Development, implementation and evaluation of a digital treatment for adolescents with chronic pain: a protocol for a multi-phase study

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Miró, Jordi
Sampietro, Ariadna
Monterde, Sonia
Ingelmo, Pablo
Wicksell, Rikard K.
Nolla, Carme
Alonso, Mercedes
Lázaro, Juan José
Martínez, Ernesto
Rubio, Paloma

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Chronic pain in adolescents is an increasing public health concern with a significant physical, psychological, and social impact. This study aims to develop, implement, and evaluate DigiDOL-Ad, a digital psychosocial treatment for adolescents with chronic pain, supplemented by dedicated websites for their parents and teachers. This multicenter study will be conducted in four phases: (1) Development of the intervention framework and foundational planning; (2) Focus groups with adolescents with chronic pain, their parents, teachers, healthcare professionals and health authorities to identify specific needs and tailor the psychosocial treatment and related components; (3) Iterative usability testing of the digital treatment, using an a hermeneutical circle methodology to refine the design based on participant feedback; and (4) Evaluation of DigiDOL-Ad through a pre-treatment, posttreatment, and 3-month follow-up assessment. DigiDOL-Ad has the potential to improve the quality of life for adolescents with chronic pain. By leveraging digital health technologies, this innovative approach could establish a new benchmark for treating adolescents with chronic pain, emphasizing interdisciplinary and stakeholder-driven care.

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Miró, J., Sampietro, A., Monterde, S., Ingelmo, P., Wicksell, R.K., Nolla, C., Alonso, M., Lázaro, J.J., Martínez, E., Rubio, P., Sánchez, A., Sánchez, V., Vázquez, A., de la Vega, R., Reinoso-Barbero, F. (2025). Development, implementation and evaluation of a digital treatment for adolescents with chronic pain: a protocol for a multi-phase study. Frontiers in Digital Health, 7:1555733. doi: 10.3389/fdgth.2025.1555733

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