The design process and development of MySleepSolutions - A sleep module for a lifestyle self-management app for low back pain.

Background: Mobile health applications for the management of chronic conditions may be an effective method of supporting self-management. Objective: This report aims to describe the design process of a novel mHealth sleep retraining program for people with low back pain (LBP). Methods: This report includes a detailed description of the design and implementation process which utilized a four-stage framework: (i) concept development, (ii) therapeutic/design approaches, and app features/functionality), (iii) implementation metrics, and (iv) clinical outcomes in end-users. Results: The content of MySleepSolutions which is user-centered, personalized and evidence-based, is grounded in Cognitive Behavior Therapy for Insomnia (CBT-I) techniques and follows best practice guidelines. Conclusions: This detailed description of the design and development of MySleepSolutions ensures the program is comprehensive and has a sound theoretical basis while providing transparency and supporting future research into the development of mHealth retraining programs for sleep disturbance associated with LBP.