Chronic pain affects one in four children and adolescents,20,25 and is associated with disruption of physical activity, reduced school attendance, high health care utilization and costs, poor quality of life in youth, as well as emotional distress in youth and their parents.17,32,49 Risk for ongoing pain, disability, and psychiatric disorders can extend into adulthood, making prevention and treatment of disabling pain in childhood a major public health priority.32,51 Considerable progress has been made toward developing effective psychological interventions for chronic pediatric pain, with almost 60 randomized controlled trials (RCTs) completed using treatments delivered face-to-face or remotely (see Eccleston et al.
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