Journal article
Feasibility of a randomized controlled trial of paediatric interdisciplinary pain management using home-based telehealth
Journal of Pain Research, Vol.13, pp.897-908
2020
Abstract
Purpose: Chronic pain is common in adolescents. Evidence-based guidelines recommend interdisciplinary treatment, but access is limited by geography. The development of hybrid programs utilizing both face-to-face and videoconference treatment may help overcome this. We developed a 7-week hybrid pediatric interdisciplinary pain program (Hybrid-PIPP) and wished to compare it to individual face-to-face sessions (Standard Care). Our objective was to test the feasibility of a protocol that used a matched pair un-blinded randomized controlled design to investigate the efficacy and cost-effectiveness of the Hybrid-PIPP compared to Standard Care.
Patients and Methods: Parent–adolescent dyads were recruited from tertiary pediatric clinics and matched by disability before randomization to minimize allocation bias. The adolescents (aged 11– 17) had experienced primary pain for > 3 months. Hybrid-PIPP involved 11 hrs of group therapy and 4 individual videoconference sessions. Standard care was provided by the same clinical team, using the same treatment model and similar intensity as the Hybrid-PIPP. The intention was to recruit participants for 3 Hybrid-PIPP groups with a comparison stream. Recruitment was ceased after 2 groups due to the high participant disability requiring more intensive intervention.
Results: Eighteen dyads were screened and 13 randomized (7 Hybrid-PIPP, 6 Standard Care, 2 unsuitable, 3 unallocated when the study was stopped). The study met a priori feasibility criteria for staff availability; recruitment rate; treatment completion; and data collection. Global satisfaction ratings were similar in both streams (SC median 7, range 5– 9 and Hybrid-PIPP median 8.5, range 5– 10). Challenges were identified in both streams. A future modified Hybrid-PIPP was considered acceptable if the intensity is increased to manage the high level of disability. Standard care was considered inefficient. No adverse events were reported.
Conclusion: The study determined that the protocol met a priori feasibility criteria, but to be practicable in a real world, health environment requires significant modifications.
Details
- Title
- Feasibility of a randomized controlled trial of paediatric interdisciplinary pain management using home-based telehealth
- Authors/Creators
- A. Hilyard (Author/Creator) - Murdoch UniversityJ. Kingsley (Author/Creator) - Princess Margaret Hospital for ChildrenD. Sommerfield (Author/Creator) - Princess Margaret Hospital for ChildrenS. Taylor (Author/Creator) - Princess Margaret Hospital for ChildrenN. Bear (Author/Creator) - The Kids Research Institute AustraliaN. Gibson (Author/Creator) - Princess Margaret Hospital for Children
- Publication Details
- Journal of Pain Research, Vol.13, pp.897-908
- Publisher
- Dove Press
- Identifiers
- 991005545543707891
- Copyright
- © 2020 Hilyard et al.
- Murdoch Affiliation
- School of Allied Health
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.43 Anesthesiology
- 1.43.1186 Pediatric Pain Management
- Web Of Science research areas
- Clinical Neurology
- ESI research areas
- Neuroscience & Behavior