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Peer-Reviewed Publication
Pain Med2026;27(7):828-838.July 1, 2026Journal Article

Predicting pain outcomes after digital care in chronic spinal pain: the roles of disability, work impairment, and occupation in a secondary analysis of a prospective clinical study.

Dora Janela1,2, Xin Tong3, Diogo Pires4,5, Hélder Fonseca2,6,7, Fabíola Costa1
1Clinical Research & Dev, Sword Health, New York, NY, United States.
2Faculty of Sport, University of Porto, Porto, Portugal.
3Department of Psychology, University of Virginia, Charlottesville, VA, United States.
4Escola Superior de Saúde, Instituto Politécnico de Setúbal, Setúbal, Portugal.
5Comprehensive Health Research Centre (CHRC), NOVA University Lisbon, Lisbon, Portugal.
6Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal.
7Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal.

Abstract

OBJECTIVE: To evaluate whether baseline disability, work impairment, and job occupation predicted post-pain levels of a digital care program (DCP) for chronic spinal pain. DESIGN: Ad hoc analysis of a real-world clinical registry of patients undergoing a DCP. SETTING: DCP delivered remotely across the United States. SUBJECTS: Adults with chronic spinal pain (N = 13 330) enrolled in a DCP throug…

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