Evidence map›Paper›PMID 33661130›Full record

ArticleJMIR mHealth and uHealth2021

User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial.

Anuj Bhatia, Jamal Kara, Tahir Janmohamed, Atul Prabhu, Gerald Lebovic, Joel Katz, Hance Clarke

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04762329 (Manage My Pain at Chronic Pain Clinics in Urban, Community, and Rural Hospitals), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
9.7field-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.

NCT04762329 nacompletednot on this map

Manage My Pain at Chronic Pain Clinics in Urban, Community, and Rural Hospitals

TypeinterventionalSponsorUniversity Health Network, TorontoRan2018 to 2020Enrolled246ConditionsChronic PainArmsManage My Pain (MMP) digital pain app group
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  11. Daily Consistency Over Timing: Routine Formation and Population-Specific Opportunities in mHealth User Adherence.Extended abstracts on Human factors in computing systems. CHI Conference · 2026
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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

7 authors at 2 institutions in 2 countries.

Anuj BhatiaDepartment of Anesthesia and Pain Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6292-8654
Jamal KaraDepartment of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-3713-0266
Tahir JanmohamedManagingLife Inc, Toronto, ON, Canada.ORCID 0000-0001-7006-4358
Atul PrabhuDepartment of Anesthesia and Pain Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-0605-1514
Gerald LebovicInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3540-3339
Joel KatzDepartment of Anesthesia and Pain Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-8686-447X
Hance ClarkeDepartment of Anesthesia and Pain Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-4975-3823
University Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management app called Manage My Pain (MMP) can be used to enhance communication between providers and patients and promote self-management.

objectiveThe purpose of this study was to evaluate the real-world engagement of patients in urban and rural settings in Ontario, Canada with the MMP app alongside their standard of care and assess the impact of its usage on clinical outcomes of pain and related mental health.

methodsA total of 246 participants with chronic pain at a rural and 2 urban pain clinics were recruited into this prospective, open-label, exploratory study that compared the use of MMP, a digital health app for pain that incorporates validated questionnaires and provides patients with summarized reports of their progress in combination with standard care (app group), against data entered on paper-based questionnaires (nonapp group). Participants completed validated questionnaires on anxiety, depression, pain catastrophizing, satisfaction, and daily opioid consumption up to 4.5 months after the initial visit (short-term follow-up) and between 4.5 and 7 months after the initial visit (long-term follow-up). Engagement and clinical outcomes were compared between participants in the two groups.

resultsA total of 73.6% (181/246) of the participants agreed to use the app, with 63.4% (111/175) of them using it for at least one month. Individuals who used the app rated lower anxiety (reduction in Generalized Anxiety Disorder 7-item questionnaire score by 2.10 points, 95% CI -3.96 to -0.24) at short-term follow-up and had a greater reduction in pain catastrophizing (reduction in Pain Catastrophizing Scale score by 5.23 points, 95% CI -9.55 to -0.91) at long-term follow-up relative to patients with pain who did not engage with the MMP app.

conclusionsThe use of MMP by patients with chronic pain is associated with engagement and improvements in self-reported anxiety and pain catastrophizing. Further research is required to understand factors that impact continued engagement and clinical outcomes in patients with chronic pain.

trial registrationClinicalTrials.gov NCT04762329; https://clinicaltrials.gov/ct2/show/NCT04762329.

Indexed as

Chronic PainMobile ApplicationsSelf-ManagementHumansOntarioProspective Studiesappchronic disease managementchronic paindigital healthengagementimpactmHealthoutcomepainpain apppain managementpatient-oriented researchpsychologyquality of liferemote monitoringvirtual care

Identifiers

PMID33661130
PMCPMC7974758
OpenAlexW3135107657

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.