Spondyloarthritis & psoriatic arthritis

Digital Behavioral Therapy Improves Outcome in Patients With Axial Spondyloarthritis and Persistent Pain: A Randomized Controlled Trial

Arthritis Care Res (Hoboken)Published Randomised controlled trial

Primary result · Change in MPI pain-related life interferenceResult — go to the resultβ −0.36 95% CI −0.73 to 0.01

Authors' conclusion

The ACT app demonstrated a meaningful reduction in pain-related life interference

Study context

Population
Patients with axial spondyloarthritis (axSpA) with persistent pain despite stable pharmacological therapy44 in intervention group (IG) actively used app
Participants
136 patients
Comparison
And commitment therapy (ACT) app vs standard of care
  • IGn = 73
  • Standard of care (SOC)n = 63reference
Primary endpoint
Multidimensional Pain Inventory (MPI) pain-related life interference
Follow-up
12 weeks
Methodological detailsunblinded, multicentric
  • Unblinded
  • Multicentric

Primary result

Change in MPI pain-related life interference

β

−0.36

95% CI −0.73 to 0.01

As reported in the abstract

Secondary outcomes

OutcomeIGβ (95% CI)
Change in affective distress related to the disease · 12 weeksGreater improvement vs SOC; linear model−0.4 (−0.84 to 0.03)
Completion of all ACT app lessons43%
  • Completion of all ACT app lessons: among the 44 active users

Original publication

Digital Behavioral Therapy Improves Outcome in Patients With Axial Spondyloarthritis and Persistent Pain: A Randomized Controlled Trial. Arthritis Care Res (Hoboken). Published 18 November 2025. doi:10.1002/acr.25679

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