Problem Solving Skills Training For Parent Caregivers of Youth With Chronic Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 122
- 试验地点
- 4
- 主要终点
- Change in problem solving skills from baseline to immediately post-treatment and 3-month follow-up
研究概览
简要总结
The purpose of this study is to evaluate the feasibility and efficacy of problem-solving skills training (PSST) to reduce distress and increase coping abilities among parents of youth with chronic pain. We hypothesize that parents will complete the PSST intervention and will find it to be an acceptable and satisfactory treatment. We also hypothesize that parents who receive PSST will have less distress and better coping skills than parents who receive standard care, and that children of parents who receive PSST will have better physical and emotional functioning than children of parents who receive standard care.
详细描述
Chronic pain affects 25-40% of children and adolescents, and results in significantly lower quality of life for these youth. Parents play an important role in how their children cope with chronic pain, and can also experience their own distress related to their child's illness. Parental psychological distress is widely recognized to be associated with poorer child adjustment. However, no interventions have been developed specifically to treat psychological distress in parents of children with chronic pain. Problem-solving skills training (PSST) has been shown to result in significant reductions in parental distress among caregivers of children with other types of chronic illness such as cancer. The purpose of this study is to test the feasibility and preliminary efficacy of PSST for parents of youth with chronic pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Child age 10-17 years
- •Child's pain present for at least 3 months duration
- •Pain occurs at least 1 time per week and interferes with daily functioning
- •Pain is not related to a chronic disease
- •Receiving evaluation or treatment in a pediatric pain clinic
- •Literate in English
排除标准
- •A serious comorbid chronic condition in the child (e.g., diabetes, arthritis, cancer)
- •Non-English speaking
- •Parent has lived with the child for less than one year
- •Parent has active psychosis or suicidal ideation
结局指标
主要结局
Change in problem solving skills from baseline to immediately post-treatment and 3-month follow-up
时间窗: baseline, immediately post-treatment, 3-month follow-up
Parent report of problem solving skills will be assessed using the Social Problem Solving Skills Inventory-Revised, which includes 52 items consisting of 5 scales that measure 2 different problem orientation dimensions (Positive and Negative) and three different problem-solving proper dimensions (Irrational Problem-Solving, Impulsivity/Carelessness Style, and Avoidance style).
Change in anxiety and depressive symptoms from baseline to immediately post-treatment and 3-month follow-up
时间窗: baseline, immediately post-treatment, 3-month follow-up
Parents will complete the Profile of Mood States (POMS) to assess parent anxiety and depressive symptoms. The POMS is a 30-item measure that asks about feelings over the previous week. Six affective states are assessed: tension-anxiety, depression-dejection, anger-hostility, vigor-activity, fatigue-inertia, and confusion-bewilderment. These subscales are combined to form a total POMS score.
Change in depressive symptoms from baseline to immediately post-treatment and 3-month follow-up
时间窗: baseline, immediately post-treatment, 3-month follow-up
Parents will complete the Beck Depression Inventory-II (BDI-II) to assess parental depressive symptoms. The BDI-II is a 21-item measure that assesses the cognitive, affective, and behavioral components of depressive symptoms in adults.
Change in parenting stress from baseline to immediately post-treatment and 3-month follow-up
时间窗: baseline, post-treatment, 3-month follow-up
Parents will complete the Parenting Stress Index-Short Form(PSI-SF) to assess parenting stress. The PSI-SF is a 36-item questionnaire that assesses parental distress, parent-child dysfunctional interactions, and difficulty parenting.
Change in child physical and emotional functioning from baseline to immediately post-treatment and 3-month follow-up
时间窗: baseline, post-treatment, 3-month follow-up
Children will complete the Bath Adolescent Pain Questionnaire (BAPQ), a 61-item measure that measures the impact of pain on child physical and emotional functioning. The BAPQ was developed specifically for children with chronic pain. Subscales measuring children's depression and physical functioning will be used in analyses.
次要结局
- Change in parental impact of chronic pain from baseline to immediately post-treatment and 3-month follow-up(baseline, immediately post-treatment, and 3-month follow-up)
- Treatment satisfaction(immediately post-treatment and 3-month follow-up)
- Treatment expectancies(baseline)
- Brief symptom inventory(baseline)
研究者
Tonya Palermo
Professor
Seattle Children's Hospital