Evidence map›Paper›PMID 33766028›Full record

Trial reportBMC health services research2021

Health care providers' experiences of pain management and attitudes towards digitally supported self-management interventions for chronic pain: a qualitative study.

Cecilie Varsi, Ingrid Konstanse Ledel Solem, Hilde Eide, Elin Børøsund, Olöf B Kristjansdottir, Karina Heldal, Lori B Waxenberg, Karen E Weiss, Karlein M G Schreurs, Eleshia J Morrison and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03705104 (Living Well with Chronic Pain), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

NCT03705104 naactive not recruitingnot on this map

Living Well with Chronic Pain: Using Person-centered E-health Design to Support Self-management

TypeinterventionalSponsorOslo University HospitalRan2019 to 2030Enrolled340ConditionsChronic Pain, WidespreadArmsEPIO
3 · Its place in the literature

Who cites it

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

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  7. Impact of seamless intervention in the operating room combined with pain management on the efficiency of urological laparoscopic surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
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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

12 authors.

Cecilie VarsiDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway. cecilie.varsi@usn.no.ORCID http://orcid.org/0000-0001-5257-7993
Ingrid Konstanse Ledel SolemDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway.
Hilde EideDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway.
Elin BørøsundDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway.
Olöf B KristjansdottirDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway.
Karina HeldalSunnaas Rehabilitation Hospital, Bjørnemyr, Norway.
Lori B WaxenbergDepartment of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Karen E WeissDepartment of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
Karlein M G SchreursDepartment of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands.
Eleshia J MorrisonDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.
Audun StubhaugInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Lise Solberg NesDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway.

Funding

Norges Forskningsråd 256574
6 · The paper itself

Abstract

backgroundChronic pain constitutes a significant burden for the individuals affected, and is a frequent reason why patients seek health care services. While in-person psychosocial interventions can be of support to people living with chronic pain, such interventions are not always accessible. eHealth interventions may provide greater accessibility, but the evidence and use of digital self-management solutions for chronic pain are still limited and the lack of health care provider input in the development process of such solutions a concern. Therefore, the aim of the current study was to investigate health care providers' experiences of treating patients with chronic pain, their attitudes towards, and use of, digital solutions in pain management, and their suggestions for content and design elements for a potential digital pain self-management intervention.

methodsTwelve health care providers representing a variety of health care disciplines participated in semi-structured interviews. The interviews were analyzed using thematic analysis.

resultsThe material was analyzed into three main themes: [1] Patients with chronic pain and their current use of the health care services, [2] Health care providers' own motivation and impression of patient prerequisites for use of digital self-management interventions, and [3] Suggestions for content and design elements in a digital self-management intervention for people living with chronic pain. The challenges faced by patients living with chronic pain were described as numerous. Despite interest and positive attitudes, few of the health care providers had used or recommended eHealth solutions to their patients. A range of potential content and functionality elements were identified, including aspects of motivation and engagement and providers also emphasized the importance of easy access and positive, personal content to support existing treatment.

conclusionsThis study offers insights into health care providers' considerations for the potential of digital self-management interventions supporting patients living with chronic pain. Findings indicate the need for change and a more comprehensive treatment approach to pain management. eHealth solutions may contribute to such change, and providers pointed to a need for health care provider involvement, timely support and follow-up as important factors for integrating digital pain self-management interventions into clinical care.

trial registrationClinicalTrials.gov : NCT03705104.

Indexed as

Chronic PainSelf-ManagementAttitudeHealth PersonnelHumansPain ManagementQualitative ResearchChronic paineHealthHealth personnelHealth servicesQualitative researchTelemedicine

Identifiers

PMID33766028
PMCPMC7992849

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.