Mobile health intervention for self-management of adolescent chronic pain (WebMAP mobile): protocol for a hybrid effectiveness-implementation cluster randomized controlled trial

Tonya M. Palermo*, Rocio de la Vega, Joanne Dudeney, Caitlin Murray, Emily Law

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)
5 Downloads (Pure)

Abstract

Introduction: Approximately 5–8% of children report severe chronic pain and disability. Although evidence supports pain-self management as effective for reducing pain and disability, most youth do not have access to psychological intervention. Our prior studies demonstrate that an existing internet-delivered pain self-management program (WebMAP) can reduce barriers to care, is feasible, acceptable, and is effective in reducing pain-related disability in youth with chronic pain. The current trial seeks to: 1) determine the effectiveness of a mobile app version of WebMAP for improving patient pain-related outcomes, and 2) evaluate a novel implementation strategy to maximize the public health impact of the intervention including the determination of adoption, reach, and sustainability of WebMAP in specialty clinics serving children with chronic pain in the United States. Methods: This hybrid effectiveness-implementation cluster randomized controlled trial employs a stepped wedge design in which the WebMAP mobile intervention is sequentially implemented in 8 specialty pain clinics following a usual care period. This trial aims to enroll a minimum of 120 youth (ages 10–17) who have chronic pain. Outcome analyses will determine effectiveness of treatment on adolescent pain-related outcomes as well as public health impact via reach, adoption, implementation, and maintenance. Conclusions: This trial examines an innovative approach to evaluate a technology-delivered pain self-management program for youth with chronic pain. Findings are expected to yield a strategic approach for delivering a digital pain management program for youth with chronic pain that can be sustained in clinical settings. Clinical Trial Registration #: NCT03332563

Original languageEnglish
Pages (from-to)55-60
Number of pages6
JournalContemporary Clinical Trials
Volume74
DOIs
Publication statusPublished - Nov 2018
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • chronic pain
  • adolescence
  • psychological intervention
  • cluster randomized controlled trial
  • technology
  • mobile application

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