Effectiveness of the Multicomponent Therapy in Chronic Pain Through The Use of Smartphones
Effectiveness of the Multicomponent Therapy in Chronic Pain Through The Use of Smartphones
Chronic pain is one of the pathological processes with the greatest impact on the demand of
 health services. The cost of this process in Spain according to the results is 2.5% of Gross
 Domestic Product (Breivik, Collett, Ventafridda et al. 2006).Mainly affects women and in it
 psychological, behavioral and psychological factors converge (Cöster, Kendall, Gerdle et al.
 2008). The role of gender as a social determinant of health is known (Stansfeld, 2006).

 Multidisciplinary and not only pharmacological intervention stands as a desirable paradigm
 for addressing this type of health problem, and it is considered necessary to standardize
 treatment in this regard. Thus, psychological constructs such as the concept of
 "catastrophization" have demonstrated the relationship between suffering and the displacing
 experience (Wade, Riddle, Price, Dumenci, 2011) and the psychological framework of Acceptance
 and Commitment Therapy has also revealed its positive effect. .

 The rise of new technologies makes it necessary to give added value to the use of digital
 mobile devices for its potential contribution to the health care of the population, given its
 immediacy, widespread use, possibility of interaction and increase of the margin of
 accessibility to health services.

 The present project aims to demonstrate that multidisciplinary and combined intervention of
 pharmacological therapies with specific psychological therapies along with the use of mobile
 digital devices can improve the management and evolution of chronic pain.
Patients received a written invitation from their primary care physician or nurse to a group
 informational meeting where the principal investigator introduced the program. The study has
 been completed in a span of three years. People participating in the study were asked to give
 their informed consent.

 To carry out this study, the basic ethical aspects have been guaranteed, approved by the
 Research Ethics Committee of Córdoba which belongs to the Andalusian Public Health System.
 The Informed consent was guaranteed by the Research Ethics Committee of Córdoba which belongs
 to the Andalusian Public Health System In the group meeting, the people who agree to
 participate in the study will be informed via email, they will be given instructions on how
 to download the mobile application if they are selected in the intervention group, the
 treatment will last 6 weeks maximum 8 weeks The three questionnaires will be completed by all
 study subjects in a maximum time of 10 minutes. Immediately after receiving the two
 face-to-face sessions.

 Then ,the questionnaire will be filled in again by participants at week number (8 weeks
 maximum after treatment) and three months just after having received the treatment.

 The pain management application includes automatic monitoring, skills training, social
 support, education, goal setting and achievement of 4 components: exercises, psychological
 well-being, pharmacological and health assets interventions.

 Every week participants have a look at digital presentations about every component, doing
 then 3 activities related to each.This program will be.
Inclusion Criteria:

 -  The inclusion criteria for patients in this study were: patients ≥18 years of age
 presenting pain of any location, lasting ≥ 3 months, intensity ≥ 4 on the EVN
 (Numerical Visual Scale), and with one of the following characteristics: Continuous
 pain, Intermittent pain ≥ 5 days a week. Not be participating in another research
 project and with skills for the use of mobile telephony.

 Exclusion Criteria:

 -  Exclusion criteria included cancer patients, bipolar or psychotic disorder, a history
 of brain injury, inability to complete study forms due to mental disability or
 language barrier.