Internet-Delivered Cognitive Behavioral Treatment for Chronic Pain in Adolescent Survivors of Childhood Cancer: A Single-group Feasibility Trial
Date
2024-09-20
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Abstract
Introduction: Two-thirds of survivors of childhood cancer experience long-term side effects from treatments, like chronic pain. No pain management interventions have been tested on youth survivors of childhood cancer. Including parents in treatment and understanding parents’ own experience with pain can help improve youth outcomes. Web-based Management of Adolescent Pain (WebMAP) is an evidence-based, online intervention that includes parents, but has not yet been tested on survivors of childhood cancer. Methods: Survivors and parents were given online questionnaires about their pain. The feasibility and acceptability of WebMAP in survivors of childhood cancer and their parents was evaluated. Qualitative interviews were conducted and analyzed using inductive thematic analysis. Results: The prospective observational study found that half of survivors of childhood cancer with chronic pain have parents with chronic pain. The intervention study found that WebMAP met acceptability benchmarks but did not meet all feasibility benchmarks. Themes that emerged from qualitative interviews included “We found the program useful” and “There were areas of the program that could be improved upon”. Conclusion: Pain is prevalent in both survivors of childhood cancer and their parents. WebMAP is acceptable but not feasible in this specific subset of survivors of childhood cancer. WebMAP may be better suited for survivors whose primary concern is pain. Survivors of childhood cancer may benefit from an intervention that addresses multiple common health sequela in this population. Qualitative interviews provide helpful considerations for pediatric health interventions, more broadly.
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Keywords
survivors of childhood cancer, adolescents, pain, eHealth, intervention
Citation
Patton, M. (2024). Internet-delivered cognitive behavioral treatment for chronic pain in adolescent survivors of childhood cancer: A single-group feasibility trial (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.