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Introduction
Although
chronic
pain
is
recognized
by
the
federal
government
as
a
public
health
problem,
with
direct
and
indirect
costs
of
over
$635
billion
annually,
evidence
based
research
in
this
area
is
challenging
due
to
lack
of
objecOve
measures
and
the
varying
emoOonal,
psychosocial,
and
cultural
percepOons
of
pain.
Certain
pain
condiOons,
such
as
chronic
vulvar
pain
(vulvodynia),
have
addiOonal
adverse
eects
on
women,
impacOng
not
only
everyday
funcOon,
but
also
aecOng
sexuality,
self
esteem,
and
mental
and
emoOonal
wellness.
EmoOons
and
stress
in
turn
play
a
role
in
how
pain
is
perceived
and
coped
with.
To
enhance
objecOve
capture
of
pain
measures
for
an
NIH
vulvodynia
clinical
trial
we
created
an
online
Daily
Diary
through
the
UTHSC
Slim-Prim
Biomedical
InformaOcs
data
collecOon
system.
The
Daily
Diary
allows
subjects
to
electronically
report
their
24
hour
pain
intensity
and
describe
provoked
pain
related
to
sexual
intercourse
and
to
tampon
inserOon.
The
Daily
Diary,
is
designed
for
simplicity,
and
uses
standardized
quesOons
for
vulvar
pain
(Foster,
2012).
Incoming
data
are
monitored
by
the
biomedical
informaOcs
and
research
teams.
Automated
e-mails
are
sent
to
inform
nurse
coordinators
if
a
subject
misses
3
days
of
diary
entry.
Reports
are
regularly
created
for
nurse
coordinators
to
review
and
to
communicate
with
subjects
and
the
clinical
team.
We
believe
this
data
capture
system
is
applicable
in
the
clinical
study
of
most
pain
condiOons.
Generate
subject
From
the
Diary
Menu
invesOgators
and
sta
are
presented
with
a
range
of
opOons:
1.
Register
a
new
subject
subjects
get
a
unique
PIN
to
act
as
a
password
for
their
diary
2.
View
exisOng
subjects
if
subjects
forget
their
pin,
its
easily
accessible
to
sta
3.
Enter
subject
diary
and
enter
data
some
subjects
use
paper
diaries
4.
View
diary
audit
logs
tables
and
graphical
tools
track
subject
compliance
Supported by funding from NICHD/ORWH to Drs. Brown, Bachmann & Foster (R01 HD065740-01A1). The BMI gratefully acknowledges the administraOve and technical assistance of Rae Schell & Emanuel Villa.