Meaningful Clinical Outcomes for Young People and Parents When Treated for Chronic Musculoskeletal Pain in the UK: Q Set Development.

Autor:	Joslin R; School of Health Sciences, University of Southampton, Southampton, Hampshire, UK; Women's and Children's Department, University Hospitals Sussex, St. Richards Hospital, Chichester, West Sussex, UK., Donovan-Hall M; School of Health Sciences, University of Southampton, Southampton, Hampshire, UK., Roberts L; School of Health Sciences, University of Southampton, Southampton, Hampshire, UK; Therapy Services Department, University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, UK.
Jazyk:	angličtina
Zdroj:	The journal of pain [J Pain] 2024 Jul; Vol. 25 (7), pp. 104482. Date of Electronic Publication: 2024 Jan 26.
DOI:	10.1016/j.jpain.2024.01.347
Abstrakt:	Previous studies have established a core outcome set for pediatric chronic pain clinical trials. The aim of this research was to establish which outcomes young people and parents considered important to measure during treatment for chronic musculoskeletal pain. To the best of our knowledge, this is the first study to explore which outcomes could be used to tailor interventions within a clinical setting. Twenty-one young people (aged 11-18 years) and 21 parents were recruited from 2 UK hospital sites and took part in semi-structured interviews that incorporated drawing a timeline of their treatment. They identified positive and negative outcomes showing the perceived effectiveness of treatment. Informed by Q methodology, the words and phases of young people and parents were developed into 101 statements that were mapped onto the core outcome set and represented wide-ranging opinions regarding the outcomes they considered important (Q set). This approach helped identify additional statements related to "parent and family functioning" not routinely considered. Outcomes related to the treatment experience and adverse effects were highlighted as important, yet are not routinely prioritized in clinical research. Parents prioritized outcomes related to the treatment experience, whereas young people prioritized their overall well-being. Over the course of treatment, outcome focus changed, with some outcomes only deemed relevant at a specific time point. Overall, the research highlighted the need for clinical guidance on which outcome domains to measure during the treatment course to gauge treatment effectiveness and optimally tailor interventions. PERSPECTIVE: This study established the range of outcomes that were important to young people and their parents during treatment for chronic musculoskeletal pain. The findings show how young people and parents have different outcome preferences and how their outcome focus changes during the treatment course. (Copyright © 2024 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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