An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial
UMass Chan Affiliations
Center for Integrated Primary CareDepartment of Family Medicine and Community Health
Document Type
Journal ArticlePublication Date
2020-03-30Keywords
Minority healthinternet
Web-based
complementary therapies
mindfulness-based stress reduction
Alternative and Complementary Medicine
Behavioral Medicine
Family Medicine
Health Information Technology
Health PsychologyHealth Services AdministrationIntegrative MedicineMental and Social HealthMovement and Mind-Body TherapiesPain ManagementPrimary CarePsychiatry and Psychology
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Show full item recordAbstract
BACKGROUND: Chronic pain affects millions of Americans. Our Whole Lives, an electronic health (eHealth) toolkit for Chronic Pain (Our Whole Lives for Chronic Pain [OWLCP]), is a mind-body chronic pain management platform that teaches self-management strategies to reduce pain impact and pain medication use. OBJECTIVE: The primary goal of this study was to evaluate the feasibility of OWLCP in reducing pain impact and pain-related outcomes. METHODS: We conducted a pre-post clinical study (2 cohorts) to assess the feasibility of OWLCP usage among low-income patients with chronic pain. Outcome data, collected at baseline and 9 weeks, included Patient-Reported Outcomes Measurement Information System (PROMIS-29), pain self-efficacy, and pain medication use. In the statistical analysis, we used descriptive statistics, logistic regression, linear regression, and qualitative methods. RESULTS: Among the enrolled 43 participants, the average age was 50 years, (39/43) 91% were female, (16/43) 37% were black, and (7/43) 16% were Hispanic. From baseline to follow-up, the PROMIS measures showed a reduction in depression (P=.02), pain interference (P=.003), and average pain impact score (P=.007). Pain self-efficacy increased ((P < .001), whereas opioid use had a 13% reduction (P=.03). CONCLUSIONS: The eHealth chronic pain management platform, OWLCP, is a potential tool to reduce the impact of chronic pain for low-income racially diverse populations.Source
Gardiner P, D'Amico S, Luo M, Haas N. An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial. JMIR Mhealth Uhealth. 2020 Mar 30;8(3):e14768. doi: 10.2196/14768. PMID: 32224487. Link to article on publisher's site
DOI
10.2196/14768Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26773PubMed ID
32224487Related Resources
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Copyright © Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 30.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.Distribution License
http://creativecommons.org/licenses/by/4.0/Scopus Count
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Except where otherwise noted, this item's license is described as Copyright © Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 30.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
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