The study had 2 aims---to determine the efficacy of a family-based cognitive-behavioral pain management intervention for adolescents with sickle cell disease (SCD) in (1) reducing and improving health-related variables (2) psychosocial outcomes. Each adolescent family support person were randomly assigned to receive brief (PAIN) (n=27) or education attention control (DISEASE ED) (n=26) delivered at home. Assessment primary (health service use, coping, pain-related hindrance goals) secondary...

Typically, pain is measured by intensity and sensory characteristics. Although one of the most common dimensions assessment, it has been suggested that measuring in isolation only capturing part experience may not lead to an accurate measurement how impacts a child's daily functioning. The current study aimed develop measure would capture along with frequency duration clinical sample youth diagnosed chronic pain. pain-frequency-severity-duration (PFSD) scale was developed data were collected...

Pediatric summer camps are emerging as a means to increase social support and improve children's attitudes about their chronic illness. Because of the high rate camp attendance, it may be feasible implement interventions within that setting; however, has yet determined what components beneficial.The objective this pilot study was determine efficacy problem-solving intervention targeting disease management in improving psychosocial functioning children with persistent asthma, over above...

Objective. Research on how adolescents with type 2 diabetes mellitus (T2DM) understand and use social support is limited. Therefore, we explored T2DM experience perceive support. Methods. Adolescents were interviewed, data qualitatively analyzed using Consensual Qualitative methodology. Results. Four themes emerged: for nondiabetes diabetes-specific behaviors, feelings of belonging, disclosure. All participants expressed emotional self-care-specific For some, disclosure a sense belonging...

Purpose The purpose of this study was to explore the perspectives adolescents diagnosed with type 2 diabetes mellitus (T2DM) in terms how youths conceptualized effect T2DM on daily life, adjustment illness, and motivation related self-care management. aims were gather essential information order develop appropriate intervention techniques inform future studies intended understand psychosocial experiences T2DM. Methods Eight recruited from an outpatient pediatric clinic at a Midwestern...

Background Infants and young children are often unable to verbalize pain or advocate for themselves which may increase their risk poor assessment management. Although patient-controlled analgesia (PCA) has been shown be safe, effective, superior intermittent opioid dosing, infants not able operate PCA independently. Allowing a parent nurse the child [parent/nurse-controlled (PNCA)] an option these children. However, use of PNCA heavily scrutinized more evidence safety is needed support this...

Objective: Little is known about the benefits of yoga for pediatric obesity, and no studies have examined physical activity in either adults or children. The purpose this pilot study was to examine whether Hatha would improve overall, psychosocial functioning youth with severe obesity. We also sought determine participants increase vigor of, time spent in, activity. Methods: This utilized a pre-test/post-test design. Sixteen obesity completed an 8 week intervention involving fifteen,...

The purpose of this study is to examine prevalence rates pain reports in youth with type 1 diabetes mellitus (T1DM) and potential predictors pain. Pain a common debilitating symptom diabetic polyneuropathies. There currently little research regarding T1DM. It was predicted that self-care general health factors would predict as suggested by the literature. Participants (N = 269) ranged age from 13 17 years; had mean time since diagnosis 5.8 years. Data collected included self-management...

Recurrent pain is a common experience in childhood and adolescence can result significant disability youth, including poor quality of life, school absences, reduced social activities. Evidence has linked adolescent risk resilience factors with treatment outcomes. However, less research focused on examining that may influence or predict adolescents' compliance to within an interdisciplinary pediatric chronic management program. Participants included 64 adolescents (M = 15.00 ± 1.69 years);...

Youth with chronic pain and youth who have experienced stressors are at risk for poor outcomes; however, little is known about the intersection of stressors. This study aims to understand prevalence among relationship between pain-related outcomes. Seven hundred seventy aged 8–18 (Mage = 14.15 years, 70% female) reported characteristics, stressors, anxiety, disability, quality life. Most participants (82%) endorsed least one stressor. A greater number was significantly related anxiety lower...

Purpose: We examine referral sources and clinical characteristics for youth presenting to an outpatient interdisciplinary pediatric chronic pain program. Patients Methods: Referral data were extracted from the electronic health record. PROMIS Pediatric Anxiety Pain Interference Scales administered at initial evaluation visit. Results: The program received 1488 referrals between 2016 2019, representing 1338 patients, with increasing volume of over time. Referrals primarily orthopedics...

Background: There are many nonpharmacological pain management services available to hospitalized youth; however, not all youth offered these services. Lack of knowledge about resources, difficulty with the referral process, and lack understanding when refer patients among main reasons for utilization. Quality improvement (QI) initiatives have grown within hospital settings can serve create change in fast-paced environments. Methods: The current QI project aimed pilot an educational program...

The post-acute sequelae of COVID-19 (PASC) is a complex condition. While there are emerging studies on its effects in adults, scarce research regarding the long-term infection among youth. Several researchers have likened long-haul to chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and postural orthostatic tachycardia syndrome (POTS). In prognosis for these diagnoses less promising than that youth; however, currently very little information available presentation youth with PASC....

Headaches are common among youth and associated with significant negative outcomes. Despite advances in interdisciplinary treatments for chronic pain, research suggests disparities access to these services.A total of 186 (M = 14.19 years old, 70.8% female) presenting a neurology appointment at children's hospital system were screened using the Pediatric Pain Screening Tool (PPST), brief, validated measure identify that may benefit from additional pain management services.Two-thirds...

Intensive interdisciplinary chronic pain treatment programs have demonstrated that acceptance predicts positive outcomes, but limited research has focused on less-intensive programs. This study aimed to examine associations between changes in and interference among youth participating an outpatient program.Youth presenting evaluation within pediatric program completed questionnaires at initial (T1) three months later (T2).Youth (N = 94, Mage 14.59 years, 74% female) the Chronic Pain...

ABSTRACT Background Research demonstrates that SARS-CoV-2 infection (COVID-19) among adults disproportionately impacts racial and ethnic minorities those living in lower-income communities. Similar research children is limited due, part, to the relatively low COVID-19 incidence compared adults. This analysis, conducted as part of RECOVER Initiative, explores this question. Methods Electronic health record (EHR) data from PEDSnet, a multi-institutional network pediatric healthcare...

Purpose Although exercise is a primary tool for weight reduction, recent findings of aberrant biomechanics in obese youth have raised concern over traditional prescriptions. Given that injury and disability often act as barriers to physical activity (PA), particularly those with increased weight, safe appealing interventions are urgently needed. To end, this study examined the benefits yoga intervention adolescents.

Limited attention has been devoted in school psychology training programs to students with chronic health conditions. School psychologists are situated provide behavioral and mental services The focus of this report is on pediatric pain. Pediatric pain prevalent can be debilitating, putting at significant risk for adverse personal, social, academic outcomes. This primer designed educate about pain, within the context biopsychosocial model highlight necessary components a comprehensive...