King Alesha C, Zahrai Amin, Bisson Etienne J, Shergill Yaadwinder, Rice Danielle, Wai Eugene, Nedden Natalie Zur, Cooper Lynn, James Daniel, Rash Joshua A, Bosma Rachael, Ramsay Tim, Poulin Patricia
Department of Psychology, Memorial University of Newfoundland, St. John's Canada.
Ottawa Hospital Research Institute, Ottawa, Canada.
Digit Health. 2025 Mar 17;11:20552076251326229. doi: 10.1177/20552076251326229. eCollection 2025 Jan-Dec.
The Power Over Pain (POP) Portal is a digital platform that provides people living with pain (PLWP) flexible access to chronic pain self-management resources.
To (1) determine the feasibility of an adequately-powered multisite trial of the POP Portal in tertiary settings; (2) understand the acceptability and usability of the POP Portal; and (3) explore clinical effectiveness among PLWP awaiting a first visit to a tertiary care pain clinic.
Mixed-methods pilot-feasibility study to inform a future definitive trial. Feasibility was assessed using recruitment and retention rates. Acceptability, usability, and patient outcomes were measured using validated surveys completed at baseline and 3-month follow-up, and semistructured interviews conducted after 3-month follow-up.
Forty-one participants completed follow-up surveys and nine completed interviews. We reached a recruitment and retention rate of 83.75% and 61.19%, respectively. There was a reduction in pain interference ( = .024) and belief in a medical cure ( = .033) after using POP for 3 months. Surveys and interviews indicate PLWP were satisfied with the POP Portal, and it had good usability. Some participants indicated that POP was overwhelming, and certain resources were difficult to access, indicating that modifications could be made to improve ease of use.
The POP Portal was deemed acceptable with good usability; however, modification may be made for improvement. A definitive trial can proceed with enhancements to the portal, modification of the protocol, and close monitoring.
疼痛掌控（POP）门户网站是一个数字平台，为疼痛患者提供灵活获取慢性疼痛自我管理资源的途径。
（1）确定在三级医疗机构中对POP门户网站进行有足够样本量的多中心试验的可行性；（2）了解POP门户网站的可接受性和可用性；（3）探索在等待首次就诊于三级护理疼痛诊所的疼痛患者中的临床效果。
采用混合方法进行试点可行性研究，为未来的确定性试验提供依据。通过招募率和留存率评估可行性。使用在基线和3个月随访时完成的经过验证的调查问卷，以及在3个月随访后进行的半结构化访谈来测量可接受性、可用性和患者结局。
41名参与者完成了随访调查，9名完成了访谈。我们的招募率和留存率分别达到了83.75%和61.19%。使用POP 3个月后，疼痛干扰（=0.024）和对医学治愈的信念（=0.033）有所降低。调查和访谈表明，疼痛患者对POP门户网站感到满意，并且其可用性良好。一些参与者表示POP信息量过大，某些资源难以获取，这表明可以进行改进以提高易用性。
POP门户网站被认为是可接受的，可用性良好；然而，可能需要进行改进。可以在对门户网站进行改进、修改方案并密切监测的情况下开展确定性试验。
