The Norwegian "iCanCope With Pain" App
The Norwegian "iCanCope With Pain" App
Background: Research evidence shows that prevalence of pain in adolescents is increasing and
 is therefore recognized as a growing health problem. Psychological interventions delivered
 remotely through the internet may reduce intensity or severity of pain among children and
 adolescents with chronic pain. The iCanCope with Pain program is an existing web- and
 mobile-based self-management program, which is developed as a multi-center study funded by
 the Canadian Institutes of Health Research and is based on identified health care needs and
 current best practices for pain self-management.

 Objectives: The primary objectives are to describe the translation and cultural adaptation of
 the Norwegian version of the iCanCope with Pain mobile application and evaluate the effect in
 an upcoming randomized controlled trail with adolescents with chronic pain.

 Study sample: 16-19-year-old adolescents with self-declared persistent and/or chronic pain.
 Recruited from high schools in Southern Norway.

 Theoretical framework: Cognitive behavioral therapy (CBT) is explained by an integration of
 behavioral and cognitive theories of human behavior and psychopathology and is often the
 preferred treatment of choice for adolescents with different health disorders. The
 theoretical framework of CBT is integrated in the iCanCope with Pain app in terms of five
 components. The intervention group will receive the app with all five components: (I) symptom
 trackers for pain, sleep, mood, physical, and social function; (II) goal setting to improve
 pain and function; (III) coping toolbox of pain self-management strategies; (IV) social
 support; (V) age-appropriate pain education. The control group will receive the app with only
 the first self-registration component (I) symptom trackers for pain, sleep, mood, physical,
 and social function.

 Methods: Both qualitative and quantitative data will be gathered for evaluating the Norwegian
 version of the iCanCope with Pain app. Usability testing are assessed in both laboratory
 settings and in field using observation, interviews and questionnaires, which provide
 necessary information for an upcoming randomized controlled trail (RCT). Outcomes will in the
 RCT be measured at baseline (mid-April) and after an 8 weeks intervention (mid-June).

 The study is part of a PhD project.
Inclusion Criteria:

 1. 16-19-year-old adolescents

 2. with persistent and/or chronic pain, weekly suffered and lasting 3 months or more
 based on subjective reporting

 3. be able to read and understand Norwegian

 4. have their own smartphone.

 Exclusion Criteria:

 1. Adolescents with cognitive disability or diseases, because of the risk of not
 correctly understanding the iCanCope with Pain program via self-report, goal setting
 and/or library reading.

 2. Adolescents that have participated in the usability testing of the Norwegian iCanCope
 with Pain app

 3. Adolescents with diagnoses from a pathological or medical origin (e.g
 hematology/oncology patients) will also be excluded because the program was not
 specifically designed for these pain groups.