---
res:
  bibo_abstract:
  - "                  Introduction: Many children and adolescents suffer from high-impact
    chronic pain. While preliminary evidence suggests that intensive interdisciplinary
    pain treatment is effective, there is limited post-treatment support. Individualized
    support through a pain management app may help close this gap. \r\nMethods: We
    conducted a multicenter randomized controlled trial with N = 453 youths with chronic
    pain aged 8-17 and their caregivers. Participants had access to the app MyBrainCity
    from admission until six months following discharge. Immediately after discharge,
    participants had access to either (1) app usage statistics (reference group),
    (2) plus push notifications and suggestions, (3) plus on-demand chat communication
    with a psychologist, or (4) plus psychologist-initiated chat communication. Data
    were collected up to nine months after discharge. Outcomes included the functional
    disability inventory, the Revised Anxiety and Depression Scale, and numeric rating
    scales to assess pain intensity. \r\nResults: The primary analysis showed no significant
    differences in functional impairment between groups nine months post-discharge
    (χ2(3)=6.122, p=.106). Secondary analyses revealed that patients in Groups 3 and
    4 showed significantly greater improvements in functional impairment compared
    to the reference group (-1.13 points, p<.001). Only patients in Group 4 demonstrated
    additional improvements in emotional burden (anxiety: -0.91 points, p<.001; depression:
    -0.72 points, p=.012). Patients in Group 2 had significantly greater reductions
    in both average (-0.24 points, p=.007) and maximum pain intensity (-0.33 points,
    p=.001) compared to the reference group. \r\nConclusions: Pediatric pain management
    apps may be most effective when designed to include individualized, personal support.
    Patients especially benefit from clinician-delivered feedback following discharge.\r\n
    \               @eng"
  bibo_authorlist:
  - foaf_Person:
      foaf_givenName: Amelie Florentine
      foaf_name: Schmidt, Amelie Florentine
      foaf_surname: Schmidt
  - foaf_Person:
      foaf_givenName: Dorothee
      foaf_name: Meyer, Dorothee
      foaf_surname: Meyer
  - foaf_Person:
      foaf_givenName: Lisa-Marie
      foaf_name: Rau, Lisa-Marie
      foaf_surname: Rau
  - foaf_Person:
      foaf_givenName: Gerrit
      foaf_name: Hirschfeld, Gerrit
      foaf_surname: Hirschfeld
      foaf_workInfoHomepage: http://www.librecat.org/personId=234690
    orcid: 0000-0003-2143-4564
    orcid_put_code_url: https://api.orcid.org/v2.0/0000-0003-2143-4564/work/216243804
  - foaf_Person:
      foaf_givenName: Michael
      foaf_name: Frosch, Michael
      foaf_surname: Frosch
  - foaf_Person:
      foaf_givenName: Michael C.
      foaf_name: Frühwald, Michael C.
      foaf_surname: Frühwald
  - foaf_Person:
      foaf_givenName: Rosemarie
      foaf_name: Ahnert, Rosemarie
      foaf_surname: Ahnert
  - foaf_Person:
      foaf_givenName: Lea
      foaf_name: Höfel, Lea
      foaf_surname: Höfel
  - foaf_Person:
      foaf_givenName: Magdalena
      foaf_name: Storf, Magdalena
      foaf_surname: Storf
  - foaf_Person:
      foaf_givenName: Markus
      foaf_name: Blankenburg, Markus
      foaf_surname: Blankenburg
  - foaf_Person:
      foaf_givenName: Kerstin
      foaf_name: Steinert, Kerstin
      foaf_surname: Steinert
  - foaf_Person:
      foaf_givenName: Udo
      foaf_name: Schneider, Udo
      foaf_surname: Schneider
  - foaf_Person:
      foaf_givenName: Ursula
      foaf_name: Marschall, Ursula
      foaf_surname: Marschall
  - foaf_Person:
      foaf_givenName: Julia
      foaf_name: Wager, Julia
      foaf_surname: Wager
  - foaf_Person:
      foaf_givenName: Boris
      foaf_name: Zernikow, Boris
      foaf_surname: Zernikow
  bibo_doi: 10.1159/000551681
  dct_date: 2026^xs_gYear
  dct_isPartOf:
  - http://id.crossref.org/issn/0033-3190
  - http://id.crossref.org/issn/1423-0348
  dct_language: eng
  dct_publisher: S. Karger AG@
  dct_title: Clinical effectiveness of different feedback intensities in a pain management
    app - A multicenter randomized controlled trial with youths with chronic pain
    and their caregivers@
...