Department of Medical Psychology and Psychotherapy, Erasmus MC University Medical Hospital, PO Box 2040, Rotterdam, CA 3000, the Netherlands.
BMC Pediatr. 2012 Jun 11;12:66. doi: 10.1186/1471-2431-12-66.
Chronic pain is prevalent among young people and negatively influences their quality of life. Furthermore, chronic pain in adolescence may persist into adulthood. Therefore, it is important early on to promote the self-management skills of adolescents with chronic pain by improving signaling, referral, and treatment of these youngsters. In this study protocol we describe the designs of two complementary studies: a signaling study and an intervention study.
The signaling study evaluates the Pain Barometer, a self-assessed signaling instrument for chronic pain in adolescents. To evaluate the feasibility of the Pain Barometer, the experiences of youth-health care nurses will be evaluated in semi-structured interviews. Also, we will explore the frequencies of referral per health-care provider. The intervention study evaluates Move It Now, a guided self-help intervention via the Internet for teenagers with chronic pain. This intervention uses cognitive behavioural techniques, including relaxation exercises and positive thinking. The objective of the intervention is to improve the ability of adolescents to cope with pain. The efficacy of Move It Now will be examined in a randomized controlled trial, in which 60 adolescents will be randomly assigned to an experimental condition or a waiting list control condition.
If the Pain Barometer is proven to be feasible and Move It Now appears to be efficacious, a health care pathway can be created to provide the best tailored treatment promptly to adolescents with chronic pain. Move It Now can be easily implemented throughout the Netherlands, as the intervention is Internet based.
Dutch Trial Register NTR1926.
慢性疼痛在年轻人中很普遍，会对他们的生活质量产生负面影响。此外，青少年时期的慢性疼痛可能会持续到成年。因此，早期提高青少年慢性疼痛患者的自我管理技能很重要，方法是改善这些年轻人的信号传递、转介和治疗。在本研究方案中，我们描述了两项互补研究的设计：一项信号研究和一项干预研究。
信号研究评估了疼痛晴雨表，这是一种用于评估青少年慢性疼痛的自我评估信号工具。为了评估疼痛晴雨表的可行性，我们将通过半结构化访谈评估青年保健护士的经验。我们还将探索每个医疗保健提供者的转诊频率。干预研究评估了 Move It Now，这是一种针对慢性疼痛青少年的互联网指导自助干预。该干预使用认知行为技术，包括放松练习和积极思考。干预的目的是提高青少年应对疼痛的能力。Move It Now 的疗效将在一项随机对照试验中进行评估，其中 60 名青少年将被随机分配到实验组或等待名单对照组。
如果疼痛晴雨表被证明是可行的，并且 Move It Now 似乎有效，那么可以创建一个医疗保健途径，以便迅速为患有慢性疼痛的青少年提供最佳的定制治疗。Move It Now 可以很容易地在整个荷兰实施，因为该干预是基于互联网的。
荷兰试验注册处 NTR1926。
