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.

Keywords: Back pain; Self-Management; Spine.

MeSH terms

  • Adult
  • Chronic Pain* / therapy
  • Female
  • Humans
  • Low Back Pain* / therapy
  • Male
  • Mobile Applications*
  • Motivation
  • Self-Management* / methods
  • Stakeholder Participation
  • Telemedicine