23rd Annual Pain Medicine Meeting 2024

EXPLORING MOBILE HEALTH SOLUTIONS FOR PAIN MANAGEMENT AND ASSESSMENT OF SPINAL JOINT INJECTION EFFICACY

Ted Miclau MD, MS1, Matthew Smuck MD3, Brandon Goenawan BS1, Conor O’Neill MD1, Lyndly Tamura MD1, I-Kung Wu MD1, PhD, MPH1,Patricia Zheng MD1, Cara Prideaux MD2

1 University of California San Francisco (UCSF), San Francisco, CA

2 Mayo Clinic, Rochester, MN

3 Stanford University, Stanford, CA

BACKGROUND

•Tracking outcomes in spine interventions is costly and time-consuming

•Large portions of research budgets allocated for research personnel to recruit patients and contact them for follow-up outcomes

•Mobile health (mHealth) applications can streamline the research process, reducing need for research personnel

AIM

Test the “recruitment” and “retention” capabilities of a custom mobile application designed to track longitudinal pain outcomes after spinal injections

•Recruitment: Percentage of patients enrolled from total number approached

•Retention: Percentage of requested pain surveys that were completed by enrolled patients

•Stratified by recruitment strategy (i.e., clinician vs. research assistant (RA), remote vs. in-person)

METHODS

•Prospective, observational study

•Convenience sample of eligible patients scheduled for spine injections at UCSF Mission Bay

METHODS CONTINUED

•Participants recruited in pre-injection environment through one of three modalities:

1.In-person clinician recruitment

2.In-person research assistant (RA)

3.Remote RA

•Informational handout with study details distributed and discussed with patients

1.How to access and use custom, web-based mobile application

2.Interested patients verbally consenting and signing HIPAA authorization forms officially enrolled

RESULTS

Mobile health (mHealth) application to track post-spine injection pain outcomes appears feasible

Recruitment and Retention Rates based on Recruitment Type (N=89)

- Recruitment: Significant difference (Fisher’s exact test, p<.001)

- Retention: No significant difference (One-way ANOVA, p=.757)

DISCUSSION

•Varied recruitment methods paired with the use of a mobile application to track post-spine injection pain outcomes yielded high enrollment and retention rates

•We continue to evaluate how different recruitment strategies can pair with a mobile application to optimize patient enrollment and retention in the study of spine injection outcomes.

NEXT STEPS

•Increase sample size

•Understand reasons for lack of enrollment or retention

•Translate survey

ACKNOWLEDGEMENTS

Funding Source: The Spine Intervention Society

Ability to disseminate research supported by the Mayo Travel Policy

23rd Annual Pain Medicine Meeting 2024

EXPLORING MOBILE HEALTH SOLUTIONS FOR PAIN MANAGEMENT AND ASSESSMENT OF SPINAL JOINT INJECTION EFFICACY

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