Strand Elin Bolle, Varsi Cecilie, Børøsund Elin, Eide Hilde, Schreurs Karlein M G, Waxenberg Lori B, Weiss Karen E, Morrison Eleshia J, Støle Hanne Stavenes, Kristjansdottir Ólöf Birna, Stubhaug Audun, Solberg Nes Lise
Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.
Faculty of Health Sciences, VID Specialized University, Oslo, Norway.
Front Psychol. 2025 Feb 25;16:1540852. doi: 10.3389/fpsyg.2025.1540852. eCollection 2025.
Psychosocial pain self-management interventions can be of support for people living with chronic pain. Since psychosocial support is not always accessible, digital health interventions may increase outreach of these types of evidence-based interventions.
To explore participants' experiences from 12-month access to the digital pain self-management program EPIO, particularly in terms of any behavioral and/or psychological changes experienced.
Participants ( = 25) engaged in individual semi-structured interviews following 12-month access to the EPIO intervention. Qualitative thematic analyses were conducted seeking to identify any behavioral and/or psychological changes experienced through intervention use, and what contributed to these changes.
Participants were predominantly women (72%), median age 46 (range 26-70), with a range of self-reported pain conditions and the majority reporting pain duration >10 years (64%). Analyses identified three main themes and subsequent sub-themes: (1) ; insight and self-awareness, acceptance and shifting focus, (2) ; pain, emotions, and activity pacing, and (3) ; breathing and other mind-body exercises, thought-reflection exercises, and functionalities.
People with chronic pain experienced positive behavioral and/or psychological changes in terms of cognition and coping after 12 months access to the EPIO digital pain self-management program. The most prominent changes included increased understanding of the connection between own thoughts, feelings, and behavior, gaining concrete strategies to cope with everyday life living with pain, and utilizing these strategies to reduce pain and interference of pain, as well as to improve emotion regulation and psychological wellbeing.
心理社会疼痛自我管理干预措施可为慢性疼痛患者提供支持。由于心理社会支持并非总能获得，数字健康干预措施可能会扩大这类循证干预措施的覆盖面。
探讨参与者在使用数字疼痛自我管理项目EPIO 12个月后的体验，特别是在行为和/或心理方面所经历的任何变化。
25名参与者在使用EPIO干预措施12个月后接受了个人半结构式访谈。进行了定性主题分析，旨在确定通过使用干预措施所经历的任何行为和/或心理变化，以及促成这些变化的因素。
参与者主要为女性（72%），年龄中位数为46岁（范围26 - 70岁），自述患有多种疼痛病症，大多数人报告疼痛持续时间超过10年（64%）。分析确定了三个主要主题及后续子主题：（1）洞察力和自我意识、接纳与转移注意力；（2）疼痛、情绪和活动节奏；（3）呼吸及其他身心练习、思维反思练习和功能。
慢性疼痛患者在使用EPIO数字疼痛自我管理项目12个月后，在认知和应对方面经历了积极的行为和/或心理变化。最显著的变化包括对自身思想、情感和行为之间的联系有了更多理解，获得了应对疼痛日常生活的具体策略，并利用这些策略减轻疼痛和疼痛干扰，以及改善情绪调节和心理健康。
