The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial

Sabrina Gmuca^{1

2

3

4

5}, Pamela F Weiss^{1

2

4}, Mackenzie McGill^{1

2

3}, Rui Xiao^{2

6}, Michaela Ward⁷, Maria Nelson⁷, David D Sherry^{1

4}, Peter F Cronholm^{7

8}, Jeffrey S Gerber^{2

4

9}, Tonya M Palermo¹⁰, Jami F Young^{3

4

11

12}, Abby R Rosenberg^{5

13

14}

Affiliations

¹ Department of Pediatrics, Division of Rheumatology, Children's Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street, 11-121, Philadelphia, PA 19146, USA.
² Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
³ PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
⁴ Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁵ Palliative Care and Resilience Program, Seattle Children's Research Institute, Seattle, WA 98145, USA.
⁶ Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁷ Mixed Methods Research Lab, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁸ Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁹ Department of Pediatrics, Division of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
¹⁰ Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
¹¹ Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA 98145, USA.
¹² Department of Child and Adolescent Psychiatry and Behavioral Services, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
¹³ Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA 98104, USA.
¹⁴ Department of Pediatrics, Division of Hematology/Oncology, University of Washington School of Medicine, Seattle, WA 98195, USA.

PMID: 36291374
PMCID: PMC9600525
DOI: 10.3390/children9101432

The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial

Sabrina Gmuca et al. Children (Basel). 2022.

. 2022 Sep 21;9(10):1432.

doi: 10.3390/children9101432.

Authors

Affiliations

¹ Department of Pediatrics, Division of Rheumatology, Children's Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street, 11-121, Philadelphia, PA 19146, USA.
² Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
³ PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
⁴ Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁵ Palliative Care and Resilience Program, Seattle Children's Research Institute, Seattle, WA 98145, USA.
⁶ Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁷ Mixed Methods Research Lab, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁸ Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA.
⁹ Department of Pediatrics, Division of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
¹⁰ Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.
¹¹ Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA 98145, USA.
¹² Department of Child and Adolescent Psychiatry and Behavioral Services, Children's Hospital of Philadelphia, Philadelphia, PA 19146, USA.
¹³ Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA 98104, USA.
¹⁴ Department of Pediatrics, Division of Hematology/Oncology, University of Washington School of Medicine, Seattle, WA 98195, USA.

PMID: 36291374
PMCID: PMC9600525
DOI: 10.3390/children9101432

Abstract

Promoting Resilience in Stress Management (PRISM) is a well-established resilience coaching program for youth with chronic illness. It is a one-on-one intervention targeting skills in stress management, goal-setting, cognitive reframing, and meaning-making. We aimed to (i) assess the feasibility and acceptability of PRISM and (ii) explore PRISM's impact on clinical outcomes among youth with chronic musculoskeletal pain (CMP). This was a single-arm pilot trial of PRISM for youth with CMP aged 12-17 years. Patients completed patient-reported outcome measures (PROs) pre- and post- intervention; patients and caregivers provided qualitative feedback. Twenty-seven patients were enrolled (63% enrollment rate); 82% percent were female. The patients' median age was 16 years (IQR: 13-16). The intervention completion rate was 81% (n = 22). The mean satisfaction for PRISM overall was 4.3 (SD 0.9), while the mean acceptability of the intervention measure (AIM) was 4.4 (SD 0.89). Participants reported improved resilience (2.2 [SD 5.1]), functional disability (-3.5 [IQR: -6.0, 1.0]), and psychological distress (-1.0 [-5.0, 2.0]) from baseline to immediately post-treatment; pain intensity, pain catastrophizing, and global health were similar at both time points. Feedback was positive and suggested that a group component may be helpful. PRISM is feasible and acceptable among youth with CMP. Exploratory analyses suggest improvements in clinically relevant outcomes, warranting further investigation.

Keywords: adolescence; chronic musculoskeletal pain; pediatric rheumatology; resilience.

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Conflict of interest statement

The remaining authors have no conflict of interest to disclose.

References

1. Feldman D.E., Nahin R.L. National Estimates of Chronic Musculoskeletal Pain and Its Treatment in Children, Adolescents, and Young Adults in the United States: Data From the 2007–2015 National Ambulatory Medical Care Survey. J. Pediatr. 2021;233:212–219.e1. doi: 10.1016/j.jpeds.2021.01.055. - DOI - PubMed
1. Sherry D.D., Brake L., Tress J.L., Sherker J., Fash K., Ferry K., Weiss P.F. The Treatment of Juvenile Fibromyalgia with an Intensive Physical and Psychosocial Program. J. Pediatr. 2015;167:731–737. doi: 10.1016/j.jpeds.2015.06.036. - DOI - PubMed
1. Tran S.T., Guite J.W., Pantaleao A., Pfeiffer M., Myer G.D., Sil S., Thomas S.M., Ting T.V., Williams S.E., Edelheit B., et al. Preliminary outcomes of a cross-site cognitive-behavioral and neuromuscular integrative training intervention for juvenile fibromyalgia. Arthritis Care Res. 2016;69:413–420. doi: 10.1002/acr.22946. - DOI - PMC - PubMed
1. Gmuca S., Sherry D.D. Fibromyalgia: Treating Pain in the Juvenile Patient. Paediatr. Drugs. 2017;19:325–338. doi: 10.1007/s40272-017-0233-5. - DOI - PMC - PubMed
1. Groenewald C.B., Wright D.R., Palermo T.M. Health care expenditures associated with pediatric pain-related conditions in the United States. Pain. 2015;156:951–957. doi: 10.1097/j.pain.0000000000000137. - DOI - PMC - PubMed

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The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial

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The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial

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Abstract

Conflict of interest statement

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