Effects of the Nottingham Augmented Reality (AR) App for Arthritis Hand Joint Pain

The aim of this run-in design, feasibility study is to assess outcomes (including opioid-use, pain intensity, emotional function, and general physical function) for an augmented reality illusion therapy in participants with chronic hand joint pain due to arthritis.

Inclusion Criteria:Male and female adults ages 21-80Clinical diagnosis of chronic hand pain from arthritis or as determined by study physician 3) Hand joint pain at a severity of 4 and above (on a 0 to 10 scale) daily4) Use of prescribed opioids 5) English-speaking, literate, with stable residence 5) Able to operate a smartphone as evidenced by direct observation.Exclusion Criteria:Major medical illness that might confound effects of pain on function (e.g., advanced cardiac or pulmonary disease)Current active alcohol or substance use disorder as evidenced from medical recordCurrently active unstable psychiatric status in previous three months as measured by direct observation, patient self-report, or medical recordModerate or severe cognitive impairment as demonstrated by medical diagnosis or clinical observationfMRI exclusion only: Any factors that would prevent participation in fMRI