Factors influencing the use of an artificial intelligence-based app (selfBACK) for tailored self-management support among adults with neck and/or low back pain

Abstract

Purpose: Tailored self-management support is recommended as first-line treatment for neck and low back pain, for which mHealth applications could be promising. However, there is limited knowledge about factors influencing the engagement with such apps. The aim of this study was to assess barriers and facilitators for engaging with a self-management mHealth app among adults suffering from neck and/or low back pain. Materials and methods: We carried out a qualitative descriptive study among adults with neck and/or low back pain. The artificial intelligence-based selfBACK app supports tailored self-management of neck and low back pain and was used for 6 weeks. After these 6 weeks, participants were interviewed by phone. Results: Thirty-two adults (17 males) with neck and/or low back pain participated (mean age = 54.9 (SD = 15.8)). Our results show that the mode of delivery and the novelty of the selfBACK app were perceived most often as a barrier to use the app. The action plans of the app and health-related factors were perceived most often as facilitating factors. Conclusions: This study provides insight into possible strategies to improve an mHealth service. Furthermore, it shows that adults with neck and/or low back pain are willing and ready to receive blended treatment. Implications for rehabilitation:

Adults with neck and/or low back pain are willing to receive blended care (combination of face-to-face contact with healthcare professional and use of eHealth service)

When implementing eHealth services in rehabilitation treatment of adults with neck and/or low back pain, rehabilitation professionals need to choose an eHealth service which includes individual action plans, evidence-based content with health benefits, goal setting and rewards and incentives.

When implementing eHealth services in rehabilitation treatment of adults with neck and/or low back pain, rehabilitation professionals need to choose an eHealth service which can be used on someone’s own smartphone.

When implementing eHealth services in rehabilitation treatment of adults with neck and/or low back pain, rehabilitation professionals need to educate their patients about the importance and possible long-term benefits of self-managing their pain.