Development, implementation and evaluation of a digital treatment for adolescents with chronic pain: a protocol for a multi-phase study

Other authors

Institut Català de la Salut

[Miró J, Sampietro A] Unit for the Study and Treatment of Pain—ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira I Virgili, Tarragona, Spain. Institut d’Investigació Sanitària Pere Virgili, Universitat Rovira I Virgili, Tarragona, Spain. [Monterde S] Unit for the Study and Treatment of Pain—ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira I Virgili, Tarragona, Spain. Institut d’Investigació Sanitària Pere Virgili, Universitat Rovira I Virgili, Tarragona, Spain. Unit of Physical Therapy, Department of Medicine and Surgery, Faculty of Medicine and Health Sciences, Universitat Rovira I Virgili, Tarragona, Spain. [Ingelmo P] Department of Anesthesiology, Montreal Children’s Hospital, The Edwards Family Interdisciplinary Centre for Complex Pain, Montreal, QC, Canada. Department of Anesthesia, McGill University, Montreal, QC, Canada. Research Institute, Alan Edwards Centre for Research on Pain, McGill University Health Center, Montreal, QC, Canada. [Wicksell RK] Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Pain Clinic, Capio St Göran Hospital, Stockholm, Sweden. [Nolla C] Unit for the Study and Treatment of Pain—ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira I Virgili, Tarragona, Spain. Institut d’Investigació Sanitària Pere Virgili, Universitat Rovira I Virgili, Tarragona, Spain. [Sánchez V] Servei d’Anestesiologia, Reanimació i Tractament del Dolor, Vall d’Hebron Hospital Universitari, Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2025-10-30T09:02:28Z

2025-10-30T09:02:28Z

2025-06-04



Abstract

Adolescents; Chronic pain; Digital health


Adolescentes; Dolor crónico; Salud digital


Adolescents; Dolor crònic; Salut digital


Chronic pain in adolescents is an increasing public health concern with a significant physical, psychological, and social impact. This study aims to develop, implement, and evaluate DigiDOL-Ad, a digital psychosocial treatment for adolescents with chronic pain, supplemented by dedicated websites for their parents and teachers. This multicenter study will be conducted in four phases: (1) Development of the intervention framework and foundational planning; (2) Focus groups with adolescents with chronic pain, their parents, teachers, healthcare professionals and health authorities to identify specific needs and tailor the psychosocial treatment and related components; (3) Iterative usability testing of the digital treatment, using an a hermeneutical circle methodology to refine the design based on participant feedback; and (4) Evaluation of DigiDOL-Ad through a pre-treatment, post-treatment, and 3-month follow-up assessment. DigiDOL-Ad has the potential to improve the quality of life for adolescents with chronic pain. By leveraging digital health technologies, this innovative approach could establish a new benchmark for treating adolescents with chronic pain, emphasizing interdisciplinary and stakeholder-driven care.


This study is partially supported by a grant from the Spanish Ministry of Science and Innovation (ref. PID2022-142071OB-I00); and grants from the European Regional Development Fund (ERDF) and the Government of Catalonia (AGAUR; 2021SGR-730). JM's work is supported by ICREA-Acadèmia. RV's work is supported by the Spanish Ministry of Science and Innovation with a Ramon y Cajal contract (RYC2018-024722-I). The Chair in Pediatric Pain is supported by Fundación Grünenthal, ANUBIS, Cosmetic group, and ESTEVE.

Document Type

Article


Published version

Language

English

Publisher

Frontiers Media

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Frontiers in Digital Health;7

https://doi.org/10.3389/fdgth.2025.1555733

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Rights

Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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