Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA.
Akron Children's Hospital, Akron, Ohio, USA.
J Pediatr Psychol. 2023 Sep 20;48(9):743-746. doi: 10.1093/jpepsy/jsad054.
Although chronic pain is one of the most common health issues affecting children, disparities in access to behavioral healthcare limit its proper identification and management. There is a critical need to move beyond traditional care delivery approaches for chronic pain to reach those in communities that have limited access to care. We argue one means of doing so is to leverage our skills and expertise as psychologists to partner with and train professionals who have established relationships with youth in these communities. Drawing from a community-engaged dissemination and implementation science framework and our research implementing pain management strategies in rural and underserved communities, we review actionable strategies for disrupting traditional psychological methods to expand access to care for children with chronic pain.
虽然慢性疼痛是影响儿童的最常见健康问题之一,但在获得行为保健方面的差异限制了对其的正确识别和管理。我们迫切需要超越传统的慢性疼痛护理方法,为那些难以获得护理的社区提供服务。我们认为,一种方法是利用我们作为心理学家的技能和专业知识,与那些与这些社区中的年轻人建立了关系的专业人员合作并对其进行培训。我们借鉴了社区参与式传播和实施科学框架以及我们在农村和服务不足社区实施疼痛管理策略的研究,回顾了打破传统心理方法以扩大对慢性疼痛儿童的护理的可行策略。