Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality

Background With hundreds of pain management apps on the Canadian marketplace, it can be challenging for patients and clinicians to select effective and evidence-based mobile health (mHealth) apps that address pain from a biopsychosocial perspective. Aims Identify pain management apps within the Cana...

Full description

Bibliographic Details
Main Authors: Megan MacPherson, A. Myfanwy Bakker, Koby Anderson, Susan Holtzman
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Canadian Journal of Pain
Subjects:
Online Access:http://dx.doi.org/10.1080/24740527.2022.2030212
_version_ 1798024135626981376
author Megan MacPherson
A. Myfanwy Bakker
Koby Anderson
Susan Holtzman
author_facet Megan MacPherson
A. Myfanwy Bakker
Koby Anderson
Susan Holtzman
author_sort Megan MacPherson
collection DOAJ
description Background With hundreds of pain management apps on the Canadian marketplace, it can be challenging for patients and clinicians to select effective and evidence-based mobile health (mHealth) apps that address pain from a biopsychosocial perspective. Aims Identify pain management apps within the Canadian app marketplaces to aid clinicians in recommending apps. Methods The iOS and Android marketplaces were systematically searched to identify pain management apps that included at least one core component of cognitive behavioural therapy (CBT) or mindfulness- and acceptance-based therapies. Selected apps were assessed using a researcher developed psychological components checklist, and the Mobile App Rating Scale (MARS). These two measures provided a robust assessment of the apps’ technical abilities and psychological principles being implemented. Results 508 pain management apps were identified, yet only 12 included a psychological component and were available for evaluation. On average, apps contained 8.10 out of 18 psychological components (SD = 2.77) with a MARS quality rating of 4.02 out of 5 (SD = .32). The most common psychological components were grounded in CBT, including psychoeducation, sleep hygiene, behavioural activation, coping skills training, and social support. Among the least commonly included components were goal setting, values and culture/diversity. Two-thirds of the apps involved health care practitioners in their development, but independent scientific review of apps was scarce. Conclusion The highest scoring apps (Curable, Pathways, Vivify) are highlighted for healthcare practitioners who may wish to recommend mHealth technologies to their patients for pain management. Future directions for research and app development are discussed.
first_indexed 2024-04-11T17:57:30Z
format Article
id doaj.art-61fa5c72ae5446a9a26492342a4fea18
institution Directory Open Access Journal
issn 2474-0527
language English
last_indexed 2024-04-11T17:57:30Z
publishDate 2022-01-01
publisher Taylor & Francis Group
record_format Article
series Canadian Journal of Pain
spelling doaj.art-61fa5c72ae5446a9a26492342a4fea182022-12-22T04:10:37ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272022-01-010010.1080/24740527.2022.20302122030212Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and QualityMegan MacPherson0A. Myfanwy Bakker1Koby Anderson2Susan Holtzman3University of British ColumbiaUniversiy of British ColumbiaUniversiy of British ColumbiaUniversiy of British ColumbiaBackground With hundreds of pain management apps on the Canadian marketplace, it can be challenging for patients and clinicians to select effective and evidence-based mobile health (mHealth) apps that address pain from a biopsychosocial perspective. Aims Identify pain management apps within the Canadian app marketplaces to aid clinicians in recommending apps. Methods The iOS and Android marketplaces were systematically searched to identify pain management apps that included at least one core component of cognitive behavioural therapy (CBT) or mindfulness- and acceptance-based therapies. Selected apps were assessed using a researcher developed psychological components checklist, and the Mobile App Rating Scale (MARS). These two measures provided a robust assessment of the apps’ technical abilities and psychological principles being implemented. Results 508 pain management apps were identified, yet only 12 included a psychological component and were available for evaluation. On average, apps contained 8.10 out of 18 psychological components (SD = 2.77) with a MARS quality rating of 4.02 out of 5 (SD = .32). The most common psychological components were grounded in CBT, including psychoeducation, sleep hygiene, behavioural activation, coping skills training, and social support. Among the least commonly included components were goal setting, values and culture/diversity. Two-thirds of the apps involved health care practitioners in their development, but independent scientific review of apps was scarce. Conclusion The highest scoring apps (Curable, Pathways, Vivify) are highlighted for healthcare practitioners who may wish to recommend mHealth technologies to their patients for pain management. Future directions for research and app development are discussed.http://dx.doi.org/10.1080/24740527.2022.2030212smartphonetelemedicinemobile applicationschronic painpain managementpsychosocial intervention
spellingShingle Megan MacPherson
A. Myfanwy Bakker
Koby Anderson
Susan Holtzman
Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
Canadian Journal of Pain
smartphone
telemedicine
mobile applications
chronic pain
pain management
psychosocial intervention
title Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
title_full Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
title_fullStr Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
title_full_unstemmed Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
title_short Do Pain Management Apps use Evidence-Based Psychological Components? A Systematic Review of App Content and Quality
title_sort do pain management apps use evidence based psychological components a systematic review of app content and quality
topic smartphone
telemedicine
mobile applications
chronic pain
pain management
psychosocial intervention
url http://dx.doi.org/10.1080/24740527.2022.2030212
work_keys_str_mv AT meganmacpherson dopainmanagementappsuseevidencebasedpsychologicalcomponentsasystematicreviewofappcontentandquality
AT amyfanwybakker dopainmanagementappsuseevidencebasedpsychologicalcomponentsasystematicreviewofappcontentandquality
AT kobyanderson dopainmanagementappsuseevidencebasedpsychologicalcomponentsasystematicreviewofappcontentandquality
AT susanholtzman dopainmanagementappsuseevidencebasedpsychologicalcomponentsasystematicreviewofappcontentandquality