Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach
A newly developed specialized psychosocial aftercare program (PAC) for pediatric patients with chronic pain following an intensive interdisciplinary pain treatment (IIPT) was found to be significantly more effective than IIPT alone. This qualitative study aimed to gain further insight into the mecha...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/3/407 |
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| author | Meltem Dogan Almut Hartenstein-Pinter Susanne Lopez Lumbi Markus Blankenburg Michael C. Frühwald Rosemarie Ahnert Sarah Braun Ursula Marschall Boris Zernikow Julia Wager |
| author_facet | Meltem Dogan Almut Hartenstein-Pinter Susanne Lopez Lumbi Markus Blankenburg Michael C. Frühwald Rosemarie Ahnert Sarah Braun Ursula Marschall Boris Zernikow Julia Wager |
| author_sort | Meltem Dogan |
| collection | DOAJ |
| description | A newly developed specialized psychosocial aftercare program (PAC) for pediatric patients with chronic pain following an intensive interdisciplinary pain treatment (IIPT) was found to be significantly more effective than IIPT alone. This qualitative study aimed to gain further insight into the mechanisms and prerequisites for the effectiveness of this specialized aftercare program. We conducted structured telephone interviews with patients, parents, and health care professionals conducting PAC. A total of 16 interviews were conducted—seven interviews with parents, six interviews with patients, and three interviews with health care professionals—and transcribed verbatim. Data were analyzed using reflexive thematic analysis. Four major themes consisting of 20 subcategories were identified, namely (1) frame conditions, (2) person factors, (3) stabilization and (4) catalyst. The foundations of treatment success are frame conditions, such as flexibility or constancy, and person factors, such as respect or expertise. Based on these foundations, stabilization is achieved through security, mediation, orientation and support. Altogether, these components of PAC reveal their potential as catalysts for further improvement even after discharge from IIPT. Overall, patients and their families emphasized widespread personal relevance and acceptance of the PAC program. The findings of this study may be employed in the development of other aftercare programs or interventions involving families in the context of psychotherapeutic and psychosocial health care. |
| first_indexed | 2024-03-09T20:00:06Z |
| format | Article |
| id | doaj.art-80595a023ead4fbdb0c271d9a6adaef0 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:00:06Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-80595a023ead4fbdb0c271d9a6adaef02023-11-24T00:47:39ZengMDPI AGChildren2227-90672022-03-019340710.3390/children9030407Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative ApproachMeltem Dogan0Almut Hartenstein-Pinter1Susanne Lopez Lumbi2Markus Blankenburg3Michael C. Frühwald4Rosemarie Ahnert5Sarah Braun6Ursula Marschall7Boris Zernikow8Julia Wager9German Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, GermanyGerman Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, GermanyPedScience Research Institute, 45711 Datteln, GermanyDepartment of Children’s Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58452 Witten, GermanyUniversity Children’s Hospital Augsburg, Bavarian Children’s Pain Center, 86156 Augsburg, GermanyUniversity Children’s Hospital Augsburg, Bavarian Children’s Pain Center, 86156 Augsburg, GermanyPaediatric Pain Center Baden-Württemberg, Department of Pediatric Neurology, Olgahospital Stuttgart, 70174 Stuttgart, GermanyDepartment of Medicine and Health Services Research, BARMER Health Insurance, 42103 Wuppertal, GermanyGerman Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, GermanyGerman Paediatric Pain Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, GermanyA newly developed specialized psychosocial aftercare program (PAC) for pediatric patients with chronic pain following an intensive interdisciplinary pain treatment (IIPT) was found to be significantly more effective than IIPT alone. This qualitative study aimed to gain further insight into the mechanisms and prerequisites for the effectiveness of this specialized aftercare program. We conducted structured telephone interviews with patients, parents, and health care professionals conducting PAC. A total of 16 interviews were conducted—seven interviews with parents, six interviews with patients, and three interviews with health care professionals—and transcribed verbatim. Data were analyzed using reflexive thematic analysis. Four major themes consisting of 20 subcategories were identified, namely (1) frame conditions, (2) person factors, (3) stabilization and (4) catalyst. The foundations of treatment success are frame conditions, such as flexibility or constancy, and person factors, such as respect or expertise. Based on these foundations, stabilization is achieved through security, mediation, orientation and support. Altogether, these components of PAC reveal their potential as catalysts for further improvement even after discharge from IIPT. Overall, patients and their families emphasized widespread personal relevance and acceptance of the PAC program. The findings of this study may be employed in the development of other aftercare programs or interventions involving families in the context of psychotherapeutic and psychosocial health care.https://www.mdpi.com/2227-9067/9/3/407family-based interventionIIPTpediatric chronic painpsychosocial aftercarequalitative interview study |
| spellingShingle | Meltem Dogan Almut Hartenstein-Pinter Susanne Lopez Lumbi Markus Blankenburg Michael C. Frühwald Rosemarie Ahnert Sarah Braun Ursula Marschall Boris Zernikow Julia Wager Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach Children family-based intervention IIPT pediatric chronic pain psychosocial aftercare qualitative interview study |
| title | Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach |
| title_full | Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach |
| title_fullStr | Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach |
| title_full_unstemmed | Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach |
| title_short | Exploring the Mechanisms Underlying the Effectiveness of Psychosocial Aftercare in Pediatric Chronic Pain Treatment: A Qualitative Approach |
| title_sort | exploring the mechanisms underlying the effectiveness of psychosocial aftercare in pediatric chronic pain treatment a qualitative approach |
| topic | family-based intervention IIPT pediatric chronic pain psychosocial aftercare qualitative interview study |
| url | https://www.mdpi.com/2227-9067/9/3/407 |
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