WebMAP Mobile Self-management of Adolescent Chronic Pain

Completed · Not applicable

Conditions studied: Chronic Pain

In brief

Approximately 5-8% of children report severe chronic pain and disability. Although evidence supports pain-self management as effective for reducing pain and disability, data show that most youth do not have access to this intervention. The investigative team's prior studies demonstrate that technology-delivered pain self-management (WebMAP program) can reduce barriers to care, is feasible, acceptable, and effective in reducing pain-related disability and improving anxiety and depression in youth with chronic pain. In this trial, the investigators propose an implementation project to address critical challenges in nationwide dissemination of the WebMAP pain self-management program. Using a hybrid effectiveness-implementation trial design, 8 clinics from across the U.S. will participate in a pragmatic randomized controlled trial with a stepped wedge design to sequentially implement WebMAP in the clinics following randomized usual care periods. Data will be collected from clinic records, web and app administrative tracking, and provider surveys to gather information on adoption and implementation following the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) public health impact framework. Individual patient-level pain outcomes will be collected from 140 patients to evaluate intervention effectiveness. The expected outcome of the project is to yield a strategic approach for a nationwide technology-delivered pain self-management intervention for youth with chronic pain that can be readily sustained in clinical settings.

Key facts

Study ID

NCT03332563

Run by

Seattle Children's Hospital

People needed

143

Starts

2017-12-01

Expected to finish

2019-05-24

Last updated by the study team

2019-06-10

Who can join

Age: 10 and older, up to 17. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• child age 10-17 years,
• has chronic pain defined as pain present for at least 3 months, and
• has access to a smartphone or web-enabled device (e.g., laptop, computer, iPad).

You may not qualify if…

• non-English speaking,
• presently in a psychiatric crisis,
• cognitive impairments or intellectual disabilities (has to be able to complete surveys independently),
• does not have access to a smartphone, computer, or internet, and
• is unable to read at the 5th grade level.

Where it is running

• Connecticut Children's Medical Center — Hartford, Connecticut, United States
• C.S. Mott Children's Hospital — Ann Arbor, Michigan, United States
• Children's Mercy Hospitals and Clinics — Kansas City, Missouri, United States
• Nationwide Children's Hospital — Columbus, Ohio, United States
• Seattle Children's Hospital — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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