Less Pain, Better Sleep? The Effect of a Multidisciplinary Back Pain App on Sleep Quality in Individuals Suffering from Back Pain - a Secondary Analysis of App User Data.

Priebe, Janosch A; Utpadel-Fischler, Daniel; Toelle, Thomas R

doi:10.2147/JPR.S232792

Klinik und Poliklinik für Neurologie (Prof. Hemmer)

Back
Back to start of result list
Permanent link for displayed object

Document type:: Article; Journal Article
Author(s):: Priebe, Janosch A; Utpadel-Fischler, Daniel; Toelle, Thomas R
Title:: Less Pain, Better Sleep? The Effect of a Multidisciplinary Back Pain App on Sleep Quality in Individuals Suffering from Back Pain - a Secondary Analysis of App User Data.
Abstract:: Purpose: Mobile health solutions are finding their way into health systems. The Kaia app has been shown to be able to reduce back pain in two studies. Since pain often comes along with disturbed sleep and both symptoms are strongly related we investigated whether the Kaia app training is associated with improved sleep quality. Methods: User data of individuals with back pain were collected in two app versions (cohort 1: N = 180; cohort 2: N = 159). We analyzed the ratings of sleep quality and pain intensity on a 11-point numeric ratings scale (NRS; 0-10) both at the beginning of usage (baseline: BL) and on the individual last day of usage (follow-up: LU) within a 3-month training program. Results: In both cohorts, we found a significant reduction in pain intensity from BL to LU (cohort 1: MBL = 4.80; SD = 1.59 to MLU = 3.75; SD = 1.76, Δpain = -1.04; SD = 2.12; t(158) = 6.207; p<.001/cohort 2: MBL = 4.20; SD = 1.98 to MLU = 3.65; SD = 1.78; Δpain = -0.50; SD = 2.04; t(147) = 3.001; p = 0.003) and a significant improvement of sleep quality (cohort 1: MBL = 5.76; SD = 2.12 to MLU = 6.56; SD = 1.72; Δsleep = t(158) = 4.310; p < 0.001/cohort 2: MBL = 6.08; SD = 2.08 to MLU = 6.76; SD = 1.55; Δsleep = 0.67; SD = 2.13; sleep: t(147) = 3.825; p < 0.001). Interestingly, improvement of sleep quality was not fully mediated by pain reduction. Conclusion: Our analysis underlines the relationship between pain and sleep in the clinical context. Improvement of sleep quality came along with pain reduction and vice versa. Further study should explain the exact mechanisms of action which are associated with the improvement of both symptom parameters.
Journal title abbreviation:: J Pain Res
Year:: 2020
Journal volume:: 13
Pages contribution:: 1121-1128
Fulltext / DOI:: doi:10.2147/JPR.S232792
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/32547175
TUM Institution:: Neurologische Klinik und Poliklinik
BibTeX

Occurrences:

mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Neurologie (Prof. Hemmer)2020