Currently accepted at: JMIR Human Factors
Date Submitted: Nov 19, 2025
Open Peer Review Period: Nov 24, 2025 - Jan 19, 2026
Date Accepted: Feb 21, 2026
(closed for review but you can still tweet)
This paper has been accepted and is currently in production.
It will appear shortly on 10.2196/88122
The final accepted version (not copyedited yet) is in this tab.
A Descriptive Evaluation of Participant Engagement with a Digital Behavioral Health App for Chronic Pain: Findings from a Feasibility Study
ABSTRACT
Background:
Chronic pain is a widespread condition that impairs quality of life and is often managed primarily with medications. National guidelines now recommend nonpharmacologic, mind–body, and behavioral approaches as first-line or complementary treatments. However, access to these evidence-based options remains limited. Digital health technologies offer a scalable way to deliver integrative, self-care interventions that empower patients to live well with pain.
Objective:
This study examined engagement and perceived usefulness of a patient- and provider-informed mobile app designed to deliver behavioral and educational content to support pain self-management.
Methods:
Adult primary care patients with chronic pain were enrolled in a 12-week feasibility trial. The app included lessons addressing the physical, emotional, and social aspects of pain; tracking and personalized insights; self-screenings; and optional in-app coaching. Participants completed baseline and 3-month surveys assessing usability and satisfaction. Engagement was evaluated through app analytics and milestone completion.
Results:
Of 49 patients assigned to the app, 82% activated it. Participants used the app for an average of 27 unique days and completed 26 core lessons. Engagement highlights included 43% completion of the valued living module, 25% completion of all lessons, and 50% use of daily check-ins. Usability ratings were high, with 87% reporting the app helped them better understand or manage their pain and 93% recommending it to others.
Conclusions:
Adults with chronic pain engaged consistently and reported high satisfaction with this evidence-informed digital mind–body program. Findings support the potential of digital tools to expand access to nonpharmacologic, integrative pain self-care and complement traditional clinical approaches.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.