Evidence map›Paper›PMID 40070899›Full record

ArticleFrontiers in psychology2025

Changes in cognition, coping, pain and emotions after 12-months access to the digital self-management program EPIO.

Elin Bolle Strand, Cecilie Varsi, Elin Børøsund, Hilde Eide, Karlein M G Schreurs, Lori B Waxenberg, Karen E Weiss, Eleshia J Morrison, Hanne Stavenes Støle, Ólöf Birna Kristjansdottir and 2 more

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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.

Elin Bolle StrandDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Cecilie VarsiDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Elin BørøsundDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Hilde EideDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Karlein M G SchreursDepartment of Psychology, Health & Technology, University of Twente, Enschede, Netherlands.
Lori B WaxenbergDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.
Karen E WeissDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, United States.
Eleshia J MorrisonDepartment of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, United States.
Hanne Stavenes StøleDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Ólöf Birna KristjansdottirDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Audun StubhaugDepartment of Pain Management and Research, Oslo University Hospital, Oslo, Norway.
Lise Solberg NesDepartment of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychosocial pain self-management interventions can be of support for people living with chronic pain. Since psychosocial support is not always accessible, digital health interventions may increase outreach of these types of evidence-based interventions. Objectives: To explore participants' experiences from 12-month access to the digital pain self-management program EPIO, particularly in terms of any behavioral and/or psychological changes experienced. Methods: Participants ( Results: Participants were predominantly women (72%), median age 46 (range 26-70), with a range of self-reported pain conditions and the majority reporting pain duration >10 years (64%). Analyses identified three main themes and subsequent sub-themes: (1) Conclusions: People with chronic pain experienced positive behavioral and/or psychological changes in terms of cognition and coping after 12 months access to the EPIO digital pain self-management program. The most prominent changes included increased understanding of the connection between own thoughts, feelings, and behavior, gaining concrete strategies to cope with everyday life living with pain, and utilizing these strategies to reduce pain and interference of pain, as well as to improve emotion regulation and psychological wellbeing.

Indexed as

digitalemotion regulationpain acceptancepain reductionqualitative research

Identifiers

PMID40070899
PMCPMC11893590

What OpenQuestion holds

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Registered trials

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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.