e-PainSupport: A Digital Pain Management Application for Home Hospice Care

Masako Mayahara*, Jo Ellen Wilbur, Louis Fogg, Judith A. Paice, Arlene M. Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


e-PainSupport is a digital pain management application (app) designed to facilitate better pain management in hospice. Early testing revealed caregivers found it was easy to use and successful in communicating patient pain and caregiver administration of analgesics to hospice nurses. However, caregiver knowledge of analgesic management remained low. The purpose of this study was to enhance e-PainSupport by (a) adapting and integrating an evidence-based pain educational intervention; (b) increasing ease of accessing and navigating the app; and (c) facilitating app communication with agency electronic health records (EHRs). An advisory board method, including two key stakeholder groups (an expert panel and a caregiver advisory board), guided the adaptation of an evidence-based pain educational intervention. Further, stakeholders recommended format changes to increase app usability. Study staff worked with four hospice agencies to facilitate app communication with EHRs. While modification to the e-PainSupport app to integrate a pain educational intervention and facilitate usability was successful, EHR integration was challenging. Future evaluation is needed to evaluate the effects of e-PainSupport on pain intensity among home hospice patients.

Original languageEnglish (US)
JournalAmerican Journal of Hospice and Palliative Medicine
StateAccepted/In press - 2023


  • analgesics
  • caregivers
  • digital health
  • hospice
  • mHealth
  • pain
  • pain management

ASJC Scopus subject areas

  • General Medicine


Dive into the research topics of 'e-PainSupport: A Digital Pain Management Application for Home Hospice Care'. Together they form a unique fingerprint.

Cite this