A two-week inpatient programme with a booster improved long-term management of severe chronic paediatric pain
| Autor: | János Major, Zsófia K Varga, Andrea Gyimesi-Szikszai, Szilvia Ádám |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Coping (psychology) Adolescent Pain medication Pediatrics Young Adult 03 medical and health sciences 0302 clinical medicine Recreational therapy Surveys and Questionnaires 030225 pediatrics Adaptation Psychological Long term management Health care medicine Humans Pain Management Longitudinal Studies Prospective Studies Child Inpatients Cognitive Behavioral Therapy business.industry Chronic pain Cognition medicine.disease Pediatrics Perinatology and Child Health Emergency medicine Physical therapy Female Chronic Pain business 030217 neurology & neurosurgery Resource utilization |
| Zdroj: | Journal of Child Health Care. 21:171-180 |
| ISSN: | 1741-2889 1367-4935 |
| DOI: | 10.1177/1367493517697479 |
| Popis: | In the context of limited healthcare resources and increasing demands for more cost-effective healthcare solutions, this study assessed the short- and long-term clinical outcomes and resource utilization of a two-week inpatient, interdisciplinary, pain treatment (IIPT) including individual and group cognitive behavioural, occupational, physical and recreational therapy, education and family intervention and a booster in the chronic paediatric pain setting. Using a longitudinal design with a two-year follow-up, two-week IIPT resulted in sustainable improvements in mean and maximum pain intensity, physical functioning and internalization and reductions in the mean number of medical visits, school absence and frequency of pain medication at year 2 following IIPT. While pain-related disability scores did not improve, problem-focused coping became more prevalent, and patient and parent-assessed satisfaction as well as pain experience continued to improve throughout the study. Our results demonstrate that a two-week IIPT with a booster confers meaningful short- and long-term improvements in clinical outcomes and resource utilization among paediatric patients with severe chronic pain. |
| Databáze: | OpenAIRE |
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