Using codesign workshops to develop a conceptual framework for a mobile health app targeting chronic low back pain self-management

BMJ Open. 2025 Feb 22;15(2):e093386. doi: 10.1136/bmjopen-2024-093386.

ABSTRACT

OBJECTIVES: The aim of this study was to gather insights from a diverse group of stakeholders, identify existing challenges and explore associated solutions to develop a conceptual framework that assists in the development of a chronic low back pain (CLBP) self-management app.

DESIGN: Codesign workshop methodology.

SETTING: The study was conducted online, allowing for the participation of a diverse group of stakeholders.

PARTICIPANTS: Participants were recruited through social media platforms and professional networks, including individuals with LBP for at least 3 months, healthcare professionals experienced in CLBP management and app developers with a background in digital health applications.

INTERVENTIONS: The study used codesign workshops focused on brainstorming, communication and reflection exercises designed to foster collaboration and gather insights from stakeholders.

OUTCOME MEASURES: Identification of key challenges and potential solutions for mobile health (mHealth) apps targeting CLBP.

RESULTS: Nine stakeholders identified four primary challenges in current back pain apps: belief and trust, motivation, safety and usability. The group also collaboratively developed and proposed practical solutions to these challenges.

CONCLUSIONS: This study illustrated the utility of the codesign workshop approach in generating critical insights for the development of a mHealth solution for CLBP. The insights gathered from these workshops can be used to inform future app development, potentially improving user engagement.

PMID:39987005 | DOI:10.1136/bmjopen-2024-093386