Hurtubise Karen, Brousselle Astrid, Camden Chantal
Faculté de Médecine et Sciences de la Santé Université de Sherbrooke Sherbrooke QC Canada.
School of Public Administration University of Victoria Victoria BC Canada.
Paediatr Neonatal Pain. 2020 Apr 23;2(4):113-130. doi: 10.1002/pne2.12018. eCollection 2020 Dec.
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.
强化跨学科疼痛治疗（IIPT）涉及多个利益相关者。将项目组成部分与其预期结果（即其理论）进行映射可能很困难，并且需要利益相关者的参与。然而，关于如何最好地让他们参与，目前还缺乏证据。逻辑分析是一种基于理论的评估方法，它使用科学证据和经验知识来检验项目理论的连贯性，可能会有一定的前景。它在儿科疼痛干预中的应用很少，而且几乎没有可用的方法学细节。本文描述了一种协作逻辑分析方法，用于检验为患有疼痛相关残疾的青少年设计的IIPT的理论合理性。采用了一个三步直接逻辑分析过程。一个由临床医生、教师、管理人员、患有疼痛相关残疾的青少年及其父母组成的13人专家小组参与了每一步。首先，通过文献分析、专家小组调查和焦点小组讨论构建了一个逻辑模型。然后，一项侧重于儿科自我管理、建立自我效能感和促进参与的范围审查有助于创建一个概念框架。随后，专家小组对照概念框架对逻辑模型进行了审查，并提出了建议。总体而言，协作逻辑分析过程有助于提高临床医生对项目因果机制假设的认识，确定青少年及其父母最重视的项目组成部分，识别得到科学和经验知识支持的项目特征，发现差距，并突出新出现的趋势。除了提供一种以消费者为中心的项目评估选项外，协作逻辑分析方法有望作为一种让利益相关者参与并将儿科疼痛康复评估研究知识转化给关键利益相关者的策略。
