A digital health intervention to support patients with chronic pain during prescription opioid tapering: a pilot randomised controlled trial

被引：3

作者：

Gholamrezaei, Ali ^{[1
,2
]}

Magee, Michael R. ^{[1
,2
]}

Mcneilage, Amy G. ^{[1
,2
]}

Dwyer, Leah ^{[3
]}

Sim, Alison ^{[1
,2
]}

Ferreira, Manuela L. ^{[4
]}

Darnall, Beth D. ^{[5
]}

Brake, Timothy ^{[6
]}

Aggarwal, Arun ^{[6
]}

Craigie, Meredith ^{[7
]}

Hollington, Irina ^{[7
]}

Glare, Paul ^{[1
,2
]}

Ashton-James, Claire E. ^{[1
,2
,8
]}

机构：

[1] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Sydney, NSW, Australia

[2] Univ Sydney, Pain Management Res Inst, Kolling Inst, Sydney, NSW, Australia

[3] Painaustralia, Consumer Advisory Grp, Deakin, Vic, Australia

[4] Univ Sydney, Fac Med & Hlth, Sydney Sch Hlth Sci, Sydney Musculoskeletal Hlth,Kolling Inst, Sydney, NSW, Australia

[5] Stanford Univ, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA USA

[6] Univ Sydney, Royal Prince Alfred Hosp, Pain Management Ctr, Sydney, NSW, Australia

[7] Univ Adelaide, Queen Elizabeth Hosp, Pain Management Unit, Adelaide, SA, Australia

[8] Royal North Shore Hosp, Pain Management Res Ctr, Ground Floor Douglas Bldg, St Leonards, NSW 2065, Australia

来源：

PAIN REPORTS | 2024年 / 9卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Opioid; Pain; Tapering; Digital health; mHealth; Mobile health; PRIMARY-CARE; DISORDERS; THERAPY; SCALE;

D O I：

10.1097/PR9.0000000000001128

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Supplemental Digital Content is Available in the Text.Psychoeducational video and short message service text messaging intervention shows feasibility, acceptability, and potential efficacy to improve prescription opioid tapering outcomes in patients with chronic pain. Introduction:Recent changes in opioid prescribing guidelines have led to an increasing number of patients with chronic pain being recommended to taper. However, opioid tapering can be challenging, and many patients require support.Objectives:We evaluated the feasibility, acceptability, and potential efficacy of a codesigned digital health intervention to support patients with chronic pain during voluntary prescription opioid tapering.Methods:In a pilot randomised controlled trial, participants received a psychoeducational video and 28 days of text messages (2 SMS/day) in addition to their usual care (intervention) or usual care alone (control). The feasibility, acceptability, and potential efficacy of the intervention were evaluated. The primary outcome was opioid tapering self-efficacy. Secondary outcomes were pain intensity and interference, anxiety and depression symptom severity, pain catastrophising, and pain self-efficacy.Results:Of 28 randomised participants, 26 completed the study (13 per group). Text message delivery was high (99.2%), but fidelity of video delivery was low (57.1%). Most participants rated the messages as useful, supportive, encouraging, and engaging; 78.5% would recommend the intervention to others; and 64.2% desired a longer intervention period. Tapering self-efficacy (Cohen d = 0.74) and pain self-efficacy (d = 0.41) were higher, and pain intensity (d = 0.65) and affective interference (d = 0.45) were lower in the intervention group at week 4.Conclusion:First evidence supports the feasibility, acceptability, and potentially efficacy of a psychoeducational video and SMS text messaging intervention to support patients with chronic pain during voluntary prescription opioid tapering. Definitive trials with longer intervention duration are warranted.

引用

页数：11

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