Anna Könning1,2, Nicola Rosenthal3,4, Julia Wager3,4. 1. Vestische Kinder- und Jugendklinik Datteln, Deutsches Kinderschmerzzentrum, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. a.koenning@deutsches-kinderschmerzzentrum.de. 2. Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten/Herdecke, Witten/Herdecke, Deutschland. a.koenning@deutsches-kinderschmerzzentrum.de. 3. Vestische Kinder- und Jugendklinik Datteln, Deutsches Kinderschmerzzentrum, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. 4. Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten/Herdecke, Witten/Herdecke, Deutschland.
Abstract
BACKGROUND AND OBJECTIVES: Recurrent pain in childhood and adolescence is a common health problem. Pediatricians are usually the patients' first contact person. The current study investigated patients' and parents' expectations when consulting a pediatrician and their rating of the treatment. MATERIALS AND METHODS: In 36 pediatric practices, 224 patients with recurrent pain and 273 parents participated in this cross-sectional tablet survey. The collected data included the motivation for arranging a physician consultation, pain concept, treatment expectations, and assessment of treatment. Additionally, the patients' age was investigated as an influencing factor. RESULTS: The patients' and parents' predominant motivation for arranging a consultation was the clarification of the cause of pain. Older patients were additionally motivated by frequent but ineffective drug use. Predominantly in older patients, a biopsychosocial pain explanation was identified. Approximately half of all patients and parents indicated biological and psychological influencing factors. The most frequent expectation of the consultation was obtaining information on pain management. Overall, consultations were rated very positively, especially when patients and parents felt understood and taken seriously. CONCLUSIONS: Information about the cause of pain and pain management are essential for patients and parents. Besides good communication, sufficient time resources of the practitioner are required.
BACKGROUND AND OBJECTIVES: Recurrent pain in childhood and adolescence is a common health problem. Pediatricians are usually the patients' first contact person. The current study investigated patients' and parents' expectations when consulting a pediatrician and their rating of the treatment. MATERIALS AND METHODS: In 36 pediatric practices, 224 patients with recurrent pain and 273 parents participated in this cross-sectional tablet survey. The collected data included the motivation for arranging a physician consultation, pain concept, treatment expectations, and assessment of treatment. Additionally, the patients' age was investigated as an influencing factor. RESULTS: The patients' and parents' predominant motivation for arranging a consultation was the clarification of the cause of pain. Older patients were additionally motivated by frequent but ineffective drug use. Predominantly in older patients, a biopsychosocial pain explanation was identified. Approximately half of all patients and parents indicated biological and psychological influencing factors. The most frequent expectation of the consultation was obtaining information on pain management. Overall, consultations were rated very positively, especially when patients and parents felt understood and taken seriously. CONCLUSIONS: Information about the cause of pain and pain management are essential for patients and parents. Besides good communication, sufficient time resources of the practitioner are required.
Authors: Christopher Eccleston; Emma Fisher; Tess E Cooper; Marie-Claude Grégoire; Lauren C Heathcote; Elliot Krane; Susan M Lord; Navil F Sethna; Anna-Karenia Anderson; Brian Anderson; Jacqueline Clinch; Andrew L Gray; Jeffrey I Gold; Richard F Howard; Gustaf Ljungman; R Andrew Moore; Neil Schechter; Philip J Wiffen; Nick M R Wilkinson; David G Williams; Chantal Wood; Miranda A L van Tilburg; Boris Zernikow Journal: Pain Date: 2019-08 Impact factor: 6.961
Authors: Joseph M Dooley; Kevin E Gordon; Paula M Brna; Ellen P Wood; Ismail S Mohamed; Erin MacDonald; Caitlin Jackson-Tarlton Journal: J Child Neurol Date: 2013-12-16 Impact factor: 1.987