Technology mediated therapy for chronic pain management: The challenges of adapting behavior change interventions for delivery with pervasive communication technology

Reference:

Rosser, B., McCullagh, P., Davies, R., Mountain, G., McCracken, L. and Eccleston, C., 2011. Technology mediated therapy for chronic pain management: The challenges of adapting behavior change interventions for delivery with pervasive communication technology. Telemedicine and E-Health, 17 (3), pp. 211-216.

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Official URL:

http://dx.doi.org/10.1089/tmj.2010.0136

Abstract

Objective: Adapting therapeutic practice from traditional face-to-face exchange to remote technology-based delivery presents challenges for the therapist, patient, and technical writer. This article documents the process of therapy adaptation and the resultant specification for the SMART2 project-a technology-based self-management system for assisting long-term health conditions, including chronic pain. Materials and Methods: Focus group discussions with healthcare professionals and patients were conducted to inform selection of therapeutic objectives and appropriate technology. Results: Pertinent challenges are identified, relating to (1) reduction and definition of therapeutic objectives, and (2) how to approach adaptation of therapy to a form suited to technology delivery. The requirement of the system to provide dynamic and intelligent responses to patient experience and behavior is also emphasized. Conclusion: Solutions to these challenges are described in the context of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged.

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