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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.

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

A Descriptive Evaluation of Participant Engagement with a Digital Behavioral Health App for Chronic Pain: Findings from a Feasibility Study

  • Susan M. Zbikowski; 
  • Jo Masterson; 
  • Yohali Burrola-Mendez; 
  • Chialing Hsu; 
  • Kris Pui Kwan Ma; 
  • Ying Zhang; 
  • Deanna Waters; 
  • Kari A. Stephens

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

Please cite as:

Zbikowski SM, Masterson J, Burrola-Mendez Y, Hsu C, Ma KPK, Zhang Y, Waters D, Stephens KA

A Descriptive Evaluation of Participant Engagement with a Digital Behavioral Health App for Chronic Pain: Findings from a Feasibility Study

JMIR Preprints. 19/11/2025:88122

DOI: 10.2196/preprints.88122

URL: https://preprints.jmir.org/preprint/88122

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