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April 2026

How Narrative Perspective Shapes Connection in Chronic Pain Stories

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Pain Studies Lab members are studying how the form of a chronic pain story shapes the way readers respond to it. The study, “Do ‘You’ Feel More Connected When Directly Addressed? Investigating Second-Person Self-Address in Chronic Pain Narratives,” asks whether a story feels different when it is written like a letter. This work builds on InterLeaf, a reflective mobile app concept designed to support people living with chronic pain through letter writing, reflection, and peer connection.

Many digital health tools focus on tracking symptoms, routines, or treatment goals. This study looks at a different part of chronic pain support: how people share their experiences, and how others respond when they read them. Chronic pain is often hard to explain, and many people living with it describe feeling unseen or misunderstood.

In the study, readers see short fictional chronic pain stories in two formats. One version is written as a self-addressed letter, where the writer speaks to themselves or their body using “you.” The other version is written as a first-person post, where the writer describes the same experience using “I.” After reading each story, participants answer questions about how they experienced it. The study looks at whether the story made them feel empathy for the writer, whether the writer seemed relatable, and whether they felt a sense of connection with the person behind the story.

The goal is to better understand how small design choices, such as writing prompts or narrative format, can shape connection in digital health and peer-support systems. For projects like InterLeaf, this matters because the aim is not only to help people write about pain, but also to create conditions where those stories can be received with care.

A presentation video for the study is available here:
Watch the presentation video

You can participate in the study here:
View the study page

InterLeaf Poster Accepted to CHI26

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Pain Studies Lab’s InterLeaf: A Letter-Based Mobile Platform for Reflection, Connection, and Chronic Pain Support has been accepted to the poster track at CHI EA ’26: Extended Abstracts of the 2026 CHI Conference on Human Factors in Computing Systems.

InterLeaf is a mobile platform designed to support people living with chronic pain through reflective letter writing, comfort-item sharing, and intentional peer connection. The extended abstract responds to a gap in many digital health tools, which often focus on symptom tracking and behaviour monitoring while offering limited space for reflection, emotional expression, or meaningful connection.

The platform includes three main features: private or anonymously shared letters, a communal Grove of Solace for sharing meaningful comfort objects, and asynchronous chats that begin when users feel a strong connection with another person’s story.

The extended abstract also presents an AI tagging pipeline that identifies themes in user narratives, including symptoms, emotions, triggers, coping strategies, and body areas. In an offline evaluation using 250 synthetic letters, the system showed promise for cautious safety screening and interpretable tagging, while highlighting the need for confidence-aware design and user-editable tags.

Read more here.

Video: Watch the InterLeaf video

Paper: InterLeaf: A Letter-Based Mobile Platform for Reflection, Connection, and Chronic Pain Support
Conference: CHI EA ’26: Extended Abstracts of the 2026 CHI Conference on Human Factors in Computing Systems
DOI: 10.1145/3772363.3798739
Authors: Sara Khalilipicha, Armin Froozanfar, Diane Gromala, Chris Shaw, Philippe Pasquier, Patricia Derbyshire