关键词: motivational interviewing pain rehabilitation pediatric pain readiness for change

来  源:   DOI:10.1002/pne2.12063   PDF(Pubmed)

Abstract:
UNASSIGNED: Intensive interdisciplinary pain treatment (IIPT) is a promising approach for youth with complex, disabling, refractory pain conditions. However, youth and families who initiate IIPT without sufficient acceptance of its focus on functional rehabilitation or readiness to adopt a self-management approach to their pain may face challenges in IIPT and/or experience suboptimal outcomes. Motivational interviewing (MI) techniques have been shown to enhance readiness to make a number of health behavior changes for adults and youth, but it has not been systematically examined in the context of pediatric IIPT. The authors developed an MI telehealth intervention protocol explicitly designed to prepare youth and families for admission to IIPT.
UNASSIGNED: The protocol development process is detailed here, including influential models, expert consultation, and feedback from IIPT clinical experts. The intervention protocol was then piloted with a group of eligible families to elicit feedback and prompt further refining. Feasibility and acceptability were explored through measures of treatment engagement and satisfaction.
UNASSIGNED: The Promoting Readiness and Engagement in Pain Rehabilitation (PREPaRe) intervention protocol contains four modules aimed to enhance youth and parent readiness to adopt a self-management approach to persistent pain, through a motivational interviewing approach. Initial responses from the test group suggested high levels of treatment engagement and treatment satisfaction with PREPaRe.
UNASSIGNED: PREPaRe appears feasible to administer and acceptable to families of youth with persistent pain seeking IIPT. Implications for implementation are discussed. Further study via randomized control trial is warranted.
UNASSIGNED: ClinicalTrials.gov identifier: NCT04093921.
摘要:
UNASSIGNED:强化跨学科疼痛治疗(IIPT)是一种对复杂,禁用,难治性疼痛条件。然而,启动IIPT的青年和家庭在没有充分接受其对功能康复的关注或没有准备好对疼痛采取自我管理方法的情况下,可能会面临IIPT的挑战和/或经历次优结果。动机性访谈(MI)技术已被证明可以增强成年人和年轻人做出许多健康行为改变的准备,但尚未在儿科IIPT的背景下进行系统检查。作者开发了MI远程健康干预协议,明确旨在为青年和家庭进入IIPT做好准备。
UNASSIGNED:这里详细介绍了协议开发过程,包括有影响力的模特,专家咨询,以及IIPT临床专家的反馈。然后在一组符合条件的家庭中试行干预方案,以引起反馈并促进进一步完善。通过衡量治疗参与度和满意度,探讨了可行性和可接受性。
UNASSIGNED:促进疼痛康复准备和参与(PREPaRe)干预方案包含四个模块,旨在提高青少年和父母对持续性疼痛采取自我管理方法的准备,通过激励式面试方法。测试组的初步反应表明,PREPaRe的治疗参与度和治疗满意度很高。
UNASSIGNED:PREPaRe似乎适用于患有持续性疼痛寻求IIPT的青年家庭。讨论了实现的含义。需要通过随机对照试验进行进一步研究。
UNASSIGNED:ClinicalTrials.gov标识符:NCT04093921。
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