Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .
A comparison between prospective Internet-based and paper diary recordings of headache among adolescents in the general population
Aim The aim of this article was to develop and apply an Internet-based headache diary ( i-diary ) for adolescents and compare it with a paper-diary ( p-diary ) regarding adherence , user acceptability and recorded headache activity . Methods In a cross-sectional school-based study , a representative sample of 488 adolescents aged 12–18 years were r and omly allocated by cluster sampling to record for three weeks in i-diaries or p-diaries their headache intensity , disability , and use of acute medication . Results A significantly ( p = 0.008 ) higher proportion of adolescents in the i-diary group used the diary  at least once during the 21-day period ( 86 % vs 76 % for the p-diary ) . However , the p-diary group completed a significantly ( p < 0.001 ) higher number of diary days ( 20.8 vs 15.0 days for the i-diary ) . The response rate for the i-diary-group was largely evenly distributed over the study period ; conversely , approximately two-thirds of the adolescents using the p-diary responded on all 21 days , whereas one-fourth did not respond at all . The two diary types were rated as equal in easiness to remember ( p = 0.25 ) , but the i-diaries were more bothersome to use ( p = 0.029 ) . Conclusion Although p-diary users completed a higher proportion of diary days , i-diaries provided more reliable and credible estimates of headache parameters because of better real-time assessment
Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .