F Barth1, J Wager2, B Hübner-Möhler1, B Zernikow1. 1. Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. 2. Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. j.wager@deutsches-kinderschmerzzentrum.de.
Abstract
BACKGROUND: Supplementary pain-related recommendations for the treatment of chronic pain in children and adolescents are an essential component of multimodal pain treatment. Studies are scarce regarding adherence to these recommendations and their effectiveness. OBJECTIVE: The aim of this study was to evaluate patient adherence to pain-related recommendations and their effectiveness 12 months after initial presentation of children and adolescents with chronic pain to a pediatric outpatient pain clinic. MATERIALS AND METHODS: A total of 413 patients were assessed using a structured telephone interview. The assessment included pain characteristics during the last 4 weeks as well as information regarding the implementation of the pain-related recommendations and the effectiveness. Due to different recommendations given to migraine patients this subgroup was dealt with separately. RESULTS: Patients reported significant improvements 12 months after the initial presentation and 29.5 % of the patients were pain free. Adherence levels and estimated effectiveness regarding recommendations, such as change of lifestyle, multimodal inpatient treatment and use of medication were high. Other recommendations, such as active relaxation and outpatient psychotherapy had low adherence levels and low estimated effectiveness. Migraine patients had a significantly higher adherence rate and estimated effectiveness regarding the recommendation use of medication than non-migraine patients. CONCLUSION: The adherence level as well as the estimated effectiveness regarding the majority of pain-related recommendations was high. Some recommendations had low adherence rates and low estimated effectiveness. These results can help to further improve the performance of outpatient clinics for children and adolescents with chronic pain.
BACKGROUND: Supplementary pain-related recommendations for the treatment of chronic pain in children and adolescents are an essential component of multimodal pain treatment. Studies are scarce regarding adherence to these recommendations and their effectiveness. OBJECTIVE: The aim of this study was to evaluate patient adherence to pain-related recommendations and their effectiveness 12 months after initial presentation of children and adolescents with chronic pain to a pediatric outpatientpain clinic. MATERIALS AND METHODS: A total of 413 patients were assessed using a structured telephone interview. The assessment included pain characteristics during the last 4 weeks as well as information regarding the implementation of the pain-related recommendations and the effectiveness. Due to different recommendations given to migrainepatients this subgroup was dealt with separately. RESULTS:Patients reported significant improvements 12 months after the initial presentation and 29.5 % of the patients were pain free. Adherence levels and estimated effectiveness regarding recommendations, such as change of lifestyle, multimodal inpatient treatment and use of medication were high. Other recommendations, such as active relaxation and outpatient psychotherapy had low adherence levels and low estimated effectiveness. Migrainepatients had a significantly higher adherence rate and estimated effectiveness regarding the recommendation use of medication than non-migrainepatients. CONCLUSION: The adherence level as well as the estimated effectiveness regarding the majority of pain-related recommendations was high. Some recommendations had low adherence rates and low estimated effectiveness. These results can help to further improve the performance of outpatient clinics for children and adolescents with chronic pain.
Authors: Christopher Eccleston; Tonya M Palermo; Amanda C de C Williams; Amy Lewandowski Holley; Stephen Morley; Emma Fisher; Emily Law Journal: Cochrane Database Syst Rev Date: 2014-05-05
Authors: Meltem Dogan; Gerrit Hirschfeld; Markus Blankenburg; Michael Frühwald; Rosemarie Ahnert; Sarah Braun; Ursula Marschall; Ingo Pfenning; Boris Zernikow; Julia Wager Journal: JAMA Netw Open Date: 2021-09-01
Authors: Meltem Dogan; Almut Hartenstein-Pinter; Susanne Lopez Lumbi; Markus Blankenburg; Michael C Frühwald; Rosemarie Ahnert; Sarah Braun; Ursula Marschall; Boris Zernikow; Julia Wager Journal: Children (Basel) Date: 2022-03-13