Marta Antonia Gómez-González, Nicolas Cordero Tous, Javier De la Cruz Sabido, Carlos Sánchez Corral, Beatriz Lechuga Carrasco, Marta López-Vicente, Gonzalo Olivares Granados
{"title":"使用带有支持中心的手机应用程序对慢性疼痛患者进行随访：单中心前瞻性研究。","authors":"Marta Antonia Gómez-González, Nicolas Cordero Tous, Javier De la Cruz Sabido, Carlos Sánchez Corral, Beatriz Lechuga Carrasco, Marta López-Vicente, Gonzalo Olivares Granados","doi":"10.2196/60160","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is one of the most common diseases in the world and requires a multidisciplinary treatment approach. Spinal cord stimulation is a possible treatment option, but these patients require close follow-up, which is not always feasible. Introduction: eHealth apps also offer the possibility of closer patient follow-up, although adherence tends to decrease over time, dropping to around 60%. To improve adherence to remote follow-up, we developed a remote follow-up system consisting of a mobile phone app for patients, a website for professionals and a remote support center.</p><p><strong>Objective: </strong>To evaluate adherence to remote follow-up using a system with mobile phone app and a remote support center.</p><p><strong>Methods: </strong>After review of the literature and approval by a multidisciplinary committee, a team of experts designed a follow-up system based on a mobile phone app, a website for professionals, and a remote support center. The system was developed with the collaboration of healthcare professionals and uses validated scales to capture patients' clinical data at each stage of treatment (pre-treatment phase, trial phase and implantation phase). Data was collected prospectively from January 2020 to August 2023, including total surveys sent and surveys answered, in addition to notifications sent.</p><p><strong>Results: </strong>A total of 64 patients were included (40 female, 62.5%). At the end of the study, 19 patients were in the pre-treatment phase (29'7%), 8 had reached the trial phase (12.5%) and 37 reached the implantation phase (57.8%). The follow-up period was 15.30 ± 9.43 months (mean ± SD). A total of 1574 surveys were sent out, along with 488 SMS reminders and 53 reminder calls. The adherence rate decreased from 94.53% in the pre-treatment phase to 65.68% in the implantation phase, with an overall adherence rate for the app of 87.37%. ANOVA analysis showed that adherence was higher in the earlier phases of treatment (p < 0.001).</p><p><strong>Conclusions: </strong>Our remote follow-up system, supported by a remote support center, improves adherence to follow-up, although adherence tends to decrease over time. Further studies are needed to investigate the correlation between adherence to the app and pain management.</p><p><strong>Clinicaltrial: </strong></p>","PeriodicalId":36351,"journal":{"name":"JMIR Human Factors","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Follow up of patients with chronic pain using a mobile phone app with a support center: unicenter prospective study.\",\"authors\":\"Marta Antonia Gómez-González, Nicolas Cordero Tous, Javier De la Cruz Sabido, Carlos Sánchez Corral, Beatriz Lechuga Carrasco, Marta López-Vicente, Gonzalo Olivares Granados\",\"doi\":\"10.2196/60160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic pain is one of the most common diseases in the world and requires a multidisciplinary treatment approach. Spinal cord stimulation is a possible treatment option, but these patients require close follow-up, which is not always feasible. Introduction: eHealth apps also offer the possibility of closer patient follow-up, although adherence tends to decrease over time, dropping to around 60%. To improve adherence to remote follow-up, we developed a remote follow-up system consisting of a mobile phone app for patients, a website for professionals and a remote support center.</p><p><strong>Objective: </strong>To evaluate adherence to remote follow-up using a system with mobile phone app and a remote support center.</p><p><strong>Methods: </strong>After review of the literature and approval by a multidisciplinary committee, a team of experts designed a follow-up system based on a mobile phone app, a website for professionals, and a remote support center. The system was developed with the collaboration of healthcare professionals and uses validated scales to capture patients' clinical data at each stage of treatment (pre-treatment phase, trial phase and implantation phase). Data was collected prospectively from January 2020 to August 2023, including total surveys sent and surveys answered, in addition to notifications sent.</p><p><strong>Results: </strong>A total of 64 patients were included (40 female, 62.5%). At the end of the study, 19 patients were in the pre-treatment phase (29'7%), 8 had reached the trial phase (12.5%) and 37 reached the implantation phase (57.8%). The follow-up period was 15.30 ± 9.43 months (mean ± SD). A total of 1574 surveys were sent out, along with 488 SMS reminders and 53 reminder calls. The adherence rate decreased from 94.53% in the pre-treatment phase to 65.68% in the implantation phase, with an overall adherence rate for the app of 87.37%. ANOVA analysis showed that adherence was higher in the earlier phases of treatment (p < 0.001).</p><p><strong>Conclusions: </strong>Our remote follow-up system, supported by a remote support center, improves adherence to follow-up, although adherence tends to decrease over time. Further studies are needed to investigate the correlation between adherence to the app and pain management.</p><p><strong>Clinicaltrial: </strong></p>\",\"PeriodicalId\":36351,\"journal\":{\"name\":\"JMIR Human Factors\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JMIR Human Factors\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2196/60160\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JMIR Human Factors","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2196/60160","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Follow up of patients with chronic pain using a mobile phone app with a support center: unicenter prospective study.
Background: Chronic pain is one of the most common diseases in the world and requires a multidisciplinary treatment approach. Spinal cord stimulation is a possible treatment option, but these patients require close follow-up, which is not always feasible. Introduction: eHealth apps also offer the possibility of closer patient follow-up, although adherence tends to decrease over time, dropping to around 60%. To improve adherence to remote follow-up, we developed a remote follow-up system consisting of a mobile phone app for patients, a website for professionals and a remote support center.
Objective: To evaluate adherence to remote follow-up using a system with mobile phone app and a remote support center.
Methods: After review of the literature and approval by a multidisciplinary committee, a team of experts designed a follow-up system based on a mobile phone app, a website for professionals, and a remote support center. The system was developed with the collaboration of healthcare professionals and uses validated scales to capture patients' clinical data at each stage of treatment (pre-treatment phase, trial phase and implantation phase). Data was collected prospectively from January 2020 to August 2023, including total surveys sent and surveys answered, in addition to notifications sent.
Results: A total of 64 patients were included (40 female, 62.5%). At the end of the study, 19 patients were in the pre-treatment phase (29'7%), 8 had reached the trial phase (12.5%) and 37 reached the implantation phase (57.8%). The follow-up period was 15.30 ± 9.43 months (mean ± SD). A total of 1574 surveys were sent out, along with 488 SMS reminders and 53 reminder calls. The adherence rate decreased from 94.53% in the pre-treatment phase to 65.68% in the implantation phase, with an overall adherence rate for the app of 87.37%. ANOVA analysis showed that adherence was higher in the earlier phases of treatment (p < 0.001).
Conclusions: Our remote follow-up system, supported by a remote support center, improves adherence to follow-up, although adherence tends to decrease over time. Further studies are needed to investigate the correlation between adherence to the app and pain management.
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