强化跨学科疼痛治疗(IIPT)涉及多个利益相关者。将程序组件映射到其预期结果(即,其理论)可能很困难,需要利益相关者的参与。缺乏证据,然而,如何最好地吸引他们。逻辑分析,基于理论的评估,使用科学证据和经验知识测试程序理论的连贯性可能会带来一些希望。它在儿科疼痛干预中很少使用,几乎没有方法细节。本文介绍了一种协作逻辑分析方法,该方法用于测试为与疼痛相关的残疾青年设计的IIPT的理论合理性。使用3步直接逻辑分析过程。由13人组成的专家小组,由临床医生组成,教师,经理,患有疼痛相关残疾的年轻人,和他们的父母,参与每一步。首先,通过文档分析构建了逻辑模型,专家小组调查,和焦点小组讨论。然后,范围审查,专注于儿科自我管理,建立自我效能感,促进参与,帮助创建了一个概念框架。随后,专家小组根据概念框架对逻辑模型进行了检查,并提出了建议。总的来说,协作逻辑分析过程有助于提高临床医生对程序因果机制的假设的认识,确定了年轻人及其父母最重视的计划组成部分,认可由科学和经验知识支持的计划功能,检测到的间隙,并强调了新兴趋势。除了提供以消费者为中心的计划评估选项外,协作逻辑分析方法有望成为吸引利益相关者并将儿科疼痛康复评估研究知识转化为关键利益相关者的策略。
Intensive interdisciplinary pain treatment (IIPT) involves multiple stakeholders. Mapping the program components to its anticipated outcomes (ie, its theory) can be difficult and requires stakeholder engagement. Evidence is lacking, however, on how best to engage them. Logic analysis, a theory-based evaluation, that tests the coherence of a program theory using scientific evidence and experiential knowledge may hold some promise. Its use is rare in pediatric pain interventions, and few methodological details are available. This article provides a description of a collaborative logic analysis methodology used to test the theoretical plausibility of an IIPT designed for youth with pain-related disability. A 3-step direct logic analysis process was used. A 13-member expert panel, composed of clinicians, teachers, managers, youth with pain-related disability, and their parents, were engaged in each step. First, a logic model was constructed through document analysis, expert panel surveys, and focus-group discussions. Then, a scoping review, focused on pediatric self-management, building self-efficacy, and fostering participation, helped create a conceptual framework. An examination of the logic model against the conceptual framework by the expert panel followed, and recommendations were formulated. Overall, the collaborative logic analysis process helped raiseawareness of clinicians\' assumptions about the program causal mechanisms, identified program components most valued by youth and their parents, recognized the program features supported by scientific and experiential knowledge, detected gaps, and highlighted emerging trends. In addition to providing a consumer-focused program evaluation option, collaborative logic analysis methodology holds promise as a strategy to engage stakeholders and to translate pediatric pain rehabilitation evaluation research knowledge to key stakeholders.