{"id":2288,"date":"2026-08-11T14:22:22","date_gmt":"2026-08-11T13:22:22","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/?p=2288"},"modified":"2026-08-11T14:22:22","modified_gmt":"2026-08-11T13:22:22","slug":"predicting-pain-improvement-with-a-digital-health-app","status":"publish","type":"post","link":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/2026\/08\/11\/predicting-pain-improvement-with-a-digital-health-app\/","title":{"rendered":"Predicting pain improvement with a digital health app"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;7&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner locked=&#8221;off&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title _builder_version=&#8221;3.17.6&#8243; featured_placement=&#8221;above&#8221; locked=&#8221;on&#8221; parent_locked=&#8221;off&#8221; date_format=&#8221;j M Y&#8221; \/][et_pb_text _builder_version=&#8221;3.17.6&#8243; background_layout=&#8221;light&#8221; parent_locked=&#8221;off&#8221;]<\/p>\n<p class=\"paragraph ng-attr-widget\">People living with inflammatory arthritis, including rheumatoid arthritis, psoriatic arthritis, and spondyloarthritis, experience symptoms that affect daily life, including pain and fatigue. Although new drugs have helped control inflammation, many people still report significant pain even when disease activity is low.<\/p>\n<p class=\"paragraph ng-attr-widget\">Traditional clinical measurements, such as swollen joint counts or CRP, are not always good at predicting future pain levels in individuals. One reason could be that they don&#8217;t capture other important parts of daily life, such as sleep, diet, or mental health. Data collected through smartphones can provide more frequent, real world insights and help fill this gap.<\/p>\n<p class=\"paragraph ng-attr-widget\">This edition of <em>Tap into Research<\/em> looks at a study that aimed to identify predictors of short-term pain relief in people with inflammatory arthritis who were prescribed a digital self-management app.<\/p>\n<h2 class=\"paragraph ng-attr-widget\">How were smartphones used in the study?<\/h2>\n<p class=\"paragraph ng-attr-widget\">The study used data from the Mida Rheuma App, a certified medical device designed to support self-management. This smartphone app allows people to track symptoms and disease progression and provides educational content on nutrition, weight management, sleep, fatigue, and physical activity. Users can choose to contribute their data for research purposes.<\/p>\n<h2 class=\"paragraph ng-attr-widget\">What did the study find?<\/h2>\n<p class=\"paragraph ng-attr-widget\">The study included 914 adults who used the app for 12 weeks. It explored which baseline factors predicted a clinically meaningful reduction in pain intensity at follow\u2011up. It found that:<\/p>\n<ul>\n<li class=\"paragraph ng-attr-widget\">232 people (25%) experienced a clinically meaningful reduction in pain after 12 weeks.<\/li>\n<li class=\"paragraph ng-attr-widget\">Higher baseline pain was the strongest predictor of improvement. People starting with more severe pain were more likely to show a meaningful reduction and tended to have larger percentage improvements. Some of this reflects regression to the mean, but it also suggests that higher inflammatory pain may be more responsive to the app&#8217;s intervention.<\/li>\n<li class=\"paragraph ng-attr-widget\">Higher baseline fatigue was associated with a lower chance of improvement. Severe fatigue appeared to limit the effectiveness of self management strategies.<\/li>\n<li class=\"paragraph ng-attr-widget\">Better sleep quality independently improved the odds of improvement, regardless of baseline pain or diagnosis.<\/li>\n<li class=\"paragraph ng-attr-widget\">Completing the daily tasks on the app regularly was associated with better outcomes.<\/li>\n<\/ul>\n<h2 class=\"paragraph ng-attr-widget\">Why does this matter?<\/h2>\n<p class=\"paragraph ng-attr-widget\">The study highlights key predictors of short-term pain relief, showing that fatigue may be a major barrier to improvement, and better sleep improves pain outcomes. It also showed that having a meaningful reduction in pain was complex and influenced by many factors.<\/p>\n<p class=\"paragraph ng-attr-widget\">These findings would need external validation before informing clinical guidance. However, they suggest that future digital therapies may benefit from more targeted fatigue-focused and sleep-focused interventions.<\/p>\n<p>Read the paper:\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00296-026-06105-4\">Baseline pain, fatigue, and sleep quality predict 12-week pain improvement in inflammatory arthritis: retrospective real-world analysis of a digital health application cohort<\/a><\/p>\n<p>[\/et_pb_text][et_pb_post_nav _builder_version=&#8221;3.0.106&#8243; in_same_term=&#8221;off&#8221; show_prev=&#8221;on&#8221; show_next=&#8221;on&#8221; prev_text=&#8221;Previous&#8221; next_text=&#8221;Next&#8221; locked=&#8221;on&#8221; parent_locked=&#8221;off&#8221; \/][et_pb_comments _builder_version=&#8221;3.0.106&#8243; show_avatar=&#8221;on&#8221; show_reply=&#8221;on&#8221; show_count=&#8221;on&#8221; background_layout=&#8221;light&#8221; header_font_size_tablet=&#8221;51&#8243; header_line_height_tablet=&#8221;2&#8243; custom_button=&#8221;on&#8221; button_icon_placement=&#8221;right&#8221; button_text_color=&#8221;#ffffff&#8221; button_use_icon=&#8221;off&#8221; locked=&#8221;on&#8221; parent_locked=&#8221;off&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_text_size__hover=&#8221;null&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover=&#8221;null&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover=&#8221;null&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_text_color__hover=&#8221;null&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover=&#8221;null&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover=&#8221;null&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_border_width__hover=&#8221;null&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover=&#8221;null&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover=&#8221;null&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_border_color__hover=&#8221;null&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover=&#8221;null&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover=&#8221;null&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_border_radius__hover=&#8221;null&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover=&#8221;null&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover=&#8221;null&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover=&#8221;null&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover=&#8221;null&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover=&#8221;null&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_bg_color__hover=&#8221;null&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover=&#8221;null&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover=&#8221;null&#8221; \/][et_pb_text admin_label=&#8221;Related posts&#8221; _builder_version=&#8221;3.0.106&#8243; background_layout=&#8221;light&#8221; locked=&#8221;on&#8221; parent_locked=&#8221;off&#8221;]<\/p>\n<h1>Related<\/h1>\n<!-- relpost-thumb-wrapper --><div class=\"relpost-thumb-wrapper\"><!-- filter-class --><div class=\"relpost-thumb-container\"><h3>Related posts:<\/h3><div style=\"clear: both\"><\/div><div style=\"clear: both\"><\/div><!-- relpost-block-container --><div class=\"relpost-block-container relpost-block-column-layout\" style=\"--relposth-columns: 3;--relposth-columns_t: 2; --relposth-columns_m: 2\"><a href=\"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/2025\/06\/01\/exploring-long-covid-how-smartphones-and-wearables-help-reveal-symptoms-and-risks\/\"class=\"relpost-block-single\" ><div class=\"relpost-custom-block-single\"><div class=\"relpost-block-single-image rpt-lazyload\" aria-label=\"An illustration of someone holding a phone with the text &#039;Tap Into Research&#039; 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Although new drugs have helped control inflammation, many people still report significant pain even when disease activity is low.Traditional clinical measurements, such as swollen joint counts or CRP, are not always good at [&hellip;]<\/p>\n","protected":false},"author":792,"featured_media":2238,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-2288","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tap-into-research"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/posts\/2288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/users\/792"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/comments?post=2288"}],"version-history":[{"count":1,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/posts\/2288\/revisions"}],"predecessor-version":[{"id":2289,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/posts\/2288\/revisions\/2289"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/media\/2238"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/media?parent=2288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/categories?post=2288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/tags?post=2288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}