Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development

Background: The risk of developing chronic postsurgical pain (CPSP) in youth is related to psychological factors, including preoperative anxiety, depression, patient/caregiver pain catastrophizing, and poor self-efficacy in managing pain. While interventions exist to address these factors, they are...

Full description

Bibliographic Details
Main Authors: Danielle Ruskin, Klaudia Szczech, Jennifer Tyrrell, Lisa Isaac
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/3/360
_version_ 1797318725903319040
author Danielle Ruskin
Klaudia Szczech
Jennifer Tyrrell
Lisa Isaac
author_facet Danielle Ruskin
Klaudia Szczech
Jennifer Tyrrell
Lisa Isaac
author_sort Danielle Ruskin
collection DOAJ
description Background: The risk of developing chronic postsurgical pain (CPSP) in youth is related to psychological factors, including preoperative anxiety, depression, patient/caregiver pain catastrophizing, and poor self-efficacy in managing pain. While interventions exist to address these factors, they are generally brief and educational in nature. The current paper details patient partner feedback on the development of a psychologist-delivered perioperative psychological program (PPP) designed to identify and target psychological risk factors for CPSP and improve self-efficacy in managing pain. Methods: Qualitative interviews were conducted with two patients and their caregivers to discuss their surgical and pain management experience and to advise on components of the PPP. Results: Reflexive thematic analysis of interviews generated the following themes, which were incorporated into the content and implementation of the PPP: caregiver involvement, psychological and physical strategies for pain management, biopsychosocial pain education, intervention structure, and supporting materials. Conclusions: The development of a novel psychologist-led PPP is a promising approach to mitigate mental health risks associated with pediatric CPSP and potentially boost postoperative outcomes and family wellbeing. Integrating patient partner feedback ensures that the PPP is relevant, acceptable, and aligned with the needs and preferences of the patients it is designed to serve.
first_indexed 2024-03-08T03:56:26Z
format Article
id doaj.art-4157df28fc5643c9bb9f4396df547163
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-08T03:56:26Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-4157df28fc5643c9bb9f4396df5471632024-02-09T15:12:44ZengMDPI AGHealthcare2227-90322024-01-0112336010.3390/healthcare12030360Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention DevelopmentDanielle Ruskin0Klaudia Szczech1Jennifer Tyrrell2Lisa Isaac3Department of Psychology, The Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaDepartment of Psychology, The Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON M5G 1X8, CanadaBackground: The risk of developing chronic postsurgical pain (CPSP) in youth is related to psychological factors, including preoperative anxiety, depression, patient/caregiver pain catastrophizing, and poor self-efficacy in managing pain. While interventions exist to address these factors, they are generally brief and educational in nature. The current paper details patient partner feedback on the development of a psychologist-delivered perioperative psychological program (PPP) designed to identify and target psychological risk factors for CPSP and improve self-efficacy in managing pain. Methods: Qualitative interviews were conducted with two patients and their caregivers to discuss their surgical and pain management experience and to advise on components of the PPP. Results: Reflexive thematic analysis of interviews generated the following themes, which were incorporated into the content and implementation of the PPP: caregiver involvement, psychological and physical strategies for pain management, biopsychosocial pain education, intervention structure, and supporting materials. Conclusions: The development of a novel psychologist-led PPP is a promising approach to mitigate mental health risks associated with pediatric CPSP and potentially boost postoperative outcomes and family wellbeing. Integrating patient partner feedback ensures that the PPP is relevant, acceptable, and aligned with the needs and preferences of the patients it is designed to serve.https://www.mdpi.com/2227-9032/12/3/360perioperative psychological programpediatric chronic postsurgical painpediatric transitional painpatient partnersnon-pharmacological pain managementpsychological interventions
spellingShingle Danielle Ruskin
Klaudia Szczech
Jennifer Tyrrell
Lisa Isaac
Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
Healthcare
perioperative psychological program
pediatric chronic postsurgical pain
pediatric transitional pain
patient partners
non-pharmacological pain management
psychological interventions
title Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
title_full Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
title_fullStr Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
title_full_unstemmed Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
title_short Innovative Program to Prevent Pediatric Chronic Postsurgical Pain: Patient Partner Feedback on Intervention Development
title_sort innovative program to prevent pediatric chronic postsurgical pain patient partner feedback on intervention development
topic perioperative psychological program
pediatric chronic postsurgical pain
pediatric transitional pain
patient partners
non-pharmacological pain management
psychological interventions
url https://www.mdpi.com/2227-9032/12/3/360
work_keys_str_mv AT danielleruskin innovativeprogramtopreventpediatricchronicpostsurgicalpainpatientpartnerfeedbackoninterventiondevelopment
AT klaudiaszczech innovativeprogramtopreventpediatricchronicpostsurgicalpainpatientpartnerfeedbackoninterventiondevelopment
AT jennifertyrrell innovativeprogramtopreventpediatricchronicpostsurgicalpainpatientpartnerfeedbackoninterventiondevelopment
AT lisaisaac innovativeprogramtopreventpediatricchronicpostsurgicalpainpatientpartnerfeedbackoninterventiondevelopment