<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Ledermann, Katharina</dc:creator>
  <dc:creator>Abou Khaled, Omar</dc:creator>
  <dc:creator>Caon, Maurizio</dc:creator>
  <dc:creator>Berger, Thomas</dc:creator>
  <dc:creator>Chabwine, Joelle N.</dc:creator>
  <dc:creator>Martin Sölch, Chantal</dc:creator>
  <dc:date>2021</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">Background: Chronic pain is a complex problem for many older adults that  affects both physical functioning and psychological well-being. Mobile health  (mHealth) technologies have shown promise in supporting older persons in  managing chronic conditions. Cognitive behavior therapy (CBT) is  recommended for older people with chronic pain. However, online treatment  programs for chronic pain are not aimed at the needs of older people and offer  standard therapies without providing tailored treatment for this population. To  address this problem, we will develop a psychological internet-based  intervention based on ecological monitoring of daily life experiences with chronic  pain, called EMMA to support self-management of chronic pain in older adults.  Method: The key clinical and engagement features of the intervention were  established through the integration of evidence-based material from cognitive  behavioral therapy for the treatment of chronic pain in older adults. The  development process uses a CoDesign approach and actively involves the end-  users in the design process by incorporating feedback from focus groups with  older adults in order to inform a user centered intervention design. For the  CoDesign process, we will include 10 older adults with chronic pain that will  discuss the requirements in workshops in order to ensure suitability for older  adults with chronic pain. In order to test the feasibility and acceptability of the  intervention, we will include a sample of 30 older adults with chronic pain that  will test all features of the intervention for a period of eight consecutive weeks.  After the trial period, validated instruments to assess usability and acceptability,  as well as influence on pain levels and associated physical and psychological  symptoms will be filled out by the participants. Participants will be invited to take  part in a semi-structured telephone interview after the trial period to explore their  experiences using the app. Results: Required changes to assure usability and  acceptability will afterwards directly implemented in the application. The  digitalization of the pain diary and psychotherapeutic content has started.  Recruitment of participants for the co-design workshops will start as soon as we  have a functioning prototype of the electronic pain diary and EMMA intervention  which is to be expected in September 2021. The feasibility study will start as  soon as the co-design process is finished and all required changes implemented  into the pain diary and the EMMA intervention. We expect to start the feasibility  study at the beginning of 2022.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://folia.unifr.ch/global/documents/309512</dc:identifier>
  <dc:identifier>https://folia.unifr.ch/documents/309512/files/jmir_ledermann_preprint.pdf</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.2196/26930</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:rights>License undefined</dc:rights>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Chronic pain</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">older adults</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">mHealth</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">online intervention</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">self-management</dc:subject>
  <dc:subject>info:eu-repo/classification/udc/159.9</dc:subject>
  <dc:title xmlns:ns6="xml" ns6:lang="en">Ecological Monitoring and Management App (EMMA) for Older Adults With Chronic Pain: Protocol for a Design and Feasibility Study</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_816b</dc:type>
</oai_dc:dc>
