8257-2202
Lauren HarrisiOUCH Pain Lab, Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-0263-0201
Quynh PhamCentre for Global eHealth Innovation, Toronto General Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-0540-4181
Fiona CampbellDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-6482-0743
Jill ChorneyDepartment of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-6137-049X
Bruce DickDepartment of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-0404-4927
Mark SimmondsDepartment of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-4134-1082
Joseph CafazzoCentre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-3114-4440
Jennifer StinsonDepartment of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-9969-8052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain is a common problem in adolescents that can negatively impact all aspects of their health-related quality of life. The developmental period of adolescence represents a critical window of opportunity to optimize and solidify positive health behaviors and minimize future pain-related disability and impaired work productivity. This research focuses on the development and evaluation of a smartphone-based pain self-management app for adolescents with chronic pain.

objectiveThe objectives of this study were to characterize (1) the feasibility of deploying a mobile health (mHealth) app (iCanCope) to the personal smartphones of adolescent research participants; (2) adherence to daily symptom tracking over 55 consecutive days; (3) participant interaction with their symptom history; and (4) daily pain-related experiences of adolescents with chronic pain.

methodsWe recruited adolescents aged 15-18 years from 3 Canadian pediatric tertiary care chronic pain clinics. Participants received standardized instructions to download the iCanCope app and use it once a day for 55 days. Detailed app analytics were captured at the user level. Adherence was operationally defined as per the relative proportion of completed symptom reports. Linear mixed models were used to examine the trajectories of daily symptom reporting.

resultsWe recruited 60 participants between March 2017 and April 2018. The mean age of the participants was 16.4 (SD 0.9) years, and 88% (53/60) of them were female. The app was deployed to 98% (59/60) devices. Among the 59 participants, adherence was as follows: low (4, 7%), low-moderate (14, 24%), high-moderate (16, 27%), and high (25, 42%). Most (49/59, 83%) participants chose to view their historical symptom trends. Participants reported pain intensity and pain-related symptoms of moderate severity, and these ratings tended to be stable over time.

conclusionsThis study indicates that (1) the iCanCope app can be deployed to adolescents' personal smartphones with high feasibility; (2) adolescents demonstrated moderate-to-high adherence over 55 days; (3) most participants chose to view their symptom history; and (4) adolescents with chronic pain experience stable symptomology of moderate severity.

trial registrationClinicalTrials.gov NCT02601755; https://clinicaltrials.gov/ct2/show/NCT02601755 (Archived by WebCite at http://www.webcitation.org/74F4SLnmc).

Indexed as

AdolescentAdolescent BehaviorAlbertaChildren with DisabilitiesChronic DiseaseCost of IllnessFemaleHumansMaleMental DisordersPatient Identification SystemsSelf ReportSurveys and QuestionnairesSyndromeTelemedicineadherenceadolescentschronic paindisease experiencefeasibilitymHealthmobile phoneself-reportsmartphonessymptom monitoring

Identifiers

PMID30664472
PMCPMC6354201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.