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. 2020 Jun 16;2(4):148-159.
doi: 10.1002/pne2.12019. eCollection 2020 Dec.

Mobilizing the psychology evidence base for the treatment of pediatric chronic pain: The development, implementation, and impact of the Comfort Ability Program

Rachael Coakley  1   2 , Simona Bujoreanu  1   2
Affiliations

Mobilizing the psychology evidence base for the treatment of pediatric chronic pain: The development, implementation, and impact of the Comfort Ability Program

Rachael Coakley et al. Paediatr Neonatal Pain. .

Abstract

Over the past 20 years, our knowledge regarding evidence-based psychological interventions for pediatric chronic pain has dramatically increased. Unfortunately, access to evidence-based pain management interventions remains a challenge for many children and adolescents who suffer with persistent pain. Reducing patient burden and system-level barriers to care are a central target of clinical innovations in pain treatment intervention. Psychological interventions are also increasingly focused on reducing biomedical biases that may inhibit attainment of services. While there are many new psychological interventions across an array of delivery platforms, few interventions have been systematically disseminated. This paper will highlight the translational research procedures that have informed the development and dissemination of the Comfort Ability Program (CAP), an interactive group-based intervention teaching adolescents and their parents evidence-based strategies to manage chronic or persistent pain. Now in its fifth year of dissemination, CAP has a demonstrated record of success with cross-institutional implementation and sustainability at 18 hospitals across three countries. This paper reviews six dynamic and iterative phases of development, based on the Graham et al knowledge-to-action cycle (2006), that have guided the implementation and dissemination research for this program. The phases of CAP development include the following: (a) identifying knowledge and clinical gaps in care, (b) generating knowledge assets and implementation procedures, (c) evaluating clinical outcomes and system-level processes, (d) developing and testing dissemination procedures, (e) expanding partnerships and monitoring knowledge use, and (f) sustaining knowledge use and continued innovation. This paper targets primarily health professionals and administrators and secondarily caregivers and the public at large.

Keywords: child; chronic pain; evidence‐based; knowledge mobilization; parent; pediatric; psychological intervention.

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Conflict of interest statement

There is no conflict of interest. CAP is a non‐profit program licensed through Boston Children’s Hospital. A portion of the licensing fees support the research laboratory and staff salary.

Figures

Figure 1
Figure 1
Comfort Ability Program (CAP) development process
Figure 2
Figure 2
Comfort Ability Program (CAP) framework
Figure 3
Figure 3
Comfort Ability Program (CAP) utilization
Figure 4
Figure 4
Overview of Comfort Ability Program (CAP) dissemination procedures
See this image and copyright information in PMC

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References

    1. Chambers CT. From evidence to influence: dissemination and implementation of scientific knowledge for improved pain research and management. Pain. 2018;159(Suppl 1):S56–S64. - PubMed
    1. Rushmer R, Ward V, Nguyen T, Kuchenmüller T. Knowledge translation: key concepts, terms and activities. In: Verschuuren M, van Oers H, eds. Population Health Monitoring: Climbing the Information Pyramid. Cham, Switzerland: Springer International Publishing; 2019:127‐150.
    1. Nelson S, Coakley R. The pivotal role of pediatric psychology in chronic pain: opportunities for informing and promoting new research and intervention in a shifting healthcare landscape. Curr Pain Headache Rep. 2018;22(11):76. - PubMed
    1. King S, Chambers CT, Huguet A, et al. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain. 2011;152(12):2729–2738. - PubMed
    1. Perquin CW, Hazebroek‐Kampschreur AAJM, Hunfeld JAM, et al. Pain in children and adolescents: a common experience. Pain. 2000;87(1):51–58. - PubMed