%0 Journal Article
%@ 2291-5222
%I JMIR Publications
%V 8
%N 3
%P e14768
%T An Innovative Electronic Health Toolkit (Our Whole Lives for Chronic Pain) to Reduce Chronic Pain in Patients With Health Disparities: Open Clinical Trial
%A Gardiner,Paula
%A D'Amico,Salvatore
%A Luo,Man
%A Haas,Niina
%+ Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Street North, Worcester, MA, 01655, United States, 1 7744416716, Paula.Gardiner@umassmed.edu
%K minority health
%K internet
%K Web-based
%K complementary therapies
%K mindfulness-based stress reduction
%D 2020
%7 30.3.2020
%9 Original Paper
%J JMIR Mhealth Uhealth
%G English
%X 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. 
%M 32224487
%R 10.2196/14768
%U https://mhealth.jmir.org/2020/3/e14768
%U https://doi.org/10.2196/14768
%U http://www.ncbi.nlm.nih.gov/pubmed/32224487