Guiomar Raquel, Trindade Inês A, Carvalho Sérgio A, Menezes Paulo, Patrão Bruno, Nogueira Maria Rita, Lapa Teresa, Duarte Joana, Pinto-Gouveia José, Castilho Paula
University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal.
Digital Human-Environment Interaction Lab, School of Psychology and Life Sciences, Lusófona University, Lisbon, Portugal.
Front Psychol. 2022 Jul 22;13:848590. doi: 10.3389/fpsyg.2022.848590. eCollection 2022.
This pilot study aims to test the usability of the iACTwithPain platform, an online ACT-based intervention for people with chronic pain, to obtain information on which intervention and usability aspects need improvement and on expected retention rates.
Seventy-three Portuguese women with chronic pain were invited to complete the first three sessions of the iACTwithPain intervention assess their quality, usefulness and the platform's usability. Twenty-one accepted the invitation. Additionally, eight healthcare professionals working with chronic medical conditions assessed the platform and the intervention from a practitioner's point of view.
This study presented a considerable attrition rate (71.43%) among chronic pain participants, with six completers. There were no significant differences in demographic or clinical variables between dropouts and completers except for completed education (participants who dropped out presented less education than completers). Reasons for dropout were related to difficult personal events occurring during the time of the intervention, lack of time, or having forgotten. There seemed to be an overall satisfaction with both the intervention, its contents and form of presentation of information, and the platform, concerning its design, appearance, and usability. Real image videos were preferred over animations or audio by chronic pain participants. Healthcare professionals emphasized the appealing and dynamic aspects of the animation format.
This study informs the ongoing improvement of the iACTwithPain platform and provides valuable information on aspects researchers should consider while developing online psychological interventions for chronic pain. Further implications are discussed.
本试点研究旨在测试iACTwithPain平台的可用性，这是一种针对慢性疼痛患者的基于接纳与承诺疗法（ACT）的在线干预措施，以获取有关哪些干预措施和可用性方面需要改进以及预期留存率的信息。
邀请73名患有慢性疼痛的葡萄牙女性完成iACTwithPain干预的前三节课程，评估其质量、有用性和平台的可用性。21人接受了邀请。此外，八名从事慢性疾病治疗的医疗专业人员从从业者的角度评估了该平台和干预措施。
本研究显示慢性疼痛参与者的流失率相当高（71.43%），只有六名完成者。除了完成的教育程度外，退出者和完成者在人口统计学或临床变量方面没有显著差异（退出的参与者受教育程度低于完成者）。退出的原因与干预期间发生的困难个人事件、时间不足或遗忘有关。对于干预措施及其信息呈现的内容和形式，以及平台的设计、外观和可用性，总体上似乎都感到满意。慢性疼痛参与者更喜欢真实图像视频而不是动画或音频。医疗专业人员强调了动画形式的吸引力和动态性。
本研究为iACTwithPain平台的持续改进提供了信息，并为研究人员在开发慢性疼痛在线心理干预措施时应考虑的方面提供了有价值的信息。进一步的影响将进行讨论。
