Technology-Mediated Therapy for Chronic Pain Management: The Challenges of Adapting Behavior Change Interventions for Delivery with Pervasive Communication Technology

  • Rosser B
  • McCullagh P
  • Davies R
 et al. 
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Objective: Adapting therapeutic practice from traditional face-to-face exchange to remote technology-based delivery presents challenges for the therapist, patient, and technical writer. This ar-ticle documents the process of therapy adaptation and the resultant specification for the SMART2 project—a technology-based self-management system for assisting long-term health conditions, includ-ing chronic pain. Materials and Methods: Focus group discussions with healthcare professionals and patients were conducted to inform selection of therapeutic objectives and appropriate technology. Re-sults: Pertinent challenges are identified, relating to (1) reduction and definition of therapeutic objectives, and (2) how to approach adaptation of therapy to a form suited to technology delivery. The requirement of the system to provide dynamic and intelligent re-sponses to patient experience and behavior is also emphasized. Conclusion: Solutions to these challenges are described in the con-text of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged.

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  • Benjamin A. Rosser

  • Paul McCullagh

  • Richard Davies

  • Gail A. Mountain

  • Lance McCracken

  • Christopher Eccleston

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