title: Written online situational feedback via mobile phone to support self-management of chronic widespread pain: a usability study of a Web-based intervention.
abstract: BACKGROUND
  This pretrial study aimed to develop and test the usability of a four-week Internet intervention delivered by a Web-enabled mobile phone to support self-management of chronic widespread pain.
  
  
  METHODS
  The intervention included daily online entries and individualized written feedback, grounded in a mindfulness-based cognitive behavioral approach. The participants registered activities, emotions and pain cognitions three times daily using the mobile device. The therapist had immediate access to this information through a secure Web site. The situational information was used to formulate and send a personalized text message to the participant with the aim of stimulating effective self-management of the current situation. Six women participated and evaluated the experience.
  
  
  RESULTS
  The intervention was rated as supportive, meaningful and user-friendly by the majority of the women. The response rate to the daily registration entries was high and technical problems were few.
  
  
  CONCLUSIONS
  The results indicate a feasible intervention. Web-applications are fast becoming standard features of mobile phones and interventions of this kind can therefore be more available than before.
  
  
  BACKGROUND
  ClinicalTrials.gov: NCT01236209.
authors.affiliation: Faculty of Nursing, Oslo University College, Oslo, Norway. olof-birna.kristjansdottir@su.hio.no.
authors.forename: Ólöf Birna
authors.initials: ÓB
authors.lastname: Kristjánsdóttir
authors.forename: Egil A
authors.initials: EA
authors.lastname: Fors
authors.forename: Erlend
authors.initials: E
authors.lastname: Eide
authors.forename: Arnstein
authors.initials: A
authors.lastname: Finset
authors.forename: Sandra
authors.initials: S
authors.lastname: van Dulmen
authors.forename: Sigrid Hørven
authors.initials: SH
authors.lastname: Wigers
authors.forename: Hilde
authors.initials: H
authors.lastname: Eide
mesh_terms: D000328:Adult; D040421:Cell Phone; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005240:Feasibility Studies; D005246:Feedback; D005260:Female; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009862:Online Systems; D010146:Pain / Q000523:psychology; D059408:Pain Management; D017060:Patient Satisfaction; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D014956:Writing