Principal Findings
chronic pain, fatigue, anxiety, pain
CHRONIC PAIN, SECONDARY
In this RCT, people with chronic pain having access to the digital pain self-management intervention EPIO, compared with care-as-usual controls, did not report statistically significantly different changes in the primary outcome of pain interference on function after 3 months nor in the secondary outcomes of anxiety, HRQoL, pain catastrophizing, or pain acceptance. However, participants in the intervention group reported a significant decrease in symptoms of With The numerous physical and psychosocial challenges associated with living with chronic pain may naturally contribute to symptoms of Participants receiving EPIO, compared with participants in the care-as-usual control group, also reported a statistically significant decrease in Considering the possibility that self-regulatory fatigue may be a At the 3-month follow-up, half of the participants had completed at least 6 out of 9 modules, slightly below the completion rate in the EPIO feasibility pilot study (62%) [There are several professional challenges in the transfer of traditional in-person service models to digital self-management interventions. In-person treatment entails several evident values, such as the therapist-patient relationship, but little is known about the type and frequency of human interaction that may be preferred or that may provide optimal effect. Reviews have indicated that professionally guided digital self-management interventions may be more effective than self-guided interventions [Finally, participants in this study described the EPIO program as useful (95/109, 87.2%) and easy to use (101/109, 92.7%), with easily understandable exercises (106/109, 97.2%) and excellent system usability (92.5 of 100). These findings are in line with those from the EPIO feasibility pilot study [