BACKGROUND: Psychosocial pain self-management interventions can be of support for people living with chronic pain. Since psychosocial support is not always accessible, digital health interventions may increase outreach of these types of evidence-based interventions. OBJECTIVES: To explore participants' experiences from 12-month access to the digital pain self-management program EPIO, particularly in terms of any behavioral and/or psychological changes experienced. METHODS: Participants ( RESULTS: Participants were predominantly women (72%), median age 46 (range 26-70), with a range of self-reported pain conditions and the majority reporting pain duration >
10 years (64%). Analyses identified three main themes and subsequent sub-themes: (1) CONCLUSIONS: People with chronic pain experienced positive behavioral and/or psychological changes in terms of cognition and coping after 12 months access to the EPIO digital pain self-management program. The most prominent changes included increased understanding of the connection between own thoughts, feelings, and behavior, gaining concrete strategies to cope with everyday life living with pain, and utilizing these strategies to reduce pain and interference of pain, as well as to improve emotion regulation and psychological wellbeing.