Pain-related fear in adolescents with chronic musculoskeletal pain: process evaluation of an interdisciplinary graded exposure program

C. Dekker; J.C.M. van Haastregt; J.A.M.C.F. Verbunt; J.R. de Jong; T. van Meulenbroek; H.F.M. Pernot; A.D. van Velzen; C.H.G. Bastiaenen; M.E.J.B. Goossens

doi:10.1186/s12913-020-5053-6

Pain-related fear in adolescents with chronic musculoskeletal pain: process evaluation of an interdisciplinary graded exposure program

C. Dekker, J.C.M. van Haastregt, J.A.M.C.F. Verbunt^*, J.R. de Jong, T. van Meulenbroek, H.F.M. Pernot, A.D. van Velzen, C.H.G. Bastiaenen, M.E.J.B. Goossens

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: For studying the effectiveness of treatment, it is important to check whether a new treatment is performed as originally described in the study-protocol.

OBJECTIVES: To evaluate whether an interdisciplinary graded exposure program, for adolescents with chronic musculoskeletal pain reporting pain-related fear, was performed according to protocol, and whether it is feasible to implement the program in rehabilitation care.

METHODS: A process evaluation where quantitative and qualitative data on participant characteristics (adolescents, parents and therapists), attendance and participants' opinion on the program were collected, by means of registration forms, questionnaires and group interviews. To evaluate treatment fidelity, audio and video recordings of program sessions were analyzed.

RESULTS: Thirty adolescents were offered the program, of which 23 started the program. Adolescents attended on average 90% of the sessions. At least one parent per adolescent participated in the program. Analysis of 20 randomly selected recordings of treatment sessions revealed that treatment fidelity was high, since 81% of essential treatment elements were offered to the adolescents. The program was considered client-centered by adolescents and family-centered by parents. Treatment teams wished to continue offering the program in their center.

CONCLUSION: The interdisciplinary graded exposure program was performed largely according to protocol, and therapists, adolescents and their parents had a favorable opinion on the program. Implementation of the program in rehabilitation care is considered feasible.

TRIAL REGISTRATION: Clinicaltrials.gov ID: NCT02181725 (7 February 2014).

Original language	English
Article number	213
Number of pages	12
Journal	BMC Health Services Research
Volume	20
Issue number	1
DOIs	https://doi.org/10.1186/s12913-020-5053-6
Publication status	Published - 14 Mar 2020

Keywords

Graded exposure in vivo
Adolescent
Chronic pain
Treatment fidelity
Feasibility
JOINT HYPERMOBILITY
AVOIDANCE MODEL
IN-VIVO
CHILDREN
CARE
REHABILITATION
IMPLEMENTATION
IMPAIRMENT
VALIDATION
ADULTHOOD

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Cite this

Dekker, C., van Haastregt, J. C. M., Verbunt, J. A. M. C. F., de Jong, J. R., van Meulenbroek, T., Pernot, H. F. M., van Velzen, A. D., Bastiaenen, C. H. G., & Goossens, M. E. J. B. (2020). Pain-related fear in adolescents with chronic musculoskeletal pain: process evaluation of an interdisciplinary graded exposure program. BMC Health Services Research, 20(1), Article 213. https://doi.org/10.1186/s12913-020-5053-6

@article{cc19e09710834f39a93a323d41d45cb5,

title = "Pain-related fear in adolescents with chronic musculoskeletal pain: process evaluation of an interdisciplinary graded exposure program",

abstract = "BACKGROUND: For studying the effectiveness of treatment, it is important to check whether a new treatment is performed as originally described in the study-protocol.OBJECTIVES: To evaluate whether an interdisciplinary graded exposure program, for adolescents with chronic musculoskeletal pain reporting pain-related fear, was performed according to protocol, and whether it is feasible to implement the program in rehabilitation care.METHODS: A process evaluation where quantitative and qualitative data on participant characteristics (adolescents, parents and therapists), attendance and participants' opinion on the program were collected, by means of registration forms, questionnaires and group interviews. To evaluate treatment fidelity, audio and video recordings of program sessions were analyzed.RESULTS: Thirty adolescents were offered the program, of which 23 started the program. Adolescents attended on average 90% of the sessions. At least one parent per adolescent participated in the program. Analysis of 20 randomly selected recordings of treatment sessions revealed that treatment fidelity was high, since 81% of essential treatment elements were offered to the adolescents. The program was considered client-centered by adolescents and family-centered by parents. Treatment teams wished to continue offering the program in their center.CONCLUSION: The interdisciplinary graded exposure program was performed largely according to protocol, and therapists, adolescents and their parents had a favorable opinion on the program. Implementation of the program in rehabilitation care is considered feasible.TRIAL REGISTRATION: Clinicaltrials.gov ID: NCT02181725 (7 February 2014).",

keywords = "Graded exposure in vivo, Adolescent, Chronic pain, Treatment fidelity, Feasibility, JOINT HYPERMOBILITY, AVOIDANCE MODEL, IN-VIVO, CHILDREN, CARE, REHABILITATION, IMPLEMENTATION, IMPAIRMENT, VALIDATION, ADULTHOOD",

author = "C. Dekker and {van Haastregt}, J.C.M. and J.A.M.C.F. Verbunt and {de Jong}, J.R. and {van Meulenbroek}, T. and H.F.M. Pernot and {van Velzen}, A.D. and C.H.G. Bastiaenen and M.E.J.B. Goossens",

note = "Funding Information: We were able to work on this process evaluation because of grants from Fonds Nuts Ohra and Stichting Vooruit, that funded the project. These foundations were not involved in any of the following project stages: design of the study, the collection, analysis, and interpretation of data, or in writing the manuscript. Publisher Copyright: {\textcopyright} 2020 The Author(s).",

year = "2020",

month = mar,

day = "14",

doi = "10.1186/s12913-020-5053-6",

language = "English",

volume = "20",

journal = "BMC Health Services Research",

issn = "1472-6963",

publisher = "BioMed Central Ltd",

number = "1",

}

Dekker, C, van Haastregt, JCM , Verbunt, JAMCF, de Jong, JR, van Meulenbroek, T, Pernot, HFM, van Velzen, AD, Bastiaenen, CHG & Goossens, MEJB 2020, 'Pain-related fear in adolescents with chronic musculoskeletal pain: process evaluation of an interdisciplinary graded exposure program', BMC Health Services Research, vol. 20, no. 1, 213. https://doi.org/10.1186/s12913-020-5053-6

TY - JOUR

T1 - Pain-related fear in adolescents with chronic musculoskeletal pain

T2 - process evaluation of an interdisciplinary graded exposure program

AU - Dekker, C.

AU - van Haastregt, J.C.M.

AU - Verbunt, J.A.M.C.F.

AU - de Jong, J.R.

AU - van Meulenbroek, T.

AU - Pernot, H.F.M.

AU - van Velzen, A.D.

AU - Bastiaenen, C.H.G.

AU - Goossens, M.E.J.B.

N1 - Funding Information: We were able to work on this process evaluation because of grants from Fonds Nuts Ohra and Stichting Vooruit, that funded the project. These foundations were not involved in any of the following project stages: design of the study, the collection, analysis, and interpretation of data, or in writing the manuscript. Publisher Copyright: © 2020 The Author(s).

PY - 2020/3/14

Y1 - 2020/3/14

N2 - BACKGROUND: For studying the effectiveness of treatment, it is important to check whether a new treatment is performed as originally described in the study-protocol.OBJECTIVES: To evaluate whether an interdisciplinary graded exposure program, for adolescents with chronic musculoskeletal pain reporting pain-related fear, was performed according to protocol, and whether it is feasible to implement the program in rehabilitation care.METHODS: A process evaluation where quantitative and qualitative data on participant characteristics (adolescents, parents and therapists), attendance and participants' opinion on the program were collected, by means of registration forms, questionnaires and group interviews. To evaluate treatment fidelity, audio and video recordings of program sessions were analyzed.RESULTS: Thirty adolescents were offered the program, of which 23 started the program. Adolescents attended on average 90% of the sessions. At least one parent per adolescent participated in the program. Analysis of 20 randomly selected recordings of treatment sessions revealed that treatment fidelity was high, since 81% of essential treatment elements were offered to the adolescents. The program was considered client-centered by adolescents and family-centered by parents. Treatment teams wished to continue offering the program in their center.CONCLUSION: The interdisciplinary graded exposure program was performed largely according to protocol, and therapists, adolescents and their parents had a favorable opinion on the program. Implementation of the program in rehabilitation care is considered feasible.TRIAL REGISTRATION: Clinicaltrials.gov ID: NCT02181725 (7 February 2014).

AB - BACKGROUND: For studying the effectiveness of treatment, it is important to check whether a new treatment is performed as originally described in the study-protocol.OBJECTIVES: To evaluate whether an interdisciplinary graded exposure program, for adolescents with chronic musculoskeletal pain reporting pain-related fear, was performed according to protocol, and whether it is feasible to implement the program in rehabilitation care.METHODS: A process evaluation where quantitative and qualitative data on participant characteristics (adolescents, parents and therapists), attendance and participants' opinion on the program were collected, by means of registration forms, questionnaires and group interviews. To evaluate treatment fidelity, audio and video recordings of program sessions were analyzed.RESULTS: Thirty adolescents were offered the program, of which 23 started the program. Adolescents attended on average 90% of the sessions. At least one parent per adolescent participated in the program. Analysis of 20 randomly selected recordings of treatment sessions revealed that treatment fidelity was high, since 81% of essential treatment elements were offered to the adolescents. The program was considered client-centered by adolescents and family-centered by parents. Treatment teams wished to continue offering the program in their center.CONCLUSION: The interdisciplinary graded exposure program was performed largely according to protocol, and therapists, adolescents and their parents had a favorable opinion on the program. Implementation of the program in rehabilitation care is considered feasible.TRIAL REGISTRATION: Clinicaltrials.gov ID: NCT02181725 (7 February 2014).

KW - Graded exposure in vivo

KW - Adolescent

KW - Chronic pain

KW - Treatment fidelity

KW - Feasibility

KW - JOINT HYPERMOBILITY

KW - AVOIDANCE MODEL

KW - IN-VIVO

KW - CHILDREN

KW - CARE

KW - REHABILITATION

KW - IMPLEMENTATION

KW - IMPAIRMENT

KW - VALIDATION

KW - ADULTHOOD

U2 - 10.1186/s12913-020-5053-6

DO - 10.1186/s12913-020-5053-6

M3 - Article

C2 - 32171308

SN - 1472-6963

VL - 20

JO - BMC Health Services Research

JF - BMC Health Services Research

IS - 1

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ER -