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瑞士中部青少年慢性疼痛的患病率:一项基于学校的横断面研究方案。

The prevalence of chronic pain in adolescents in Central Switzerland: A cross- sectional school-based study protocol.

机构信息

Department of Physiotherapy, HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.

UCD School of Public Health, Physiotherapy and Sport Science, University College Dublin, Dublin, Ireland.

出版信息

PLoS One. 2024 Feb 8;19(2):e0297088. doi: 10.1371/journal.pone.0297088. eCollection 2024.

DOI:10.1371/journal.pone.0297088
PMID:38330041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10852288/
Abstract

BACKGROUND

Chronic pain is associated with substantial personal suffering and societal costs and is a growing healthcare concern worldwide. While chronic pain has been extensively studied in adults, limited data exists on its prevalence and impact in adolescents. Understanding the prevalence and impact of chronic pain and pain beliefs in adolescents is crucial for developing effective prevention and treatment strategies. This study aims to estimate the prevalence, characteristics, and impact of chronic pain, and explore adolescents' knowledge and beliefs about pain.

METHODS

This is an observational cohort study of school-going adolescents aged 11 to 17 years in Central Switzerland. The study will estimate the point prevalence, characteristics (location, intensity, frequency, duration) and impact (PROMIS Pediatric Short Form v2.0 -Pain Interference Scale, PPIS) of chronic pain in school-going adolescents. We will also measure and investigate pupils' beliefs about pain (Concept of Pain Inventory (COPI)). Data will be collected through manual and digital self-report questionnaires and from participants in primary, secondary, and high schools between September 2023 and January 2024.

ANALYSES

The primary analyses will utilise descriptive statistics to estimate the point prevalence, characteristics, and impact of chronic pain. Secondary analyses will analyse associations and correlations between chronic pain, impact of pain and beliefs about pain.

OUTCOMES

This study will provide an estimate of the prevalence, characteristics and impact of chronic pain in adolescents in Central Switzerland and a measure of adolescents' understanding and beliefs about pain. In doing so, this study will provide insights into the scale of chronic pain as a public health concern. By understanding adolescents' pain beliefs and their influence on pain experience, this study can contribute to the development of educational approaches to enhance adolescents' knowledge and understanding of pain in order to optimise the prevention and treatment of chronic pain in adolescents. The findings may be useful to healthcare professionals and funders, policymakers, and researchers involved in the prevention, assessment, and treatment of pain in adolescents.

摘要

背景

慢性疼痛会给患者带来巨大的身心痛苦和社会经济负担,是全球范围内日益受到关注的医疗保健问题。虽然成年人的慢性疼痛已得到广泛研究,但青少年慢性疼痛的患病率和影响的数据有限。了解青少年慢性疼痛的患病率、影响及其疼痛信念对于制定有效的预防和治疗策略至关重要。本研究旨在评估青少年慢性疼痛的患病率、特征和影响,并探讨青少年对疼痛的认知和信念。

方法

这是一项在瑞士中部地区 11 至 17 岁在校青少年中进行的观察性队列研究。本研究将估计在校青少年慢性疼痛的时点患病率、特征(部位、强度、频率、持续时间)和影响(PROMIS 儿科短式量表第 2 版-疼痛干扰量表,PPIS)。我们还将测量和调查学生对疼痛的信念(疼痛概念量表(COPI))。数据将通过手动和数字自我报告问卷以及来自小学、中学和高中的学生在 2023 年 9 月至 2024 年 1 月期间收集。

分析

主要分析将利用描述性统计方法来估计慢性疼痛的时点患病率、特征和影响。次要分析将分析慢性疼痛、疼痛影响和疼痛信念之间的关联和相关性。

结果

本研究将提供瑞士中部地区青少年慢性疼痛的患病率、特征和影响的估计,并测量青少年对疼痛的理解和信念。通过了解青少年的疼痛信念及其对疼痛体验的影响,本研究可以为增强青少年对疼痛的认知和理解的教育方法的发展做出贡献,从而优化青少年慢性疼痛的预防和治疗。研究结果可能对参与青少年疼痛预防、评估和治疗的医疗保健专业人员、资助者、政策制定者和研究人员有用。

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