WebMAP Mobile Self-management of Adolescent Chronic Pain

Approximately 5-8% of children report severe chronic pain and disability. Although evidence
supports pain-self management as effective for reducing pain and disability, data show that
most youth do not have access to this intervention. The investigative team's prior studies
demonstrate that technology-delivered pain self-management (WebMAP program) can reduce
barriers to care, is feasible, acceptable, and effective in reducing pain-related disability
and improving anxiety and depression in youth with chronic pain. In this trial, the
investigators propose an implementation project to address critical challenges in nationwide
dissemination of the WebMAP pain self-management program. Using a hybrid
effectiveness-implementation trial design, 8 clinics from across the U.S. will participate in
a pragmatic randomized controlled trial with a stepped wedge design to sequentially implement
WebMAP in the clinics following randomized usual care periods. Data will be collected from
clinic records, web and app administrative tracking, and provider surveys to gather
information on adoption and implementation following the Reach, Effectiveness, Adoption,
Implementation, Maintenance (RE-AIM) public health impact framework. Individual patient-level
pain outcomes will be collected from 140 patients to evaluate intervention effectiveness. The
expected outcome of the project is to yield a strategic approach for a nationwide
technology-delivered pain self-management intervention for youth with chronic pain that can
be readily sustained in clinical settings.