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This study aimed to explore the clinical utility of a mobile health platform (Pain ROADMAP) for assisting with the delivery of a tailored activity modulation intervention for people with persistent pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty adults with chronic pain undertook 1\u2010week monitoring intervals which involved wearing an Actigraph activity monitor and entering pain, opioid use, and activity participation data into a custom\u2010made phone app. The Pain ROADMAP online portal integrated and analysed the data to detect activities that caused a severe pain exacerbation and provided summary statistics pertaining the data collected. As part of a 15\u2010week treatment protocol, participants received feedback from three dispersed Pain ROADMAP monitoring periods. Treatment focused on adapting pain\u2010provoking activities, gradually increase goal\u2010related activity and optimizing routine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results revealed good participant acceptability of monitoring procedures and reasonable adherence to both monitoring procedures and clinical follow\u2010up appointments. Preliminary efficacy was established through clinically meaningful decreases in overactivity behaviour, pain variation, opioid use, depression, activity avoidance, and increases in productivity. No adverse outcomes were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study provide initial support for the clinical utility of mHealth assisted activity modulation interventions that involve remote monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>This is the first study to demonstrate how mHealth innovations that utilise ecological momentary assessment can be successfully integrated with wearable technologies to provide a tailored activity modulation intervention that is both highly valued by people with chronic pain and assists individuals to make constructive behavioural changes. Adaptions such as low costs sensors, increased customisability and gamification may be important for enhanced uptake, adherence and scalability.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2104","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T04:50:16Z","timestamp":1678510216000},"page":"749-765","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Clinical utility of a mHealth assisted intervention for activity modulation in chronic pain: The pilot implementation of pain <scp>ROADMAP<\/scp>"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7739-1738","authenticated-orcid":false,"given":"Nicole Emma","family":"Andrews","sequence":"first","affiliation":[{"name":"RECOVER Injury Research Centre The University of Queensland  Herston Queensland Australia"},{"name":"Department of Occupational Therapy The Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The Tess Cramond Pain and Research Centre The Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance, The University of Queensland and Metro North Health  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2189-4624","authenticated-orcid":false,"given":"David","family":"Ireland","sequence":"additional","affiliation":[{"name":"The Australian eHealth Research Centre, CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Deen","sequence":"additional","affiliation":[{"name":"Division of Rehabilitation Metro South Pain Rehabilitation Centre, The Princess Alexandra Hospital, Metro South Hospital and Health Service  Woolloongabba Queensland Australia"},{"name":"The Hopkins Centre Menzies Health Institute of Queensland, Griffith University  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4848-0181","authenticated-orcid":false,"given":"Marlien","family":"Varnfield","sequence":"additional","affiliation":[{"name":"The Australian eHealth Research Centre, CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0134606"},{"key":"e_1_2_9_3_1","unstructured":"Actigraph. 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