{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:09:16Z","timestamp":1790014156738,"version":"4.0.1"},"reference-count":76,"publisher":"Weston Medical Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Opioid Management"],"abstract":"<jats:p>Objective: Strategies are needed to sustain daily monitoring of pain symptoms and related behaviors. However, low adherence rates have impeded the use of self-monitoring among chronic pain patients. This pilot study tested a novel mobile-based contingency management (CM) intervention promoting self-monitoring of pain symptom severity, related variables, and prescription opioid use among individuals with chronic pain.Design: A parallel-arm randomized controlled trial (RCT).Setting: Online recruitment via ResearchMatch.org.Participants: Adults (N = 81) with noncancer chronic pain (\u22653 months) and lifetime opioid prescription(s) for pain management were randomized to either the CM group (n = 46) or the control group (n = 35). Of those randomized, n = 72 completed follow-up.Interventions: A fully automated CM app (DynamiCare Rewards) delivered incentives on an escalating variable-ratio reinforcement schedule over 28 days.Main outcome measures: The number of completed daily surveys and the longest period of continuous daily survey completion were compared using independent t-tests. Feasibility and acceptability measures were also examined.Results: CM participants completed significantly more daily surveys (26.09 vs 23.06; p = .03) and had significantly longer sustained periods of daily survey completion (22.07 vs 17.11; p = .01) than the control participants. Acceptability ratings were high and similar for the two groups (all p &gt; .05).Conclusions: This study is the first to test an app-based escalating variable-ratio CM schedule for promoting sustained daily pain self-monitoring. Findings indicate a large-scale RCT may be warranted. Establishing a valid method for improving self-monitoring adherence has broad research implications. Future studies will explore other target behaviors and examine relationships between pain symptom severity and related variables, eg, sleep.<\/jats:p>","DOI":"10.5055\/jom.0990","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:26:54Z","timestamp":1790011614000},"page":"345-360","source":"Crossref","is-referenced-by-count":0,"title":["A randomized controlled trial of mobile-based contingency management to promote self-monitoring among individuals with chronic pain"],"prefix":"10.5055","volume":"22","author":[{"given":"Kathryn M.","family":"Polak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert N.","family":"Jamison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wally","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dace S.","family":"Svikis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3008","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"105482","doi-asserted-by":"crossref","unstructured":"Carr DB: Patients with pain need less stigma, not more. 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