Evidence map›Paper›PMID 38962688›Full record

ArticlePain reports2024

Living well with chronic pain: a 12-month randomized controlled trial revealing impact from the digital pain self-management program EPIO.

Lise Solberg Nes, Elin Børøsund, Cecilie Varsi, Hilde Eide, Lori B Waxenberg, Karen E Weiss, Eleshia J Morrison, Hanne Stavenes Støle, Ólöf B Kristjansdottir, Katrine Bostrøm and 4 more

Abstract read
In one paragraph

Article in Pain reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. 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

14 authors.

Lise Solberg NesDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-9261-0871
Elin BørøsundDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-3897-7055
Cecilie VarsiDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-5257-7993
Hilde EideDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0003-4428-5047
Lori B WaxenbergDepartment of Clinical & Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0003-4987-8503
Karen E WeissDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-9245-164X
Eleshia J MorrisonDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-2872-943X
Hanne Stavenes StøleDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-0955-6852
Ólöf B KristjansdottirDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0001-7891-947X
Katrine BostrømDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-3673-8694
Elin Bolle StrandDivision of Medicine, Department of Digital Health Research, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0000-0002-8155-0391
Milada Cvancarova Småstuen HagenFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID https://orcid.org/0000-0001-8947-8649
Audun StubhaugInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0002-0606-8001
Karlein M G SchreursDepartment of Psychology, Health, and Technology, University of Twente, Enschede, Netherlands.ORCID https://orcid.org/0000-0002-1229-0151

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic pain affects a wide range of physical and psychological aspects of life for those impacted. Psychosocial treatment approaches may be of support, but outreach is still limited. Objectives: To evaluate the efficacy of EPIO, an evidence-informed, user-centered digital self-management intervention for people with chronic pain, in a 12-month randomized controlled trial. Methods: People living with chronic pain (N = 266) were randomized to the EPIO intervention (n = 132) or a usual-care control group (n = 134). The intervention was delivered in a simple blended care model, and outcome measures collected at baseline, 6 months, and 12 months. Generalized linear models for repeated measures were fitted to compare groups over time. Results: Participants were primarily female (81%), median age 49 years (range 22-78), with heterogeneous pain conditions, and had lived with pain >5 years (77.6%). A mixed linear model with all timepoints included revealed no statistically significant group differences for the primary outcome of pain interference. Significant psychological benefits in favor of the intervention group were however detected for depression ( Conclusions: The EPIO program aims to improve outreach of evidence-based pain self-management interventions. Findings demonstrate how using EPIO can lead to sustainable psychological change, enhancing mental health and health-related quality of life for people suffering from pain, providing a chance to live well

Indexed as

Acceptance and commitment therapyAnxietyChronic painCognitive behavioral therapyDepressionDigital pain self-managementeHealthPain interferencePsychosocial self-managementSelf-regulatory fatigue

Identifiers

PMID38962688
PMCPMC11221858

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.