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Purpose Mobile health solutions are finding their way into health systems. The Kaia app has been shown to be able to reduce back pain in two studies. Since pain often comes along with disturbed sleep and both symptoms are strongly related we investigated whether the Kaia app training is associated with improved sleep quality. Methods User data of individuals with back pain were collected in two app versions (cohort 1 N = 180; cohort 2 N = 159). We analyzed the ratings of sleep quality and pain intensity on a 11-point numeric ratings s