dc.contributor.author | Grasaas, Erik | |
dc.contributor.author | Helseth, Sølvi | |
dc.contributor.author | Fegran, Liv | |
dc.contributor.author | Stinson, Jennifer | |
dc.contributor.author | Småstuen, Milada Cvancarova | |
dc.contributor.author | Lalloo, Chitra | |
dc.contributor.author | Haraldstad, Kristin | |
dc.date.accessioned | 2022-11-15T13:10:45Z | |
dc.date.available | 2022-11-15T13:10:45Z | |
dc.date.created | 2022-10-13T13:29:38Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Grasaas, E., Helseth, S., Fegran, L., Stinson, J., Småstuen, M., Lalloo, C. & Haraldstad, K. (2022). App-based intervention among adolescents with persistent pain: a pilot feasibility randomized controlled trial. BMC Pilot and Feasibility Studies, 8, 1-10. | en_US |
dc.identifier.issn | 2055-5784 | |
dc.identifier.uri | https://hdl.handle.net/11250/3031935 | |
dc.description.abstract | Background: Persistent pain in adolescence adversely afects everyday life and is an important public health problem. The primary aim was to determine the feasibility of an 8-week app-based self-management intervention to reduce pain and improve health-related quality of life in a community-based population of adolescents with persistent pain. A secondary aim was to explore diferences in health outcomes between the intervention and control groups. Methods: A sample of 73 adolescents aged 16–19 years with persistent pain from a community-based population were randomized into 2 groups. The intervention group received the Norwegian culturally adapted version of the iCanCope with PainTM app, which includes symptom tracking, goal setting, self-management strategies, and social support. The attention control group received a symptom tracking app. Feasibility was assessed as attrition rates and level of engagement (interactions with the app). The secondary outcomes included pain intensity, health-related quality of life, self-efcacy, pain self-efcacy, perceived social support from friends, anxiety and depression, and patient global impression. Statistical analyses were conducted using SPSS. Results: Demographic and baseline outcome variables did not difer between the 2 groups. No diferences were found between the participants completing the study and those who withdrew. Twenty-eight adolescents completed the intervention as planned (62% attrition). Both groups had a low level of app engagement. Intention-to-treat analysis (n = 19 + 14) showed no signifcant diferences in outcomes between groups. However, the large efect size (Cohen’s d = .9) for depression suggested a lower depression score in the intervention group. Conclusions: High treatment attrition and low engagement indicate the need for changes in trial design in a fullscale randomized controlled trial to improve participant retention. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BioMed Central (BMC) | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | App-based intervention among adolescents with persistent pain: a pilot feasibility randomized controlled trial | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2022 The Author(s) | en_US |
dc.subject.nsi | VDP::Medisinske Fag: 700::Helsefag: 800 | en_US |
dc.source.pagenumber | 1-10 | en_US |
dc.source.volume | 8 | en_US |
dc.source.journal | BMC Pilot and Feasibility Studies | en_US |
dc.identifier.doi | https://doi.org/10.1186/s40814-022-01113-0 | |
dc.identifier.cristin | 2061163 | |
dc.source.articlenumber | 158 | en_US |
cristin.qualitycode | 1 | |