Junghans-Rutelonis Ashley N, Weiss Karen E, Tamula Mary Anne, Karvounides Dina, Harbeck-Weber Cindy, Martin Staci
Department of Pain, Palliative Care, and Integrative Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, USA.
Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine & Seattle Children's Hospital, Seattle, USA.
Prof Psychol Res Pr. 2017 Dec;48(6):445-452. doi: 10.1037/pro0000156.
Although many valid pain-related assessment instruments and interventions exist, little is known about which are actually utilized in practice and the factors that contribute to pediatric psychologist's decisions about their use. The aim of this survey study was to present a summary of current clinical practice among pediatric psychologists in the area of pediatric pain and to identify the needs and possible resources that would enable practitioners to better implement evidence-based assessments and interventions. To accomplish this aim, the Pain Special Interest Group of the Society of Pediatric Psychology (SPP) constructed an online survey that was sent electronically to current members of the SPP list serve. Results indicated the majority of participants are guided by a theoretical model and are using evidence-based assessments and interventions, although they are not always familiar with the literature supporting their use. Providers noted evidence-based pain intervention is facilitated by assessment tools, intervention resources, and appreciation of pain interventions by multidisciplinary team members. Barriers are both logistical (clinic space and time constraints) and knowledge-based (lack of familiarity with assessments/interventions). Thus, while pediatric psychologists are progressing towards better translation of research to practice, continued educational efforts and communication among practitioners about available resources are warranted.
尽管存在许多有效的疼痛相关评估工具和干预措施，但对于哪些工具和措施在实际中得到了应用，以及影响儿科心理学家使用这些工具和措施决策的因素，我们却知之甚少。这项调查研究的目的是总结儿科心理学家在儿科疼痛领域的当前临床实践情况，并确定能使从业者更好地实施循证评估和干预措施的需求及可能的资源。为实现这一目标，儿科心理学协会（SPP）的疼痛特别兴趣小组构建了一项在线调查，并以电子方式发送给SPP列表服务的现有成员。结果表明，大多数参与者遵循理论模型，并正在使用循证评估和干预措施，尽管他们并不总是熟悉支持其使用的文献。提供者指出，评估工具、干预资源以及多学科团队成员对疼痛干预措施的认可有助于实施循证疼痛干预。障碍既有后勤方面的（诊所空间和时间限制），也有基于知识的（对评估/干预措施缺乏了解）。因此，虽然儿科心理学家在将研究更好地转化为实践方面取得了进展，但仍需要持续开展教育工作，并让从业者就可用资源进行沟通。
