Ehrler Frederic, Guebey Julie, Rochat Jessica, Gosetto Laetitia, Rehberg Benno, Lovis Christian, Molinard-Chenu Aude
Division of medical information science, Diagnostic department, University Hospital of Geneva, Gabrielle Perret Gentil 4, Geneva, 1200, Switzerland, 41 765327838.
Anesthesiology, University Hospital of Geneva, Geneva, Switzerland.
JMIR Med Inform. 2025 Aug 8;13:e71597. doi: 10.2196/71597.
Chronic pain affects approximately 19% of the European population and presents major challenges, both in terms of individual impact and the economic burden on health care systems. While clinical expertise remains essential, patient empowerment through self-management tools has become a key component in the long-term management of chronic pain.
This report describes the development and implementation of Dolodoc, a mobile app designed to support patients with chronic pain in monitoring and managing their condition.
Developed by a research and development team at the University Hospitals of Geneva, Dolodoc enables users to track their pain across 7 dimensions of daily life. A digital coach provides personalized guidance, drawing from a corpus of over 80 evidence-based recommendations elaborated by clinical experts. The project was conducted over 4 years with the early involvement of stakeholders, including pain specialists and end users, to ensure alignment with user needs. Emphasis was placed on both the scientific validity and accessibility of the recommendations.
The project was completed on time and within budget. The app was made freely available to patients identified as likely to benefit. However, a notable limitation is the absence of predefined key performance indicators to assess the impact of the intervention quantitatively.
This implementation report illustrates how mobile technology can be leveraged in a university hospital context to address the needs of patients with chronic pain and promote self-management. Early and sustained collaboration with stakeholders was instrumental in aligning the solution with both clinical evidence and user expectations.
慢性疼痛影响着约19%的欧洲人口，在个人影响和医疗保健系统的经济负担方面都带来了重大挑战。虽然临床专业知识仍然至关重要，但通过自我管理工具增强患者能力已成为慢性疼痛长期管理的关键组成部分。
本报告描述了Dolodoc的开发与实施，Dolodoc是一款旨在支持慢性疼痛患者监测和管理自身病情的移动应用程序。
Dolodoc由日内瓦大学医院的一个研发团队开发，它能让用户在日常生活的7个维度上追踪自己的疼痛情况。一个数字教练从临床专家精心制定的80多条循证建议中提取信息，提供个性化指导。该项目历时4年进行，早期有包括疼痛专家和终端用户在内的利益相关者参与，以确保符合用户需求。重点放在了建议的科学有效性和可及性上。
该项目按时且在预算内完成。该应用程序免费提供给确定可能受益的患者。然而，一个显著的局限是缺乏预定义的关键绩效指标来定量评估干预的影响。
本实施报告说明了如何在大学医院环境中利用移动技术来满足慢性疼痛患者的需求并促进自我管理。与利益相关者的早期和持续合作有助于使解决方案与临床证据和用户期望保持一致。
