E-health Resilience Program For Chronic Spine Pain

This is a pilot RCT in which 150 patients with chronic spine pain will be randomized to one
of two arms: (1) a group that downloads the JOOL mobile application resilience program; and
(2) a control group.The primary outcome will be a change in physical function.

Inclusion Criteria:

- Patient of the UM Back & Pain Center

- Primary diagnosis of neck or back pain (spine pain)

- Age 18-70

- English speaking

- Able to provide consent

- Willing to download the mobile application and comply with study procedures

- Antidepressant medications stable for ≥ 4 weeks

- No plan to initiate a new non-pharmacological pain intervention during the 30-day
study period (e.g. back surgery, physical therapy, behavioral therapy

Exclusion Criteria

- Having known psychotic disorder or the presence of another psychiatric condition (e.g.
severe depression [HADS scores ≥ 15], suicidal ideation) or cognitive impairment (e.g.
severe dyslexia, TBI) limiting ability to give consent and/or participate fully in the
study

- Currently undergoing psychotherapeutic care at the Back & Pain Center because many of
the concepts that are the focus of this study are already employed in that treatment

- Other factors that at the discretion of the investigators would adversely affect study
participation.