Skip to main content

Principles for Designing an mHealth App for Participatory Research and Management of Chronic Pain

  • Conference paper
  • First Online:
Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. AI, Product and Service (HCII 2021)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 12778))

Included in the following conference series:

Abstract

Collecting data from the lived experiences of those with chronic health conditions is a delicate and challenging matter that must account for the individual differences of coping with a personally-embodied condition in psychosocial contexts. In this paper, we describe our research process for designing a mobile application that will serve as a portal for participatory research into non-pharmacological interventions which could improve the daily experiences of chronic pain patients. The process is informed by our empirical framework “affective game planning for health applications” (AGPHA), which postulates that for digital health interventions to be effective, they must minimize a user’s stress by maximizing their sense of control and agency in self-expression and self-care. We have evaluated our hypotheses through literature review, focus groups, anonymous online surveying, and participatory research with stakeholders (patients, caregivers, researchers). From this, we have designed and implemented a prototype application, PlaythePain, which includes five main features: Talk, Track, Play, Share and Report. The app incorporates elements of choice, playfulness, and social engagement, by 1) allowing users to select and introduce their own complementary and alternative forms of self-care for their pain, and 2) adding a humorous and empathetic chatbot that guides patient-partners to conduct self-research (qualitative and quantitative). Further sharing of data with designated doctors or personal stories with other community members is also available at the discretion of the user. We believe that this approach will facilitate it for users to increase awareness about the psychosocial and environmental contexts of their conditions.

S. Woods—Patient Partner.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kleinman, A.: The Illness Narratives: Suffering, Healing, and the Human Condition. The University of Michigan Press, Ann Arbor (1988)

    Google Scholar 

  2. Werner, A., Malterud, K.: It is hard work behaving as a credible patient: encounters between women with chronic pain and their doctors. Soc. Sci. Med. 57(8), 1409–1419 (2003)

    Article  Google Scholar 

  3. Thernstrom, M.: The Pain Chronicles: Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans, Healing, and the Science of Suffering. Farrar Straus and Giroux, New York (2010)

    Google Scholar 

  4. Mintzberg, H.: Managing the Myths of Health Care: Bridging the Separations Between Care, Cure, Control, and Community. 1st ed, vol. Viii, 262 p. Berrett-Koehler Publishers, Inc., Oakland (2017)

    Google Scholar 

  5. Fals-Borda, O., Rahman, M.A.: Action and Knowledge: Breaking the Monopoly With Participatory Action Research, vol. viii, 182 p. Apex Press. Intermediate Technology Publications, New York (1991)

    Google Scholar 

  6. Warriner, D.S., Bigelow, M.: Critical Reflections on Research Methods: Power and Equity in Complex Multilingual Contexts, vol. xi, 200 p. Researching Multilingually, Blue Ridge Summit: Multilingual Matters, Bristol (2019)

    Google Scholar 

  7. Jibb, L., et al.: Electronic data capture versus conventional data collection methods in clinical pain studies: systematic review and meta-analysis. J. Med. Internet Res. 22(6), e16480 (2020)

    Article  Google Scholar 

  8. Lazaridou, A., Elbaridi, N., Edwards, R.R.: Chapter 5: Pain Assessment. In: Essentials of Pain Medicine. Elsevier, St. Louis (2018)

    Google Scholar 

  9. Vilardaga, R., et al.: Theoretical grounds of Pain tracker self manager: an acceptance and commitment therapy digital intervention for patients with chronic pain. J. Contextual Behav. Sci. 15, 172–180 (2020)

    Article  Google Scholar 

  10. Rains, S.A.: Coping with Illness Digitally. MIT Press, Cambridge (2018)

    Book  Google Scholar 

  11. Hamine, S., et al.: Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J. Med. Internet Res. 17(2), e52 (2015)

    Article  Google Scholar 

  12. Birnie, K.A., et al.: iCanCope PostOp: user-centered design of a smartphone-based app for self-management of postoperative pain in children and adolescents. JMIR Form. Res. 3(2), e12028 (2019)

    Article  Google Scholar 

  13. Ross, E., et al.: Clinical integration of a smartphone app for patients with chronic pain: retrospective analysis of predictors of benefits and patient engagement between clinic visits. J. Med. Internet Res. 22(4), e16939 (2020)

    Article  Google Scholar 

  14. Bothwell, L., et al.: Adaptive design clinical trials: a review of the literature and ClinicalTrials.gov. BMJ Open 8(2), e018320 (2018)

    Article  Google Scholar 

  15. Melzack, R.: Pain and the neuromatrix in the brain. J. Dent. Educ. 65(12), 1378–1382 (2001)

    Article  Google Scholar 

  16. Khalili-Mahani, N., Schutter, B.D.: Affective game planning for health applications: quantitative extension of gerontoludic design based on the appraisal theory of stress and coping. JMIR Serious Games 7(2), e13303 (2019)

    Article  Google Scholar 

  17. Lazarus, R.S., Folkman, S.: Transactional theory and research on emotions and coping. Eur. J. Pers. 1(3), 141–169 (2020)

    Article  Google Scholar 

  18. Goodman-Vincent, E., Roy, M., Khalili-Mahani, N.: Affective game planning for playing the pain. In: Extended Abstracts of the 2020 Annual Symposium on Computer-Human Interaction in Play, pp. 122–128 (2020)

    Google Scholar 

  19. Choinière, M., et al.: The Canadian STOP-PAIN project – Part 1: who are the patients on the waitlists of multidisciplinary pain treatment facilities? Can. J. Anesth./J. canadien d’anesthésie 57(6), 539–548 (2010)

    Article  Google Scholar 

  20. Dusenbery, M., Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick. First ed, 390 p. HarperOne, New York (2017)

    Google Scholar 

  21. Meints, S.M., et al.: Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 9(3), 317–334 (2019)

    Article  Google Scholar 

  22. Krebs, E., Carey, T., Weinberger, M.: Accuracy of the pain numeric rating scale as a screening test in primary care. J. Gener. Intern. Med. 22(10), 1453–1458 (2007). https://doi.org/10.1007/s11606-007-0321-2

    Article  Google Scholar 

  23. Melzack, R.: The McGill pain questionnaire: from description to measurement. Anesthesiology 103(1), 199–202 (2005)

    Article  Google Scholar 

  24. Scarry, E.: The Body in Pain: The Making and Unmaking of the World. Oxford UP, New York (1987)

    Google Scholar 

  25. Haverfield, M.C., Giannitrapani, K., Timko, C., Lorenz, K.: Patient-centered pain management communication from the patient perspective. J. Gen. Intern. Med. 33(8), 1374–1380 (2018). https://doi.org/10.1007/s11606-018-4490-y

    Article  Google Scholar 

  26. Gagliardi, A.R., et al.: How is patient-centred care conceptualized in women’s health: a scoping review. BMC Womens Health 19(1), 156 (2019)

    Article  Google Scholar 

  27. Barbis, J.: Chapter 7: a physiotherapeutic, biopsychosocial approach to the management of patients with peripheral neuropathic pain and complex regional pain syndrome. In: Challenging Neuropathic Pain Syndromes: Evaluation and Evidence-Based Treatment. Elsevier, St. Louis (2018)

    Google Scholar 

  28. Brooks, J., et al.: Towards an integration of the health promotion models of self-determination theory and theory of planned behavior among people with chronic pain. Rehabil. Psychol. 63, 553–562 (2018)

    Article  Google Scholar 

  29. He, B.J., et al.: Abstracts of Presentations at the International Conference on Basic and Clinical Multimodal Imaging (BaCI), a Joint Conference of the International Society for Neuroimaging in Psychiatry (ISNIP), the International Society for Functional Source Imaging (ISFSI), the International Society for Bioelectromagnetism (ISBEM), the International Society for Brain Electromagnetic Topography (ISBET), and the EEG and Clinical Neuroscience Society (ECNS), in Geneva, Switzerland, 5–8 September2013. Clin. EEG Neurosci. (2013)

    Google Scholar 

  30. Boyd, D., Crawford, K.: Critical questions for big data. Inf. Commun. Soc. 15(5), 662–679 (2012)

    Article  Google Scholar 

  31. Crawford, K., Lingel, J., Karppi, T.: Our metrics, ourselves: a hundred years of self-tracking from the weight scale to the wrist wearable device. Eur. J. Cult. Stud. 18(4–5), 479–496 (2015)

    Article  Google Scholar 

  32. Lapierre, S.S., Baker, B.D., Tanaka, H.: Effects of mirthful laughter on pain tolerance: a randomized controlled investigation. J. Bodyw. Mov. Ther. 23(4), 733–738 (2019)

    Article  Google Scholar 

  33. Dunbar, R.I.M., et al.: Social laughter is correlated with an elevated pain threshold. Proc. R. Soc. B: Biol. Sci. 279(1731), 1161–1167 (2011)

    Article  Google Scholar 

  34. Tabak, M., et al.: Dinner is ready. In: Extended Abstracts Publication of the Annual Symposium on Computer-Human Interaction in Play, pp. 283–289 (2017)

    Google Scholar 

  35. Gromala, D., et al.: The virtual meditative walk. In: Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems, pp. 521–524 (2015)

    Google Scholar 

  36. Garza-Villarreal, E.A., et al.: Music reduces pain and increases resting state fMRI BOLD signal amplitude in the left angular gyrus in fibromyalgia patients. Front. Psychol. 6 (2015)

    Google Scholar 

  37. Garland, E., et al.: Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations. J. Behav. Med. 35(6), 591–602 (2011). https://doi.org/10.1007/s10865-011-9391-z

    Article  Google Scholar 

  38. Nilsson, S., et al.: Active and passive distraction in children undergoing wound dressings. J. Pediatr. Nurs. 28(2), 158–166 (2013)

    Article  Google Scholar 

  39. Ushaw, G., et al.: Adopting best practices from the games industry in development of serious games for health. In: Proceedings of the 5th International Conference on Digital Health, pp. 1–8 (2015)

    Google Scholar 

  40. Garner, R.L.: Digital Art Therapy: Material, Methods and Applications, p. 1. Jessica Kingsley Publishers, London (2016)

    Google Scholar 

  41. Malchiodi, C.A.: The handbook of art therapy and digital technology, p. 1. Jessica Kingsley Publishers, London (2018)

    Google Scholar 

  42. Bateson, G.: Steps to an Ecology of Mind. University of Chicago Press ed, vol. xxxii, 533 p. University of Chicago Press. Chicago (2000)

    Google Scholar 

  43. Sicart, M.: Play Matters. MIT Press, Cambridge (2014)

    Book  Google Scholar 

  44. Shoebotham, A., Coulson, N.S.: Therapeutic affordances of online support group use in women with endometriosis. J. Med. Internet Res. 18(5), e109 (2016)

    Article  Google Scholar 

  45. Suls, J., et al.: Hystersisters online: social support and social comparison among hysterectomy patients on the internet. Ann. Behav. Med. 31(3), 271–278 (2006). https://doi.org/10.1207/s15324796abm3103_9

    Article  Google Scholar 

  46. Khalili-Mahani, N., Smyrnova, A., Kakinami, L.: To each stress its own screen: a cross-sectional survey of the patterns of stress and various screen uses in relation to self-admitted screen addiction. J. Med. Internet Res. 21(4), e11485 (2019)

    Article  Google Scholar 

  47. Pahayahay, A., Khalili-Mahani, N.: What media helps, what media hurts: a mixed methods survey study of coping with COVID-19 using the media repertoire framework and the appraisal theory of stress. J. Med. Internet Res. 22(8), e20186 (2020)

    Article  Google Scholar 

  48. Philip, P., et al.: Virtual human as a new diagnostic tool, a proof of concept study in the field of major depressive disorders. Sci. Rep. 7(1), 1–7 (2017)

    Article  Google Scholar 

  49. Gabrielli, S., et al.: A chatbot-based coaching intervention for adolescents to promote life skills: pilot study. JMIR Human Factors 7(1), 1–7 (2020)

    Article  Google Scholar 

  50. Zhang, J., et al.: Artificial intelligence chatbot behavior change model for designing artificial intelligence chatbots to promote physical activity and a healthy diet: viewpoint. J. Med. Internet Res. 22(9), e22845 (2020)

    Article  Google Scholar 

  51. Hauser-Ulrich, S., et al.: A smartphone-based health care chatbot to promote self-management of chronic pain (SELMA): pilot randomized controlled trial. JMIR mHealth uHealth 8(4), e15806 (2020)

    Article  Google Scholar 

  52. Shen, J., et al.: Artificial intelligence versus clinicians in disease diagnosis: systematic review. JMIR Med. Inform. 7(3), e10010 (2019)

    Article  Google Scholar 

  53. Ellis, D., Tucker, I.: Emotion in the digital age: technologies, data and psychosocial life. In: Routledge Studies in Science, Technology and Society, p. 1. Routledge, London (2020)

    Google Scholar 

  54. Mintz, S.: On a scale from 1 to 10: life writing and lyrical pain. J. Lit. Cult. Disabil. Stud. 5(3), 243–259 (2011)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Najmeh Khalili-Mahani .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Holowka, E.M., Woods, S., Pahayahay, A., Roy, M., Khalili-Mahani, N. (2021). Principles for Designing an mHealth App for Participatory Research and Management of Chronic Pain. In: Duffy, V.G. (eds) Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. AI, Product and Service. HCII 2021. Lecture Notes in Computer Science(), vol 12778. Springer, Cham. https://doi.org/10.1007/978-3-030-77820-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-77820-0_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-77819-4

  • Online ISBN: 978-3-030-77820-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics