PMID- 31895042 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230415 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 9 IP - 1 DP - 2020 Jan 2 TI - A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study. PG - e14525 LID - 10.2196/14525 [doi] LID - e14525 AB - BACKGROUND: Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. OBJECTIVE: The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. METHODS: Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. RESULTS: Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. CONCLUSIONS: The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14525. CI - (c)Amber K Keller Brooks, David P Miller Jr, Jason T Fanning, Erin L Suftin, M Carrington Reid, Brian J Wells, Xiaoyan Leng, Robert W Hurley. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 02.01.2020. FAU - Brooks, Amber K AU - Brooks AK AUID- ORCID: 0000-0001-9568-1336 AD - Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Miller, David P Jr AU - Miller DP Jr AUID- ORCID: 0000-0001-7879-4427 AD - Department of General Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Fanning, Jason T AU - Fanning JT AUID- ORCID: 0000-0002-5527-1698 AD - Department of Health and Exercise Science, Wake Forest University, Winston Salem, NC, United States. AD - Department of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Suftin, Erin L AU - Suftin EL AUID- ORCID: 0000-0003-2660-8383 AD - Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Reid, M Carrington AU - Reid MC AUID- ORCID: 0000-0001-8117-662X AD - Division of Geriatric and Palliative Medicine, Weill Cornell Medicine, New York, NY, United States. FAU - Wells, Brian J AU - Wells BJ AUID- ORCID: 0000-0001-7310-6525 AD - Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Leng, Xiaoyan AU - Leng X AUID- ORCID: 0000-0002-7610-7977 AD - Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC, United States. FAU - Hurley, Robert W AU - Hurley RW AUID- ORCID: 0000-0001-6591-9390 AD - Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, NC, United States. LA - eng GR - P30 AG021332/AG/NIA NIH HHS/United States GR - K24 AG053462/AG/NIA NIH HHS/United States GR - P30 AG022845/AG/NIA NIH HHS/United States GR - KL2 TR001421/TR/NCATS NIH HHS/United States GR - UL1 TR001420/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20200102 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC6966554 OTO - NOTNLM OT - Web-based treatments OT - chronic pain OT - electronic health records OT - patient portal COIS- Conflicts of Interest: None declared. EDAT- 2020/01/03 06:00 MHDA- 2020/01/03 06:01 PMCR- 2020/01/02 CRDT- 2020/01/03 06:00 PHST- 2019/05/07 00:00 [received] PHST- 2019/09/24 00:00 [accepted] PHST- 2019/09/16 00:00 [revised] PHST- 2020/01/03 06:00 [entrez] PHST- 2020/01/03 06:00 [pubmed] PHST- 2020/01/03 06:01 [medline] PHST- 2020/01/02 00:00 [pmc-release] AID - v9i1e14525 [pii] AID - 10.2196/14525 [doi] PST - epublish SO - JMIR Res Protoc. 2020 Jan 2;9(1):e14525. doi: 10.2196/14525.