A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study
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 na...
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| Veröffentlicht in: | JMIR research protocols 2020-01, Vol.9 (1), p.e14525-e14525 |
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| description | 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.
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.
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.
Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019.
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.
DERR1-10.2196/14525. |
| doi_str_mv | 10.2196/14525 |
| format | Article |
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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.
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.
Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019.
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.
DERR1-10.2196/14525.</description><identifier>ISSN: 1929-0748</identifier><identifier>EISSN: 1929-0748</identifier><identifier>DOI: 10.2196/14525</identifier><identifier>PMID: 31895042</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Analgesics ; Back pain ; Behavior ; Chronic illnesses ; Chronic pain ; Delphi method ; Feasibility studies ; Medicare ; Meditation ; Mindfulness ; Narcotics ; Obesity ; Older people ; Patients ; Personal health ; Primary care ; Protocol ; Software ; Web portals</subject><ispartof>JMIR research protocols, 2020-01, Vol.9 (1), p.e14525-e14525</ispartof><rights>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.</rights><rights>2020. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>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. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-47a29b5d228f8bbd05b28905f1f2d60563b89652eac19d7f5999434fbef495b13</citedby><cites>FETCH-LOGICAL-c360t-47a29b5d228f8bbd05b28905f1f2d60563b89652eac19d7f5999434fbef495b13</cites><orcidid>0000-0001-9568-1336 ; 0000-0003-2660-8383 ; 0000-0002-7610-7977 ; 0000-0001-7310-6525 ; 0000-0001-7879-4427 ; 0000-0002-5527-1698 ; 0000-0001-6591-9390 ; 0000-0001-8117-662X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966554/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966554/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31895042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brooks, Amber K</creatorcontrib><creatorcontrib>Miller, Jr, David P</creatorcontrib><creatorcontrib>Fanning, Jason T</creatorcontrib><creatorcontrib>Suftin, Erin L</creatorcontrib><creatorcontrib>Reid, M Carrington</creatorcontrib><creatorcontrib>Wells, Brian J</creatorcontrib><creatorcontrib>Leng, Xiaoyan</creatorcontrib><creatorcontrib>Hurley, Robert W</creatorcontrib><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><title>JMIR research protocols</title><addtitle>JMIR Res Protoc</addtitle><description>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.
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.
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.
Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019.
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.
DERR1-10.2196/14525.</description><subject>Analgesics</subject><subject>Back pain</subject><subject>Behavior</subject><subject>Chronic illnesses</subject><subject>Chronic pain</subject><subject>Delphi method</subject><subject>Feasibility studies</subject><subject>Medicare</subject><subject>Meditation</subject><subject>Mindfulness</subject><subject>Narcotics</subject><subject>Obesity</subject><subject>Older people</subject><subject>Patients</subject><subject>Personal health</subject><subject>Primary care</subject><subject>Protocol</subject><subject>Software</subject><subject>Web portals</subject><issn>1929-0748</issn><issn>1929-0748</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkd9qFDEYxQex2FL3FSQgghduzf9JvBDWpbWFxV2wXodkJjObmplsk4xlH8c3Ne3WUg0hCZwf5zvhVNUMwTOMJP-IKMPsRXWCJJZzWFPx8tn7uJqldAPLEnUtMX9VHRMkJIMUn1S_F2Cj3QjspdU-b8HG69yFOIBygPOx170be7A2NtkPYO1bG8GinXxO4M4VfLmNYXQNWIU78EU3Pw9mZX8L426r46Cb4EPvGu0P0nW0Og92zOkT2MSQQ9EfZmmwcT5kcGF1csZ5l_fge57a_evqqNM-2dnjfVr9uDi_Xl7OV-uvV8vFat4QDvOc1hpLw1qMRSeMaSEzWEjIOtThlkPGiRGSM2x1g2Rbd0xKSQntjO2oZAaR0-rzwXc3mcG2TckYtVe76AYd9ypop_5VRrdVffiluOScMVoM3j8axHA72ZTV4FJjvdejDVNSmBAMBeK4Lujb_9CbMMWxfE9hBgWnBEtYqHcHqokhpWi7pzAIqvve1UPvhXvzPPkT9bdl8gciO6gN</recordid><startdate>20200102</startdate><enddate>20200102</enddate><creator>Brooks, Amber K</creator><creator>Miller, Jr, David P</creator><creator>Fanning, Jason T</creator><creator>Suftin, Erin L</creator><creator>Reid, M Carrington</creator><creator>Wells, Brian J</creator><creator>Leng, Xiaoyan</creator><creator>Hurley, Robert W</creator><general>JMIR Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9568-1336</orcidid><orcidid>https://orcid.org/0000-0003-2660-8383</orcidid><orcidid>https://orcid.org/0000-0002-7610-7977</orcidid><orcidid>https://orcid.org/0000-0001-7310-6525</orcidid><orcidid>https://orcid.org/0000-0001-7879-4427</orcidid><orcidid>https://orcid.org/0000-0002-5527-1698</orcidid><orcidid>https://orcid.org/0000-0001-6591-9390</orcidid><orcidid>https://orcid.org/0000-0001-8117-662X</orcidid></search><sort><creationdate>20200102</creationdate><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><author>Brooks, Amber K ; 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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.
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.
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.
Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019.
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.
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| source | DOAJ Directory of Open Access Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Analgesics Back pain Behavior Chronic illnesses Chronic pain Delphi method Feasibility studies Medicare Meditation Mindfulness Narcotics Obesity Older people Patients Personal health Primary care Protocol Software Web portals |
| 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 |
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