@Article{info:doi/10.2196/14768,
author="Gardiner, Paula
and D'Amico, Salvatore
and Luo, Man
and Haas, Niina",
title="An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial",
journal="JMIR Mhealth Uhealth",
year="2020",
month="Mar",
day="30",
volume="8",
number="3",
pages="e14768",
keywords="minority health; internet; Web-based; complementary therapies; mindfulness-based stress reduction",
abstract="Background: Chronic pain affects millions of Americans. Our Whole Lives, an electronic health (eHealth) toolkit for Chronic Pain (Our Whole Lives for Chronic Pain [OWLCP]), is a mind-body chronic pain management platform that teaches self-management strategies to reduce pain impact and pain medication use. Objective: The primary goal of this study was to evaluate the feasibility of OWLCP in reducing pain impact and pain-related outcomes. Methods: We conducted a pre-post clinical study (2 cohorts) to assess the feasibility of OWLCP usage among low-income patients with chronic pain. Outcome data, collected at baseline and 9 weeks, included Patient-Reported Outcomes Measurement Information System (PROMIS-29), pain self-efficacy, and pain medication use. In the statistical analysis, we used descriptive statistics, logistic regression, linear regression, and qualitative methods. Results: Among the enrolled 43 participants, the average age was 50 years, (39/43) 91{\%} were female, (16/43) 37{\%} were black, and (7/43) 16{\%} were Hispanic. From baseline to follow-up, the PROMIS measures showed a reduction in depression (P=.02), pain interference (P=.003), and average pain impact score (P=.007). Pain self-efficacy increased ((P<.001), whereas opioid use had a 13{\%} reduction (P=.03). Conclusions: The eHealth chronic pain management platform, OWLCP, is a potential tool to reduce the impact of chronic pain for low-income racially diverse populations. ",
issn="2291-5222",
doi="10.2196/14768",
url="https://mhealth.jmir.org/2020/3/e14768",
url="https://doi.org/10.2196/14768",
url="http://www.ncbi.nlm.nih.gov/pubmed/32224487"
}