Changes in cognition, coping, pain and emotions after 12-months access to the digital self-management program EPIO.
| Title: | Changes in cognition, coping, pain and emotions after 12-months access to the digital self-management program EPIO. |
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| Authors: | Strand EB; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Faculty of Health Sciences, VID Specialized University, Oslo, Norway.; Varsi C; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.; Børøsund E; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.; Eide H; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Centre for Health and Technology, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.; Schreurs KMG; Department of Psychology, Health & Technology, University of Twente, Enschede, Netherlands.; Waxenberg LB; Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.; Weiss KE; Department of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, United States.; Morrison EJ; Department of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, United States.; Støle HS; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway.; Kristjansdottir ÓB; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Mental Health Team West, Primary Care of the Capital Area, Reykjavik, Iceland.; Stubhaug A; Department of Pain Management and Research, Oslo University Hospital, Oslo, Norway.; Regional Advisory of Pain, University of Oslo, Oslo, Norway.; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.; Solberg Nes L; Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Oslo, Norway.; Department of Psychiatry and Psychology, College of Medicine and Science, Mayo Clinic, Rochester, MN, United States.; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. |
| Source: | Frontiers in psychology [Front Psychol] 2025 Feb 25; Vol. 16, pp. 1540852. Date of Electronic Publication: 2025 Feb 25 (Print Publication: 2025). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101550902 Publication Model: eCollection Cited Medium: Print ISSN: 1664-1078 (Print) Linking ISSN: 16641078 NLM ISO Abbreviation: Front Psychol Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Pully, Switzerland : Frontiers Research Foundation |
| Abstract: | Background: Psychosocial pain self-management interventions can be of support for people living with chronic pain. Since psychosocial support is not always accessible, digital health interventions may increase outreach of these types of evidence-based interventions.; Objectives: To explore participants' experiences from 12-month access to the digital pain self-management program EPIO, particularly in terms of any behavioral and/or psychological changes experienced.; Methods: Participants (N = 25) engaged in individual semi-structured interviews following 12-month access to the EPIO intervention. Qualitative thematic analyses were conducted seeking to identify any behavioral and/or psychological changes experienced through intervention use, and what contributed to these changes.; Results: Participants were predominantly women (72%), median age 46 (range 26-70), with a range of self-reported pain conditions and the majority reporting pain duration >10 years (64%). Analyses identified three main themes and subsequent sub-themes: (1) Changes in Cognition; insight and self-awareness, acceptance and shifting focus, (2) Changes in Coping; pain, emotions, and activity pacing, and (3) Content and Functionality Specific Engagement; breathing and other mind-body exercises, thought-reflection exercises, and functionalities.; Conclusions: People with chronic pain experienced positive behavioral and/or psychological changes in terms of cognition and coping after 12 months access to the EPIO digital pain self-management program. The most prominent changes included increased understanding of the connection between own thoughts, feelings, and behavior, gaining concrete strategies to cope with everyday life living with pain, and utilizing these strategies to reduce pain and interference of pain, as well as to improve emotion regulation and psychological wellbeing.; (Copyright © 2025 Strand, Varsi, Børøsund, Eide, Schreurs, Waxenberg, Weiss, Morrison, Støle, Kristjansdottir, Stubhaug and Solberg Nes.) |
| Competing Interests: | LS is an unpaid board member of the company dHealth AS, aiming to market the EPIO program for commercialization, but has no financial interest in the company. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. |
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| Contributed Indexing: | Keywords: digital; emotion regulation; pain acceptance; pain reduction; qualitative research |
| Entry Date(s): | Date Created: 20250312 Latest Revision: 20250313 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11893590 |
| DOI: | 10.3389/fpsyg.2025.1540852 |
| PMID: | 40070899 |
| Database: | MEDLINE |
Journal Article