A Digital Support to Facilitate Sustainable Return to Work for Persons With Chronic Pain and Their Employers (SWEPPE)
9 mars 2022 uppdaterad av: Mathilda Björk, Linkoeping University
An Evidence-based Digital Support for One Year to Facilitate a Sustainable Return to Work for Persons With Chronic Musculoskeletal Pain and Their Employers: Study Protocol for a Registry-based Multicentre Randomized Controlled Trial.
Chronic musculoskeletal pain (CMSP) severely affects the individual's quality of life, functioning and ability to work, and comes with significant societal costs for sick leave and loss of productivity. After completing an Interdisciplinary Pain Rehabilitation Program (IPRP), patients with CMSP experience a gap in the return to work (RTW) process when the responsibility for RTW is taken over by the employer. To fill this gap, we aim to evaluate the clinical effectiveness of a digital support (SWEPPE) for promoting a sustainable RTW for persons with CMSP and to facilitate the employers' supportive role and responsibilities in the process. Our hypothesis is that using SWEPPE will decrease the need for sick-leave.
SWEPPE is a smartphone application where the individual can create an action plan, perform daily registrations of health aspects, self-monitoring of health aspects and goals, have access to a library with evidence-based facts and a coach, and the possibility to share information with the employer.The employer access SWEPPE via a web application.
In this trial, we will recruit patients with CMSP aged 18-65 years who have completed IPRP, and who need support during RTW or continued support at the work placement for creating a sustainable work situation. The participants will be randomly assigned to either receive SWEPPE or to the control group. The intervention group will use SWEPPE during twelve months and the control group will not receive any active intervention for RTW which is standard clinical practice. Participants will be recruited from specialist and primary care level units connected to the Swedish National Quality Registry for Pain Rehabilitation (SQRP) and providing IPRP for patients with CMSP.
All participants will fill in questionnaires when they have completed the rehabilitation program and before the intervention starts. Study ending assessment will be performed after twelve months.
The clinical effectiveness of SWEPPE will be assessed by number of days with sickness cash benefit. Several dimensions of sick-leave will be assessed according to the Swedish Social Insurance Agency's (SSIA) proposal of outcome measures of RTW. Other outcomes and explanatory variables including important domains affected by CMSP such as health-related quality of life, functioning and work ability will be collected. A sample size calculation indicates the need for recruiting 360 participants (n=180 for each group).
Studieöversikt
Studietyp
Interventionell
Inskrivning (Förväntat)
360
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studiekontakt
- Namn: Mathilda Björk, PhD
- Telefonnummer: +4611363531
- E-post: mathilda.bjork@liu.se
Studieorter
-
-
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Danderyd, Sverige, 182 57
- Rekrytering
- Danderyd Hospital
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Karlstad, Sverige
- Har inte rekryterat ännu
- Smärtcentrum
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Linköping, Sverige, 581 83
- Rekrytering
- County council of Ostergotland
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Lund, Sverige
- Har inte rekryterat ännu
- Smärtcentrum
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Stockholm, Sverige
- Har inte rekryterat ännu
- Spine Center
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år till 65 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
Patients entering the trial must have completed IPRP. The principal inclusion criteria for IPRP in Sweden are:
- persistent or intermittent pain lasting ≥3 months
- pain affecting daily activities to a large extent,
- completed systematic assessment and non-pharmacological optimization is completed,
- screening for psychosocial risk factors and differential diagnosis completed
In addition the following criteria will be applied:
- Completed participation in an Interdisciplinary Pain Rehabilitation Program (IPRP) at any of the participating units.
- Having an employment to return to after IPRP or having returned to work but need continued support for creating a sustainable work situation after IPRP.
Exclusion criteria:
- Completed IPRP but are unemployed or unable to return to work.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: SWEPPE
Participants will receive the smartphone application SWEPPE.
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In the smartphone application SWEPPE the individual can create an action plan, perform daily registrations of health aspects, self-monitoring of health aspects and goals, have access to a library with evidence-based facts and a coach, and possibility to share information with the employer.
|
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Inget ingripande: Control
Participants randomized to the control group will not receive any active intervention for return to work after completing an Interdisciplinary Pain Rehabilitation Program .
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Sick leave
Tidsram: 12 months follow up after IPRP
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Number of gross and net days with sickness cash benefit
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12 months follow up after IPRP
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Return to work
Tidsram: 12 months follow up after IPRP
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Return to work (partially or full time) every month
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12 months follow up after IPRP
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Sick-leave spells per months
Tidsram: 12 months follow up after IPRP
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Number of sick-leave spells (per month)
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12 months follow up after IPRP
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Return to work group level
Tidsram: 12 months follow up after IPRP
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Proportions of a group who returns to full- or part-time work (per month)
|
12 months follow up after IPRP
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Working days before new sick leave
Tidsram: 12 months follow up after IPRP
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Number of days in work before new sick leave during study period
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12 months follow up after IPRP
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Proportion back to work
Tidsram: 12 months follow up after IPRP
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Proportion of a group back to work >28 days (full- or part time) before a new sick-leave spell occurs
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12 months follow up after IPRP
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Total sick-leave spells
Tidsram: 12 months follow up after IPRP
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Number of sick-leave spells during study period
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12 months follow up after IPRP
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Length of total sick leave
Tidsram: 12 months follow up after IPRP
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Length of total sick leave during study period
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12 months follow up after IPRP
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Pain intensity last 7 days
Tidsram: Baseline and 12 months
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Numeric rating scale
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Baseline and 12 months
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Consequences of pain on daily life
Tidsram: Baseline and 12 months
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Multidimensional Pain Inventory Swedish version
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Baseline and 12 months
|
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Overall emotional distress
Tidsram: Baseline and 12 months
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Hospital Anxiety and Depression Scale Swedish version
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Baseline and 12 months
|
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Physical and mental health
Tidsram: Baseline and 12 months
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RAND-36 Swedish version
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Baseline and 12 months
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Goal fulfilment and satisfaction during the study period
Tidsram: Baseline and 12 months
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Self-reported data
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Baseline and 12 months
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Self-reported physical work environment
Tidsram: Baseline and 12 months
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Questionnaire based on the Swedish Work Environment Authority ergonomics checklist
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Baseline and 12 months
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Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Self-reported fatigue the last 7 days
Tidsram: Baseline and 12 months
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Numeric rating scale
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Baseline and 12 months
|
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Self-reported level of sleepiness
Tidsram: Baseline and 12 months
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Karolinska Sleepiness Scale Swedish version
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Baseline and 12 months
|
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Self-reported level of sleep disturbance
Tidsram: Baseline and 12 months
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Insomnia Severity Index Swedish version
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Baseline and 12 months
|
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Self-reported fear of movement
Tidsram: Baseline and 12 months
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Tampa Scale for Kinesiophobia Swedish version
|
Baseline and 12 months
|
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Self-reported physical activity
Tidsram: Baseline and 12 months
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the National Board of Health and Welfare's three questions on physical activity, exercise, and sedentary behavior.
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Baseline and 12 months
|
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Pain catastrophizing
Tidsram: Baseline and 12 months
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Pain Catastrophizing scale Swedish version
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Baseline and 12 months
|
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Perceived work ability
Tidsram: Baseline and 12 months
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Work Ability Index Swedish version
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Baseline and 12 months
|
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Self-reported demands, control, and support at the workplace
Tidsram: Baseline and 12 months
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Demand Control Support Questionnaire Swedish version
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Baseline and 12 months
|
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Perceived life Satisfaction
Tidsram: Baseline and 12 months
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Life satisfaction Scale Swedish version
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Baseline and 12 months
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Self-reported work situation during the study period
Tidsram: Baseline and 12 months
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Barriers for return to work, strategies to handle barriers and need of support from the employer
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Baseline and 12 months
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Self-reported workload an average day
Tidsram: Baseline and 12 months
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Number of hours per day for paid work and unpaid household work
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Baseline and 12 months
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Mathilda Björk, PhD, Linkoeping University
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
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- Harker J, Reid KJ, Bekkering GE, Kellen E, Bala MM, Riemsma R, Worthy G, Misso K, Kleijnen J. Epidemiology of chronic pain in denmark and sweden. Pain Res Treat. 2012;2012:371248. doi: 10.1155/2012/371248. Epub 2012 May 23.
- Reid KJ, Harker J, Bala MM, Truyers C, Kellen E, Bekkering GE, Kleijnen J. Epidemiology of chronic non-cancer pain in Europe: narrative review of prevalence, pain treatments and pain impact. Curr Med Res Opin. 2011 Feb;27(2):449-62. doi: 10.1185/03007995.2010.545813. Epub 2011 Jan 3.
- Perez C, Margarit C, Sanchez-Magro I, de Antonio A, Villoria J. Chronic Pain Features Relate to Quality of Life More than Physiopathology: A Cross-Sectional Evaluation in Pain Clinics. Pain Pract. 2017 Sep;17(7):866-878. doi: 10.1111/papr.12533. Epub 2017 Feb 25.
- Gerdle B, Bjork J, Henriksson C, Bengtsson A. Prevalence of current and chronic pain and their influences upon work and healthcare-seeking: a population study. J Rheumatol. 2004 Jul;31(7):1399-406.
- Caceres-Matos R, Gil-Garcia E, Barrientos-Trigo S, Porcel-Galvez AM, Cabrera-Leon A. Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review. Rev Saude Publica. 2020 Apr 17;54:39. doi: 10.11606/s1518-8787.2020054001675. eCollection 2020.
- Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety. 2009;26(10):888-901. doi: 10.1002/da.20600.
- Shupler MS, Kramer JK, Cragg JJ, Jutzeler CR, Whitehurst DGT. Pan-Canadian Estimates of Chronic Pain Prevalence From 2000 to 2014: A Repeated Cross-Sectional Survey Analysis. J Pain. 2019 May;20(5):557-565. doi: 10.1016/j.jpain.2018.10.010. Epub 2018 Nov 29.
- Svanholm F, Liedberg GM, Lofgren M, Bjork M. Factors of importance for return to work, experienced by patients with chronic pain that have completed a multimodal rehabilitation program - a focus group study. Disabil Rehabil. 2022 Mar;44(5):736-744. doi: 10.1080/09638288.2020.1780479. Epub 2020 Jun 25.
- Toye F, Seers K, Allcock N, Briggs M, Carr E, Barker K. A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain. Disabil Rehabil. 2016;38(6):566-72. doi: 10.3109/09638288.2015.1049377.
- Liedberg GM, Bjork M, Dragioti E, Turesson C. Qualitative Evidence from Studies of Interventions Aimed at Return to Work and Staying at Work for Persons with Chronic Musculoskeletal Pain. J Clin Med. 2021 Mar 17;10(6):1247. doi: 10.3390/jcm10061247.
- Saunders SL, Nedelec B. What work means to people with work disability: a scoping review. J Occup Rehabil. 2014 Mar;24(1):100-10. doi: 10.1007/s10926-013-9436-y.
- Grant M, O-Beirne-Elliman J, Froud R, Underwood M, Seers K. The work of return to work. Challenges of returning to work when you have chronic pain: a meta-ethnography. BMJ Open. 2019 Jun 20;9(6):e025743. doi: 10.1136/bmjopen-2018-025743.
- Magalhães L, Chan C, Chapman A, Majed L, Samigullina R, Trninic D, et al. Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis. Cadernos Brasileiros de Terapia Ocupacional/Brazilian Journal of Occupational Therapy 2017;25(4):825-37
- Cohen D, Allen J, Rhydderch M, Aylward M. The return to work discussion: a qualitative study of the line manager conversation about return to work and the development of an educational programme. J Rehabil Med. 2012 Jul;44(8):677-83. doi: 10.2340/16501977-0996.
- Scott W, Chilcot J, Guildford B, Daly-Eichenhardt A, McCracken LM. Feasibility randomized-controlled trial of online Acceptance and Commitment Therapy for patients with complex chronic pain in the United Kingdom. Eur J Pain. 2018 Apr 28. doi: 10.1002/ejp.1236. Online ahead of print.
- Coutu MF, Legare F, Durand MJ, Stacey D, Labrecque ME, Corbiere M, Bainbridge L. Acceptability and Feasibility of a Shared Decision-Making Model in Work Rehabilitation: A Mixed-Methods Study of Stakeholders' Perspectives. J Occup Rehabil. 2019 Mar;29(1):128-139. doi: 10.1007/s10926-018-9770-1.
- Braillard O, Cedraschi C, Jesaimani A, Piguet V. [Chronic noncancer pain and patient education: a place for e-learning?]. Rev Med Suisse. 2015 Jun 24;11(480):1400, 1402-5. French.
- Ledel Solem IK, Varsi C, Eide H, Kristjansdottir OB, Borosund E, Schreurs KMG, Waxenberg LB, Weiss KE, Morrison EJ, Haaland-Overby M, Bevan K, Zangi HA, Stubhaug A, Solberg Nes L. A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO. J Med Internet Res. 2020 Jan 21;22(1):e15889. doi: 10.2196/15889.
- Kristjansdottir OB, Fors EA, Eide E, Finset A, Stensrud TL, van Dulmen S, Wigers SH, Eide H. A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. part 2: 11-month follow-up results of a randomized trial. J Med Internet Res. 2013 Mar 28;15(3):e72. doi: 10.2196/jmir.2442.
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- Garg S, Garg D, Turin TC, Chowdhury MF. Web-Based Interventions for Chronic Back Pain: A Systematic Review. J Med Internet Res. 2016 Jul 26;18(7):e139. doi: 10.2196/jmir.4932.
- Slattery BW, Haugh S, O'Connor L, Francis K, Dwyer CP, O'Higgins S, Egan J, McGuire BE. An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis. J Med Internet Res. 2019 Jul 17;21(7):e11086. doi: 10.2196/11086.
- Ledel Solem IK, Varsi C, Eide H, Kristjansdottir OB, Mirkovic J, Borosund E, Haaland-Overby M, Heldal K, Schreurs KM, Waxenberg LB, Weiss KE, Morrison EJ, Solberg Nes L. Patients' Needs and Requirements for eHealth Pain Management Interventions: Qualitative Study. J Med Internet Res. 2019 Apr 1;21(4):e13205. doi: 10.2196/13205.
- Timmers T, Janssen L, Kool RB, Kremer JA. Educating Patients by Providing Timely Information Using Smartphone and Tablet Apps: Systematic Review. J Med Internet Res. 2020 Apr 13;22(4):e17342. doi: 10.2196/17342.
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- Coe-O'Brien R, Joseph L, Kuisma R, Paungmali A, Sitilertpisan P, Pirunsan U. Outcome measures used in the smartphone applications for the management of low back pain: a systematic scoping review. Health Inf Sci Syst. 2020 Jan 2;8(1):5. doi: 10.1007/s13755-019-0097-x. eCollection 2020 Dec.
- Turesson C, Liedberg G, Vixner L, Lofgren M, Bjork M. Evidence-based digital support during 1 year after an Interdisciplinary Pain Rehabilitation Programme for persons with chronic musculoskeletal pain to facilitate a sustainable return to work: a study protocol for a registry-based multicentre randomised controlled trial. BMJ Open. 2022 Apr 25;12(4):e060452. doi: 10.1136/bmjopen-2021-060452.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
1 mars 2022
Primärt slutförande (Förväntat)
1 december 2023
Avslutad studie (Förväntat)
1 december 2024
Studieregistreringsdatum
Först inskickad
24 september 2021
Först inskickad som uppfyllde QC-kriterierna
24 september 2021
Första postat (Faktisk)
27 september 2021
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
25 mars 2022
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
9 mars 2022
Senast verifierad
1 mars 2022
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- Dnr 2019-01264
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Nej
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Nej
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