To evaluate the effectiveness and implementation outcomes of the EducaDOR program, a digital pain education intervention, in Brazil's public health setting, focusing on synchronous and asynchronous delivery modalities.
This Hybrid Type III Randomised Controlled Trial involved 201 participants referred from primary healthcare in Guarapuava, Brazil. Participants were randomised into synchronous (SYNC) or asynchronous (ASYNC) groups. Primary outcomes include implementation measures (acceptability and adherence) and effectiveness outcomes (pain intensity NRS 0-10; and function PSFS 0-10) assessed at baseline and post-intervention (10 weeks).
A total of 201 participants completed the EducaDOR program. The sample had a mean age of 55.5 years (±12.3), with 87% females, 57% having low education, and 65% identifying as white. The SYNC group reported a higher satisfaction score (85/100) than the ASYNC group (76/100). Adherence was high, with 92% in the SYNC group and 89% in the ASYNC group completing at least 80% of the sessions. Pain intensity decreased by 1.45 points (95% CI: -1.52 to -1.38) in the SYNC group and 1.12 points (95% CI: -1.21 to -1.03) in the ASYNC group (mean difference: -0.33, 95% CI: -0.34 to -0.32). Function improved by 1.53 points (95% CI: -1.71 to -1.33) in SYNC and 0.88 points (95% CI: -1.06 to -0.67) in ASYNC (mean difference: -0.83 points, 95% CI -0.90, -0.76).
The implementation of the EducaDOR program demonstrated high acceptability and adherence in both the SYNC and ASYNC groups, with slightly higher satisfaction and participation in the SYNC group. Both delivery modalities led to improvements in pain and function, with the SYNC group showing marginally better outcomes.
EducaDOR program is a digital pain education effectiveness e implementable for Brazilian public health users. EducaDOR program could be a good option of pain education intervention for public health managers implement in other Brazilian public health settings.
digital health
public health
