Feasibility of a new paediatric pain rehabilitation programme
- Conditions
- Chronic pain in young people aged 11-18 years oldSigns and Symptoms
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 48
1. CYP aged 11-18 years with chronic pain (>3 months duration) following referral to, and multidisciplinary assessment at, the GOSH Chronic Pain Clinic. Eligibility will not be influenced by biological sex, gender, ethnicity, or socioeconomic grouping.
2. Willing and able to provide written informed Participant consent/assent and Parental consent
3. Fulfil at least 3 of the 4 criteria:
3.1. Significant pain-related disability (PedsQL quality of life total score <70)
3.2. High levels of pain catastrophising (Pain Catastrophizing Scale score > 20)
3.3. School attendance <90%
3.4. Psychological (Pediatric Index of Emotional Distress score >20) and/or physical (specialist physiotherapy assessment of reduction in mobility and muscle strength) comorbidity
1. Unwilling/unable to provide written informed Participant consent/assent and/or Parental consent
2. Non-engagement and/or not willing to accept biopsychosocial formulation and management plan
3. Major psychological or psychiatric illness (personality disorder, severe depression, eating disorder) that requires specific therapy
4. Other acute intercurrent illness/infection that precludes involvement in group activities or ability to attend full-time Participant Timetable
5. Parent/carer unable to attend for joint and parallel Parent Timetable
6. Severe limitation of mobility due to an intercurrent medical condition that precludes involvement in group activities (based on the clinical history and medical and physiotherapy assessment)
7. Any primary psychological disorder likely to interfere with engagement with the intervention including, but not limited to: externalising conduct disorder, chronic fatigue syndrome, functional neurological disorder, and eating disorders (based on clinical psychology assessment at Chronic Pain Clinic and by PPRP clinical staff).
8. Significant limitations in understanding written and verbal English that would preclude the participant's engagement in group activities and verbal discussions. As patients referred to GOSH Pain Clinic are usually attending UK schools, this exclusion would be rare. Parental language barriers are relative exclusion criteria. In line with current clinical practice, information for parents and consent can be obtained with interpreters, and some educational material can be translated from English. The extent to which parental understanding of verbal English would limit engagement in parent sessions and skills training would be assessed on an individual basis.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Recruitment rate: number of CYPs referred to GOSH Pain Service who fulfil eligibility criteria consenting to enter the study measured using the screening and recruitment logs at Day 1 PPRP<br>2. Treatment completion rate, defined as the proportion of enrolled participants completing the 3-week PPRP, measured using the study Attendance Log on Day 19 PPRP (immediate post-intervention)<br>3. Follow-up rate, defined as the proportion of enrolled participants who attend” the online 3 months and 6 months post-PPRP assessments, measured using the study Attendance Log at 3 and 6 months post-PPRP<br><br>
- Secondary Outcome Measures
Name Time Method