Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial
Abstract Background Chronic pain is a common and costly condition in youth, associated with negative implications that reach far beyond the pain experience itself (e.g., interference with recreational, social, and academic activities, mental health sequelae). As a self-appraised condition, pain expe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-022-01170-5 |
| _version_ | 1811226742005694464 |
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| author | Katelynn E. Boerner Unma Desai Karon E. MacLean Tamara Munzner Haley Foladare Javed Gill Tim F. Oberlander |
| author_facet | Katelynn E. Boerner Unma Desai Karon E. MacLean Tamara Munzner Haley Foladare Javed Gill Tim F. Oberlander |
| author_sort | Katelynn E. Boerner |
| collection | DOAJ |
| description | Abstract Background Chronic pain is a common and costly condition in youth, associated with negative implications that reach far beyond the pain experience itself (e.g., interference with recreational, social, and academic activities, mental health sequelae). As a self-appraised condition, pain experience is influenced by patient’s biases and meaning-making in relation to their symptoms and triggers. We propose that interacting with self-reported data will impact the experience of pain by altering understanding and expectations of symptom experience and how pain interacts with other factors (e.g., sleep, emotions, social interactions). In this study, we aim to establish the feasibility and acceptability of using a data visualization platform to track and monitor symptoms and their relationship with other factors, versus simply daily reporting of symptoms using a smartphone-based Ecological Momentary Assessment (EMA). Methods This protocol is for a randomized, single-center, open-label crossover trial. We aim to recruit 50 typically developing youth aged 12–18 years with chronic pain to take part in two phases of data collection. The trial will utilize an A-B counterbalanced design in which participants will be randomly assigned to receive either Part A (EMA alone for 7 days) or Part B (EMA plus visualization platform for 7 days) first and then receive the opposite phase after a 7-day break (washout period). Key outcomes will be participant reports of acceptability and feasibility, EMA completion rates, barriers, and perceptions of the benefits or risks of participation. Secondary exploratory analyses will examine the relationship between EMA-reported symptoms over time and in relation to baseline measures, as well as pilot data on any improvements in symptoms related to engaging with the data visualization platform. Discussion This protocol describes the feasibility and pilot testing of a novel approach to promoting self-management and facilitating symptom appraisal using visualized data. We aim to determine whether there is a sufficient rationale, both from the perspective of feasibility and patient satisfaction/acceptability, to conduct a larger randomized controlled trial of this intervention. This intervention has the potential to support clinical care for youth with chronic pain and other conditions where self-appraisal and understanding of symptom patterns are a critical component of functional recovery. Trial registration Open Science Framework doi: https://doi.org/10.17605/OSF.IO/HQX7C . Registered on October 25, 2021, osf.io/hqx7c |
| first_indexed | 2024-04-12T09:30:27Z |
| format | Article |
| id | doaj.art-952d2246c81a48898de071ce9c2e1ff7 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-12T09:30:27Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-952d2246c81a48898de071ce9c2e1ff72022-12-22T03:38:23ZengBMCPilot and Feasibility Studies2055-57842022-10-018111210.1186/s40814-022-01170-5Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trialKatelynn E. Boerner0Unma Desai1Karon E. MacLean2Tamara Munzner3Haley Foladare4Javed Gill5Tim F. Oberlander6Department of Pediatrics, University of British ColumbiaDepartment of Computer Science, University of British ColumbiaDepartment of Computer Science, University of British ColumbiaDepartment of Computer Science, University of British ColumbiaDepartment of Cognitive Systems, University of British ColumbiaBC Children’s Hospital and Research InstituteDepartment of Pediatrics, University of British ColumbiaAbstract Background Chronic pain is a common and costly condition in youth, associated with negative implications that reach far beyond the pain experience itself (e.g., interference with recreational, social, and academic activities, mental health sequelae). As a self-appraised condition, pain experience is influenced by patient’s biases and meaning-making in relation to their symptoms and triggers. We propose that interacting with self-reported data will impact the experience of pain by altering understanding and expectations of symptom experience and how pain interacts with other factors (e.g., sleep, emotions, social interactions). In this study, we aim to establish the feasibility and acceptability of using a data visualization platform to track and monitor symptoms and their relationship with other factors, versus simply daily reporting of symptoms using a smartphone-based Ecological Momentary Assessment (EMA). Methods This protocol is for a randomized, single-center, open-label crossover trial. We aim to recruit 50 typically developing youth aged 12–18 years with chronic pain to take part in two phases of data collection. The trial will utilize an A-B counterbalanced design in which participants will be randomly assigned to receive either Part A (EMA alone for 7 days) or Part B (EMA plus visualization platform for 7 days) first and then receive the opposite phase after a 7-day break (washout period). Key outcomes will be participant reports of acceptability and feasibility, EMA completion rates, barriers, and perceptions of the benefits or risks of participation. Secondary exploratory analyses will examine the relationship between EMA-reported symptoms over time and in relation to baseline measures, as well as pilot data on any improvements in symptoms related to engaging with the data visualization platform. Discussion This protocol describes the feasibility and pilot testing of a novel approach to promoting self-management and facilitating symptom appraisal using visualized data. We aim to determine whether there is a sufficient rationale, both from the perspective of feasibility and patient satisfaction/acceptability, to conduct a larger randomized controlled trial of this intervention. This intervention has the potential to support clinical care for youth with chronic pain and other conditions where self-appraisal and understanding of symptom patterns are a critical component of functional recovery. Trial registration Open Science Framework doi: https://doi.org/10.17605/OSF.IO/HQX7C . Registered on October 25, 2021, osf.io/hqx7chttps://doi.org/10.1186/s40814-022-01170-5Chronic painChildren and adolescentsData visualization |
| spellingShingle | Katelynn E. Boerner Unma Desai Karon E. MacLean Tamara Munzner Haley Foladare Javed Gill Tim F. Oberlander Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial Pilot and Feasibility Studies Chronic pain Children and adolescents Data visualization |
| title | Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial |
| title_full | Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial |
| title_fullStr | Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial |
| title_full_unstemmed | Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial |
| title_short | Data visualization as an intervention for pediatric chronic pain: a pilot feasibility study protocol for a randomized controlled crossover trial |
| title_sort | data visualization as an intervention for pediatric chronic pain a pilot feasibility study protocol for a randomized controlled crossover trial |
| topic | Chronic pain Children and adolescents Data visualization |
| url | https://doi.org/10.1186/s40814-022-01170-5 |
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