A pilot study of the preliminary efficacy of Pain Buddy: A novel intervention for the management of children's cancer-related pain.


Journal

Pediatric blood & cancer
ISSN: 1545-5017
Titre abrégé: Pediatr Blood Cancer
Pays: United States
ID NLM: 101186624

Informations de publication

Date de publication:
10 2020
Historique:
received: 23 08 2019
revised: 13 02 2020
accepted: 04 03 2020
pubmed: 4 8 2020
medline: 1 1 2021
entrez: 4 8 2020
Statut: ppublish

Résumé

Cancer-related pain in children is prevalent and undermanaged. Mobile health (mHealth) applications provide a promising avenue to address the gap in pain management in children with cancer. Pain Buddy is a multicomponent mHealth application developed to manage cancer-related pain in children. The goal of this paper is to present preliminary efficacy data of the impact of Pain Buddy on children's pain severity and frequency. In a randomized controlled trial over 60 days, children (N = 48) reported daily pain on a tablet while receiving usual care. Those in the intervention group (N = 20) received remote symptom monitoring and skills training for pain management. Children in the attention control group (N = 28) only reported on their pain. Both groups experienced significant reductions in average daily pain over the study period (B = -0.10, z = -3.40, P = 0.001), with no group differences evident (z = -0.83, P = 0.40). However, the intervention group reported significantly fewer instances of moderate to severe pain compared with the control group, t(4125) = 2.67, P = 0.007. In addition, the intervention group reported no instances of moderate to severe pain toward the end of the study period. Pain Buddy is an innovative and interactive mHealth application that aims to improve pain and symptom management among children with cancer. The findings from this pilot study suggest that Pain Buddy may aid in the reduction of pain severity in children during cancer treatment.

Identifiants

pubmed: 32743950
doi: 10.1002/pbc.28278
pmc: PMC9977267
mid: NIHMS1656761
doi:

Types de publication

Journal Article Observational Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e28278

Subventions

Organisme : NCI NIH HHS
ID : P30 CA062203
Pays : United States

Informations de copyright

© 2020 Wiley Periodicals, Inc.

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Auteurs

John F Hunter (JF)

Department of Psychological Science, University of California-Irvine, Irvine, California.

Amanda M Acevedo (AM)

Department of Psychological Science, University of California-Irvine, Irvine, California.

Sergio Gago-Masague (S)

Department of Computer Science, University of California-Irvine, Irvine, California.

Alexandra Kain (A)

Center on Stress and Health, School of Medicine, University of California-Irvine, Orange, California.

Christine Yun (C)

CHOC Children's Hospital, Hyundai Cancer Institute, Orange, California.

Lilibeth Torno (L)

CHOC Children's Hospital, Hyundai Cancer Institute, Orange, California.
Department of Pediatrics, School of Medicine, University of California-Irvine, Irvine, California.

Brooke N Jenkins (BN)

Center on Stress and Health, School of Medicine, University of California-Irvine, Orange, California.
Department of Anesthesiology and Perioperative Care, University of California-Irvine, Irvine, California.
Department of Psychology, Chapman University, Orange, California.

Michelle A Fortier (MA)

Center on Stress and Health, School of Medicine, University of California-Irvine, Orange, California.
Department of Anesthesiology and Perioperative Care, University of California-Irvine, Irvine, California.
Sue and Bill Gross School of Nursing, University of California-Irvine, Irvine, California.
Department of Pediatric Psychology, Children's Hospital of Orange County, Orange, California.

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