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| Name | Class |
|---|---|
| Ontario Centres of Excellence | INDUSTRY |
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The overall objective of this Early Adoption project is to gather evidence for how Managing My Pain Program (MMP), a novel digital pain management application can enable better care at home for chronic pain sufferers in the province of Ontario, Canada across 4 sites in urban, community, and rural settings
Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management application, Managing My Pain Program (MMP) that incorporates validated questionnaires can be used to enhance communication between providers and patients and promote self-management to evaluate the extent of patient engagement with the app when used in clinical settings.
The main objectives for this project is to evaluate the engagement in patients using MMP, and to assess improvements in clinical outcomes directly relevant for pain management, as measured by clinically-validated tools.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient group using Manage My Pain (MMP) digital application for pain data | Experimental | Participants completed pain related questionnaires on the following pain related outcomes - anxiety, depression, catastrophizing, disability, patient impression of change, and daily opioid consumption at baseline on initial visit and as a part of the first follow-up clinical visits, on the Manage My Pain (MMP) digital application |
|
| Patient group using paper format for pain data | No Intervention | Participants completed pain related questionnaires on the following pain related outcomes - anxiety, depression, catastrophizing, disability, patient impression of change, and daily opioid consumption at baseline on initial visit and as a part of the first follow-up clinical visits on paper format or phone interviews. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manage My Pain (MMP) digital pain app group | Other | To evaluate the extent of patient engagement with the Manage My Pain (MMP) digital application when used in a clinical setting |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluating engagement based on adoption and retention rates | Evaluating the number of patients who elected to use the Manage My Pain (MMP) application, and determining how long they used the app in the short-term (4.5 months) and long-term (4.5-7 months) follow-ups | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in depression as measured by the Patient Health Questionnaire 9-item (PHQ-9) | Minimum score of 0, maximum score of 27. The higher the score, the higher the severity of depression. | Short-term (4.5 months) and long-term (4.5-7 months) |
| Change in anxiety as measured by the General Anxiety Disorder 7-item Questionnaire (GAD-7) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toronto Western Hospital | Toronto | Ontario | M5T 2S8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27583140 | Background | Portelli P, Eldred C. A quality review of smartphone applications for the management of pain. Br J Pain. 2016 Aug;10(3):135-40. doi: 10.1177/2049463716638700. Epub 2016 Apr 19. | |
| 27713649 | Background | Alexander JC, Joshi GP. Smartphone applications for chronic pain management: a critical appraisal. J Pain Res. 2016 Sep 26;9:731-734. doi: 10.2147/JPR.S119966. eCollection 2016. No abstract available. |
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No IPD was collected during the study to share
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D010146 | Pain |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
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| ID | Term |
|---|---|
| D020782 | Matrix Metalloproteinases |
| ID | Term |
|---|---|
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
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Minimum score of 0, maximum score of 21. The higher the score, the higher the severity of anxiety. |
| Short-term (4.5 months) and long-term (4.5-7 months) |
| Change in pain disability as measured by the Pain Disability Index (PDI) | Minimum score of 0, maximum score of 70. The higher the score, the higher the severity of pain disability. | Short-term (4.5 months) and long-term (4.5-7 months) |
| Change in pain catastrophizing and measured by the Pain Catastrophizing Scale (PCS) | Minimum score of 0, maximum score of 52. The higher the score, the higher the severity of pain catastrophizing. | Short-term (4.5 months) and long-term (4.5-7 months) |
| Change in opioid consumption as measured by Oral Morphine Equivalents (OME) | Minimum amount of 0, no maximum amount. The higher the amount the more opioid they are taking | Short-term (4.5 months) and long-term (4.5-7 months) |
| Change in patient satisfaction as measured by the Patient Global Impression of Change (PGIC) scale | Minimum score of 1, maximum score of 7. The higher the score, the higher the level of patient satisfaction. | Short-term (4.5 months) and long-term (4.5-7 months) |
| 30361196 | Background | Salazar A, de Sola H, Failde I, Moral-Munoz JA. Measuring the Quality of Mobile Apps for the Management of Pain: Systematic Search and Evaluation Using the Mobile App Rating Scale. JMIR Mhealth Uhealth. 2018 Oct 25;6(10):e10718. doi: 10.2196/10718. |
| 33661130 | Derived | Bhatia A, Kara J, Janmohamed T, Prabhu A, Lebovic G, Katz J, Clarke H. User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial. JMIR Mhealth Uhealth. 2021 Mar 4;9(3):e26528. doi: 10.2196/26528. |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D004798 |
| Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |