Background: The European pain research strategy highlights the importance of self management strategies in chronic pain care. However, there is limited research on the implementation and efficacy of self management approaches within Irish pain services. Aim: This research aimed to (i) examine the components of Self Determination Theory in individuals living with chronic pain in Ireland (ii) explore the lived experience of service users and providers focusing on autonomy support and self-management behaviours and (iii) co-design an eHealth self-management prototype and conduct usability testing of the prototype for adults with chronic pain to enhance self-management support in Irish pain services. Methods: Chronic pain was defined as pain lasting > 3 months. A cross-sectional study was completed on participants living with chronic pain in Ireland. Participants completed an anonymous survey constructed of outcome measures relating to autonomy support, motivation, competence, pain interference and psychological factors. Semistructured interviews utilising Interpretative Phenomenological Analysis provided an exploration of both service users and providers personal lived experience of Irish pain services. Insights from these studies, combined with public and patient involvement, informed a three-step co-development plan for the HELP (Healing and Empowering Lives with Pain) online prototype. Results: Perceived healthcare support varied according to the healthcare professional leading pain care. Higher levels of self-determination were associated with decreased depression and anxiety in individuals with chronic pain. Both service users and providers described regular experiences of invalidation and biomedical approaches to pain management. A lack of educational resources, waitlists and a lack of multidisciplinary services all impacted the development of self-management skills in service users. A working prototype of the HELP-Platform was co-designed, demonstrating excellent usability and readiness for piloting as a scalable, person centred eHealth support tool. Conclusion: Practical solutions are needed to strengthen self-management support where existing healthcare infrastructure is limited. Co-designed eHealth tools like the HELP-Platform, developed with PPI, represent scalable, context-sensitive resources that align with the needs of end-users.