The comfort ability program for adolescents with sickle cell pain: Evaluating feasibility and acceptability of an inpatient group-based clinical implementation.
The comfort ability program for adolescents with sickle cell pain: Evaluating feasibility and acceptability of an inpatient group-based clinical implementation.
复制标题
青少年镰状细胞性疼痛患者的舒适能力计划：基于住院患者组的临床实施的可行性和可接受性评估。
DOI：
10.1002/pbc.29013
复制
发表时间：
2021-06
影响因子：
3.2
通讯作者：
Coakley R
中科院分区：
文献类型：
--
作者：
Sil S;Lee JL;Klosky J;Vaz A;Mee L;Cochran S;Thompson B;Coakley R
建议整合非药物治疗，如认知和行为疼痛管理策略，以支持镰状细胞病（SCD）儿童和青少年的综合疾病和疼痛管理。镰状细胞疼痛的舒适能力计划（SCP CAP）向患有SCD的儿童和青少年介绍了心理和生物行为疼痛管理策略。本研究旨在对因SCD疼痛住院的儿童和青少年实施CAP，以探讨其在提高疼痛知识和应对效能方面的可行性、可接受性和初步有效性。适应CAP为SCP到三个会议组格式的指导下，由四个阶段的动态适应过程模型：探索，准备，实施，和Sustainment.Youth SCD（n=57）住院治疗的疼痛参加了至少一个会议，并完成自我报告的知识疼痛管理技能，疼痛应对的功效，和治疗的接受。会议的完成率和定性反馈收集，以评估可行性和可接受性。进行住院病人小组会议的可行性是次优的，但是，患者和医疗提供者报告中度到高度的治疗接受。患者还报告了第1次会议后疼痛管理技能知识的显着改善。CAP for SCP是一种以患者为中心的一线心理教育干预措施，可以整合到临床实践中，向青少年介绍认知和行为疼痛管理策略，以支持SCD疼痛管理。
Integration of nonpharmacological therapies, such as cognitive and behavioral pain management strategies, is recommended to support comprehensive disease and pain management among children and adolescents with sickle cell disease (SCD). The Comfort Ability Program for Sickle Cell Pain (CAP for SCP) introduces psychological and biobehavioral pain management strategies to children and adolescents with SCD. This study aimed to pilot the implementation of the CAP for SCP in a group setting to children and adolescents hospitalized for SCD pain examining feasibility, acceptability, and preliminary effectiveness on improving pain knowledge and coping efficacy. Adaptation of CAP for SCP into a three-session group format was guided by four phases of the Dynamic Adaptation Process model: Exploration, Preparation, Implementation, and Sustainment.Youth with SCD (n=57) hospitalized for pain participated in at least one session and completed self-report of knowledge of pain management skills, pain coping efficacy, and treatment acceptance. Completion rates of sessions and qualitative feedback were gathered to evaluate feasibility and acceptability. Feasibility of conducting inpatient group sessions was suboptimal; however, patients and medical providers reported moderate to high levels of treatment acceptance. Patients also reported significant improvements in knowledge of pain management skills following session 1. CAP for SCP is a patient-centered first-line psychoeducational intervention that can be integrated into clinical practice settings to introduce youth to cognitive and behavioral pain management strategies to support SCD pain management.
登录
查看更多内容
影响因子：
7.4
作者：
Broderick, Joan E.;Keefe, Francis J.;Gould, Elaine
通讯作者：
Gould, Elaine
影响因子：
6.9
作者：
Nock, MK;Ferriter, C
通讯作者：
Ferriter, C
影响因子：
7.9
作者：
Thomas, VJ;Dixon, AL;Milligan, P
通讯作者：
Milligan, P
影响因子：
2.9
作者：
Martin, Sarah R.;Cohen, Lindsey L.;Dampier, Carlton
通讯作者：
Dampier, Carlton
影响因子：
3.9
作者：
Rimal, RN
通讯作者：
Rimal, RN