RT Journal Article
T1 A digital health psychological intervention (WebMAP Mobile) for children and adolescents with chronic pain: Results of a hybrid effectiveness-implementation stepped wedge cluster randomized trial.
A1 Palermo, Tonya M.
A1 De la Vega, Rocío
A1 Murray, Caitlin B.
A1 Law, Emily
A1 Zhou, Chuan
K1 Telemedicina
K1 Dolor en niños
AB Although psychological treatments benefit youth with chronic pain, treatment is not accessible in most communities. Digital healthinterventions offer promise for expanding access and reach to this population. Using a stepped-wedge cluster randomized trialdesign, we evaluated effectiveness and implementation of a digital health delivered psychological intervention for pediatric chronicpain. One hundred forty-three youth, aged 10 to 17 years, with chronic pain and a caregiver were recruited from 8 clinics in theUnited States. Active intervention included access to the Web-based Management of Adolescent Pain (WebMAP) Mobile app andthe WebMAP parent web site to learn pain self-management skills. Effectiveness outcomes included pain intensity, disability, andpatient global impression of change, while Reach, Adoption, Implementation, and Maintenance were implementation outcomes.Results showed that youth in both treatment conditions (WebMAP vs Usual Care) had similar changes over time in pain anddisability. Youth in the WebMAP condition perceived greater improvement (patient global impression of change) at post-treatmentand follow-up (d’s 5 0.54 and 0.44, P , 0.05) compared with youth receiving usual care. Use of the digital health intervention wasmodest and variable; approximately 30% of youth and parents completed treatment. Greater engagement (number of completedmodules) was associated with significantly greater reductions in pain and disability from pre-treatment to follow-up (d’s520.57 and20.38, P , 0.05). Parents, youth, and providers found treatment acceptable; providers had positive attitudes and demonstratedreferrals over a maintenance period. Further research is needed to understand how to enhance treatment engagement with digitalhealth interventions and optimize implementation.
PB Lippincott, Williams & Wilkins
YR 2020
FD 2020
LK https://hdl.handle.net/10630/38175
UL https://hdl.handle.net/10630/38175
LA eng
NO Palermo T.M., de la Vega, R., Murray, C., Law, E.F., Zhou, C. (2020). A digital health psychological intervention (WebMAP Mobile) for children and adolescents with chronic pain: Results of a hybrid effectiveness-implementation stepped wedge cluster randomized trial. Pain, 161(12), 2763–2774. PMID: 32658147. doi: 10.1097/j.pain.0000000000001994
NO This research was supported by the American Pain Society and Pfizer Independent Grants for Learning and Change (Grant ID #:27971161, PI: T.M.P.). Dr E. Law was supported by NIH/NINDS grant number K23NS089966 (PI: E.L.).
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026