'That's what makes me better': Investigating children and adolescents' experiences of pain communication with healthcare professionals in paediatric rheumatology.
Journal
European journal of pain (London, England)
ISSN: 1532-2149
Titre abrégé: Eur J Pain
Pays: England
ID NLM: 9801774
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
revised:
29
09
2022
received:
27
05
2022
accepted:
02
10
2022
pubmed:
7
10
2022
medline:
15
12
2022
entrez:
6
10
2022
Statut:
ppublish
Résumé
Pain communication should be an integral part of clinical consultations, particularly in paediatric rheumatology where children and adolescents frequently present with chronic musculoskeletal pain. To date, literature exploring the nature of and extent to which pain communication occurs has focused on healthcare professionals as respondents, yielding inconsistent and incomplete findings. The aim of this study was to explore children and adolescents' experiences of pain communication in the context of paediatric rheumatology consultations. Data were collected using semi-structured telephone interviews with children and adolescents recruited from three tertiary paediatric rheumatology centres in the United Kingdom. A framework analysis approach was used to explore the similarities and divergences in participant accounts. Twenty-six children and adolescents (aged 6-18 years, median = 14, 58% female) participated. Diagnoses included: juvenile idiopathic arthritis, Chronic Idiopathic Pain Syndromes, Ehlers Danlos Syndrome/Hypermobility. Four themes were identified: (1) Co-ordination of pain communication; (2) Barriers to pain communication; (3) Facilitators of pain communication; (4) Dissatisfaction with pain communication. These themes particularly encompassed the process of communication, disclosure of effective and ineffective approaches and the impact of communication. Participants expected questions about pain, felt cared about and found talking about pain natural. Challenges included augmenting the feeling of being different to peers and concerns about management plans changing as a result of pain conversations. Children and adolescents recalled a range of effective and ineffective pain communication approaches. Our study informs recommendations which highlight how healthcare professionals can improve their communication about pain with children and adolescents in the future. Our findings demonstrate that children and adolescents attending paediatric rheumatology expect to be and value being asked about their pain during consultations with healthcare professionals. Children and adolescents remember many of the processes involved, experiences of and the outcomes of pain communication. The current study reveals insights which can improve healthcare professional pain communication with children and adolescents. Our study introduces key recommendations for healthcare professionals to have more effective pain conversations in future.
Sections du résumé
BACKGROUND
Pain communication should be an integral part of clinical consultations, particularly in paediatric rheumatology where children and adolescents frequently present with chronic musculoskeletal pain. To date, literature exploring the nature of and extent to which pain communication occurs has focused on healthcare professionals as respondents, yielding inconsistent and incomplete findings. The aim of this study was to explore children and adolescents' experiences of pain communication in the context of paediatric rheumatology consultations.
METHODS
Data were collected using semi-structured telephone interviews with children and adolescents recruited from three tertiary paediatric rheumatology centres in the United Kingdom. A framework analysis approach was used to explore the similarities and divergences in participant accounts.
RESULTS
Twenty-six children and adolescents (aged 6-18 years, median = 14, 58% female) participated. Diagnoses included: juvenile idiopathic arthritis, Chronic Idiopathic Pain Syndromes, Ehlers Danlos Syndrome/Hypermobility. Four themes were identified: (1) Co-ordination of pain communication; (2) Barriers to pain communication; (3) Facilitators of pain communication; (4) Dissatisfaction with pain communication. These themes particularly encompassed the process of communication, disclosure of effective and ineffective approaches and the impact of communication. Participants expected questions about pain, felt cared about and found talking about pain natural. Challenges included augmenting the feeling of being different to peers and concerns about management plans changing as a result of pain conversations.
CONCLUSIONS
Children and adolescents recalled a range of effective and ineffective pain communication approaches. Our study informs recommendations which highlight how healthcare professionals can improve their communication about pain with children and adolescents in the future.
SIGNIFICANCE
Our findings demonstrate that children and adolescents attending paediatric rheumatology expect to be and value being asked about their pain during consultations with healthcare professionals. Children and adolescents remember many of the processes involved, experiences of and the outcomes of pain communication. The current study reveals insights which can improve healthcare professional pain communication with children and adolescents. Our study introduces key recommendations for healthcare professionals to have more effective pain conversations in future.
Identifiants
pubmed: 36200660
doi: 10.1002/ejp.2043
pmc: PMC10092465
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
111-128Subventions
Organisme : Versus Arthritis
ID : 22433
Pays : United Kingdom
Organisme : Versus Arthritis
ID : 20380
Pays : United Kingdom
Informations de copyright
© 2022 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC ®.
Références
Psychol Bull. 2011 Nov;137(6):910-939
pubmed: 21639605
Clin J Pain. 2018 Feb;34(2):162-167
pubmed: 28654555
Nat Clin Pract Rheumatol. 2007 Apr;3(4):210-8
pubmed: 17396106
Rheumatology (Oxford). 2009 May;48(5):466-74
pubmed: 19202161
Pain. 2016 May;157(5):997-1001
pubmed: 26716994
BMJ Open. 2019 Sep 9;9(9):e029107
pubmed: 31501109
Children (Basel). 2020 Oct 15;7(10):
pubmed: 33076255
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Pain. 2018 Sep;159 Suppl 1:S56-S64
pubmed: 30113948
Clin J Pain. 2018 Jul;34(7):664-669
pubmed: 29298187
J Clin Med. 2019 Aug 21;8(9):
pubmed: 31438483
Arthritis Care Res (Hoboken). 2020 Jan;72(1):69-77
pubmed: 30629337
Best Pract Res Clin Rheumatol. 2006 Apr;20(2):179-200
pubmed: 16546052
Arthritis Rheum. 2003 May;48(5):1390-7
pubmed: 12746912
Pediatr Rheumatol Online J. 2021 Nov 2;19(1):156
pubmed: 34727931
Scand J Pain. 2017 Apr;15:106-112
pubmed: 28850332
J Child Health Care. 2017 Dec;21(4):381-391
pubmed: 29110522
Pain Manag. 2014 Mar;4(2):81-3
pubmed: 24641430
Paediatr Neonatal Pain. 2021 Aug 09;3(3):123-133
pubmed: 35547948
Pediatr Rheumatol Online J. 2019 Dec 27;17(1):86
pubmed: 31882011
J Adolesc Health. 2003 Sep;33(3):172-9
pubmed: 12944007
BMC Musculoskelet Disord. 2020 Oct 2;21(1):645
pubmed: 33008357
Pediatr Rheumatol Online J. 2021 Aug 21;19(1):129
pubmed: 34419095
J Child Health Care. 2007 Dec;11(4):269-86
pubmed: 18039730
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585
J Psychosom Res. 2010 Apr;68(4):329-36
pubmed: 20307699
Pain Rep. 2018 Sep 11;3(Suppl 1):e679
pubmed: 30324171
Eur J Pain. 2023 Jan;27(1):111-128
pubmed: 36200660
Pain. 2015 Feb;156(2):215-219
pubmed: 25599441
Pediatrics. 2002 Aug;110(2 Pt 1):354-9
pubmed: 12165590