Ali Syed Mustafa, Selby David A, Bourke Darryl, Bravo Santisteban Ramiro D, Chiarotto Alessandro, Firth Jill, James Ben, Parker Ben, Dixon William G, van der Veer Sabine N
Centre for Epidemiology Versus Arthritis, Division of Musculoskeletal and Dermatological Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Centre for Health Informatics, Division of Informatics, Imaging and Data Science, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Digit Health. 2023 Aug 16;9:20552076231194544. doi: 10.1177/20552076231194544. eCollection 2023 Jan-Dec.
As management of chronic pain continues to be suboptimal, there is a need for tools that support frequent, longitudinal pain self-reporting to improve our understanding of pain. This study aimed to assess the feasibility and acceptability of daily pain self-reporting using a smartphone-based pain manikin.
For this prospective feasibility study, we recruited adults with lived experience of painful musculoskeletal condition. They were asked to complete daily pain self-reports via an app for 30 days. We assessed feasibility by calculating pain report completion levels, and investigated differences in completion levels between subgroups. We assessed acceptability via an end-of-study questionnaire, which we analysed descriptively.
Of the 104 participants, the majority were female ( = 87; 84%), aged 45-64 ( = 59; 57%), and of white ethnic background ( = 89; 86%). The mean completion levels was 21 (± 7.7) pain self-reports. People who were not working (odds ratio (OR) = 1.84; 95% confidence interval (CI), 1.52-2.23) were more likely, and people living in less deprived areas (OR = 0.77; 95% CI, 0.62-0.97) and of non-white ethnicity (OR = 0.45; 95% CI, 0.36-0.57) were less likely to complete pain self-reports than their employed, more deprived and white counterparts, respectively. Of the 96 participants completing the end-of-study questionnaire, almost all participants agreed that it was easy to complete a pain drawing ( = 89; 93%).
It is feasible and acceptable to self-report pain using a smartphone-based manikin over a month. For its wider adoption for pain self-reporting, the feasibility and acceptability should be further explored among people with diverse socio-economic and ethnic backgrounds.
由于慢性疼痛的管理仍然不尽人意，因此需要能够支持频繁、纵向疼痛自我报告的工具，以增进我们对疼痛的了解。本研究旨在评估使用基于智能手机的疼痛模拟图进行每日疼痛自我报告的可行性和可接受性。
在这项前瞻性可行性研究中，我们招募了有肌肉骨骼疼痛经历的成年人。要求他们通过一款应用程序连续30天完成每日疼痛自我报告。我们通过计算疼痛报告完成率来评估可行性，并调查亚组之间完成率的差异。我们通过一份研究结束时的问卷来评估可接受性，并对其进行描述性分析。
104名参与者中，大多数为女性（n = 87；84%），年龄在45 - 64岁之间（n = 59；57%），白人种族背景（n = 89；86%）。平均完成的疼痛自我报告数量为21份（± 7.7）。未工作的人（优势比（OR）= 1.84；95%置信区间（CI），1.52 - 2.23）更有可能完成，而生活在贫困程度较低地区的人（OR = 0.77；95% CI，0.62 - 0.97）和非白人种族的人（OR = 0.45；95% CI，0.36 - 0.57）分别比有工作、贫困程度较高和白人的同龄人完成疼痛自我报告的可能性更小。在完成研究结束时问卷的96名参与者中，几乎所有参与者都认为完成疼痛绘图很容易（n = 89；93%）。
使用基于智能手机的模拟图进行一个月的疼痛自我报告是可行且可接受的。为了使其更广泛地应用于疼痛自我报告，应在不同社会经济和种族背景的人群中进一步探索其可行性和可接受性。
