MEMPHIS: a smartphone app using psychological approaches for women with chronic pelvic pain presenting to gynaecology clinics: a randomised feasibility trial
Metadatos
Mostrar el registro completo del ítemEditorial
BMJ
Fecha
2020Referencia bibliográfica
Forbes G, Newton S, Cantalapiedra Calvete C, et al. MEMPHIS: a smartphone app using psychological approaches for women with chronic pelvic pain presenting to gynaecology clinics: a randomised feasibility trial. BMJ Open 2020;10:e030164.
Patrocinador
This research was supported by the UK National Institute of Health Research, Research for Patient Benefit programme (RfPB PB-PG- 1013-32025).Resumen
Objectives To evaluate the feasibility of a randomised
trial of a modified, pre-existing,
mindfulness meditation
smartphone app for women with chronic pelvic pain. Primary and secondary outcome measures Outcomes
included length of recruitment, follow-up
rates, adherence
to the app interventions, and clinical outcomes measured
at baseline, two, three and 6 months.
Results The target sample size was recruited in 145 days.
Adherence to the app interventions was extremely low
(mean app use 1.8 days mindfulness meditation group, 7.0
days active control). Fifty-seven
(63%) women completed
6-month
follow-up,
and 75 (83%) women completed at
least one postrandomisation follow-up.
The 95% CIs for
clinical outcomes were consistent with no benefit from
the mindfulness meditation app; for example, mean
differences in pain acceptance scores at 60 days (higher
scores are better) were −2.3 (mindfulness meditation vs
usual care, 95% CI: −6.6 to 2.0) and −4.0 (mindfulness
meditation vs active control, 95% CI: −8.1 to 0.1).
Conclusions Despite high recruitment and adequate
follow-up
rates, demonstrating feasibility, the extremely
low adherence suggests a definitive randomised trial of
the mindfulness meditation app used in this study is not
warranted. Future research should focus on improving
patient engagement.