Abstract
Background
Chronic pain among adolescents is common but effective interventions applicable in a school setting are rare. Person‐centred care (PCC) is a key factor in improving health by engaging people as partners in their own care.
Methods
In this randomized controlled trial, a total of 98 adolescents in secondary school or upper secondary school (aged 14−21 years) with chronic pain were randomly assigned to a PCC intervention or standard school health care. In the intervention group a pain management program, based on a PCC approach, comprising four face‐to‐face sessions with a school nurse over a period of five weeks was added to standard school health care. The main outcome measure was self‐efficacy in daily activities (SEDA scale) and rating scales for pain intensity and pain impact were used as secondary outcome measures.
Results
At the follow‐up, no significant differences were found between the groups in the SEDA scale (p=0.608) or in the rating scales for pain intensity (p=0.261) and pain impact (0.836). In the sub‐group analysis, a significant improvement in the SEDA scale was detected at the secondary school in favour of the PCC intervention group (p=0.021).
Conclusion
In this pain management program based on a PCC approach, we found no effect in the total sample, but the program showed promising results to improve self‐efficacy in daily activities among adolescents at secondary school.
from Wiley: European Journal of Pain: Table of Contents https://ift.tt/2z9ax7D
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