Evidence map›Paper›PMID 30747715›Full record

SynthesisJMIR mHealth and uHealth2019

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

Hemakumar Devan, Devin Farmery, Lucy Peebles, Rebecca Grainger

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis 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 2 registered trials, which are not on this map. Cited by 73 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 14 pooled it
10.6field-weighted citation impact, top 1% of its field
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.

NCT05058547 naunknown statusnot on this mapstarted 2022, after this paper: background citation

An Evidence-based Digital Support for One Year to Facilitate a Sustainable Return to Work for Persons With Chronic Musculoskeletal Pain and Their Employers: Study Protocol for a Registry-based Multicentre Randomized Controlled Trial.

TypeinterventionalSponsorLinkoeping UniversityRan2022 to 2024Enrolled360ConditionsChronic PainArmsSWEPPE
NCT07143396 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of a Mind-Body Application in Combination With a Graded Movement Program for the Treatment of Chronic Pain

TypeinterventionalSponsorUniversity of the Fraser ValleyRan2025 to 2025Enrolled100ConditionsChronic Pain, Migraine, Chronic Pain SyndromeArmsMind-body mobile application and guided movement
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 14 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Evaluation of temporomandibular disorder self-management apps in Australia: a systematic review to inform clinical use.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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13 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

Hemakumar Devan *Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Wellington, New Zealand.ORCID 0000-0002-2923-7277
Devin FarmeryDepartment of Medicine, University of Otago, Wellington, New Zealand.ORCID 0000-0002-0931-2786
Lucy PeeblesUniversity of Otago, Wellington, New Zealand.ORCID 0000-0003-4193-7732
Rebecca GraingerDepartment of Medicine, University of Otago, Wellington, New Zealand.ORCID 0000-0001-9201-8678
University of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmartphone 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.

objectiveThe 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.

methodsA 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.

resultsOf 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.

conclusionsOf 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.

Indexed as

AdultChronic PainFemaleHumansMaleMiddle AgedMobile ApplicationsNew ZealandPain ManagementSelf-Managementchronic painculturemHealthself-managementsmartphonetechnology

Identifiers

PMID30747715
PMCPMC6390192
OpenAlexW2909711840

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.