Cargando…

A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study

BACKGROUND: Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several gover...

Descripción completa

Detalles Bibliográficos
Autores principales: Brooks, Amber K, Miller Jr, David P, Fanning, Jason T, Suftin, Erin L, Reid, M Carrington, Wells, Brian J, Leng, Xiaoyan, Hurley, Robert W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966554/
https://www.ncbi.nlm.nih.gov/pubmed/31895042
http://dx.doi.org/10.2196/14525
_version_ 1783488762497466368
author Brooks, Amber K
Miller Jr, David P
Fanning, Jason T
Suftin, Erin L
Reid, M Carrington
Wells, Brian J
Leng, Xiaoyan
Hurley, Robert W
author_facet Brooks, Amber K
Miller Jr, David P
Fanning, Jason T
Suftin, Erin L
Reid, M Carrington
Wells, Brian J
Leng, Xiaoyan
Hurley, Robert W
author_sort Brooks, Amber K
collection PubMed
description BACKGROUND: Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. OBJECTIVE: The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. METHODS: Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. RESULTS: Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. CONCLUSIONS: The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14525
format Online
Article
Text
id pubmed-6966554
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-69665542020-01-30 A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study Brooks, Amber K Miller Jr, David P Fanning, Jason T Suftin, Erin L Reid, M Carrington Wells, Brian J Leng, Xiaoyan Hurley, Robert W JMIR Res Protoc Protocol BACKGROUND: Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. OBJECTIVE: The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. METHODS: Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. RESULTS: Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. CONCLUSIONS: The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14525 JMIR Publications 2020-01-02 /pmc/articles/PMC6966554/ /pubmed/31895042 http://dx.doi.org/10.2196/14525 Text en ©Amber K Keller Brooks, David P Miller Jr, Jason T Fanning, Erin L Suftin, M Carrington Reid, Brian J Wells, Xiaoyan Leng, Robert W Hurley. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 02.01.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Protocol
Brooks, Amber K
Miller Jr, David P
Fanning, Jason T
Suftin, Erin L
Reid, M Carrington
Wells, Brian J
Leng, Xiaoyan
Hurley, Robert W
A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title_full A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title_fullStr A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title_full_unstemmed A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title_short A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
title_sort pain ehealth platform for engaging obese, older adults with chronic low back pain in nonpharmacological pain treatments: protocol for a pilot feasibility study
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966554/
https://www.ncbi.nlm.nih.gov/pubmed/31895042
http://dx.doi.org/10.2196/14525
work_keys_str_mv AT brooksamberk apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT millerjrdavidp apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT fanningjasont apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT suftinerinl apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT reidmcarrington apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT wellsbrianj apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT lengxiaoyan apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT hurleyrobertw apainehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT brooksamberk painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT millerjrdavidp painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT fanningjasont painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT suftinerinl painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT reidmcarrington painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT wellsbrianj painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT lengxiaoyan painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy
AT hurleyrobertw painehealthplatformforengagingobeseolderadultswithchroniclowbackpaininnonpharmacologicalpaintreatmentsprotocolforapilotfeasibilitystudy