Dealing with adolescents' recurrent pain problems in school health care—Swedish school nurses' view

Golsäter, Marie; Nilsson, Stefan; Wigert, Helena

doi:10.1002/nop2.371

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…As mentioned above, HOPE was based on the ethical PCC framework developed by the GPCC and built on a participatory design, in which adolescents with chronic pain and school nurses contributed to its development. 11 , 19 School nurses who were to provide the HOPE intervention underwent a 1‐day training program containing the component of PCC, neurophysiology, concrete suggestions for stress and pain management as well as a gender perspective. The training program for the nurses was provided through lectures, written materials, and videos.…”

Section: Methodsmentioning

confidence: 99%

“…In Nordic countries, school nurses often provide first‐line care for adolescents with chronic pain 10 . However, according to the school nurses themselves, the available interventions are not sufficient to treat chronic pain in adolescents 11,12 . Management of chronic pain requires a broad approach and strategies other than pharmacological treatment 13 .…”

Section: Introductionmentioning

confidence: 99%

“… 10 However, according to the school nurses themselves, the available interventions are not sufficient to treat chronic pain in adolescents. 11 , 12 Management of chronic pain requires a broad approach and strategies other than pharmacological treatment. 13 Students have requested initiatives with approaches adapted to their individual health situations and needs.…”

Section: Introductionmentioning

confidence: 99%

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Adolescents' experiences of Help Overcoming Pain Early—A school based person‐centred intervention for adolescents with chronic pain

Wallbing

Nilsson

Wigert

et al. 2023

Paediatric and Neonatal Pain

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To illuminate adolescents' experiences of Help Overcoming Pain Early (HOPE), a person‐centred intervention delivered in a school setting by school nurses. Twenty‐one adolescents with chronic pain recruited from secondary school, who had completed the HOPE intervention, were included in the interview study. The HOPE intervention was built on person‐centred ethics and consisted of four meetings between school nurses and adolescents on the subject of stress and pain management. A qualitative method using content analysis with an inductive approach was employed. In the interviews, the adolescents describe how they reclaim their lives with the help of HOPE. They use different strategies and parts of the intervention to move on with their lives. A trustful relationship, as that with the school nurse, was essential to dare to change. The overarching theme summarizes in Becoming myself again and is built up by three sub‐themes: Trust a pillar for growth, Making sense of my life with pain, and Putting myself into the world again. A person‐centred intervention such as HOPE applied in a school context is promising for promoting confidence in adolescents with chronic pain. A trust‐building process emerged, in terms of both the adolescents' trust in the healthcare staff they meet and their confidence in their own ability to handle and influence their situation, which in the long term can promote trust in themselves as a person.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adolescents' experiences of Help Overcoming Pain Early—A school based person‐centred intervention for adolescents with chronic pain

Wallbing

Nilsson

Wigert

et al. 2023

Paediatric and Neonatal Pain

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“…The intervention has been described in more detail elsewhere ( 12 , 15 , 20 , 21 ), but is briefly outlined below. HOPE was based on a collaborative approach involving end-users in the design process ( 22 ) and the content of the intervention was framed within a person-centred care framework.…”

Section: Methodsmentioning

confidence: 99%

“…Also, in Scandinavia, school nurses are commonly the first line of health care, providing them with an opportunity to offer early health promoting interventions for adolescents ( 11 ), before the introduction of specific interventions provided in primary and tertiary care settings. However, school nurses express that they often lack adequate skills and conditions to provide interventions for adolescents experiencing chronic pain ( 10 , 12 ). Taking the above into account, we see the development and evaluation of early interventions for adolescents affected by pain and related difficulties such as insomnia as a prioritized area.…”

Section: Introductionmentioning

confidence: 99%

Help overcoming pain early, a brief person-centred intervention for adolescents with chronic pain in a school setting, may improve symptoms of insomnia

Wallbing,

Nilsson,

Lundberg

et al. 2023

Front. Pain Res.

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Introduction and aimsChronic pain and symptoms of insomnia affect large numbers of adolescents and early interventions are prioritized. The aim of the current study was to evaluate potential secondary effects of the intervention, Help Overcoming Pain Early (HOPE), on symptoms of insomnia and self-rated health.MethodsThe study included non-randomized aggregated data from the active and control conditions in a previously conducted randomized controlled trial evaluating the efficacy of HOPE, after the participants in the control condition also had received the intervention. Symptoms of insomnia were assessed with the Minimal Insomnia Symptom Scale and self-rated health was assessed with one item, at the start of the intervention, post intervention, and at a six-month follow-up. Baseline variables included age, gender, pain localization, pain impact, school absence and symptoms of depression (assessed with the Center for Epidemiological Studies Depression Scale for Children). Inferential analyzes were performed using Linear Mixed Models (LMM). Effect sizes were evaluated by calculating Cohen's d.ResultsThere were statistically significant improvements in symptoms of insomnia at the six-month follow-up, and statistically significant improvements in self-rated health at the end of the intervention and at the six-month follow-up. Effect sizes were small across outcomes and assessments.Discussion and conclusionResults illustrated significant but small improvements in symptoms of insomnia and self-rated health in adolescents with chronic pain following the HOPE intervention. Although caution is needed when assessing the findings, results illustrate the potential utility of an accessible brief early intervention in a school context.

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Effects of a person‐centred approach in a school setting for adolescents with chronic pain—The HOPE randomized controlled trial

Fors

Wallbing

Alfvén

et al. 2020

European Journal of Pain

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BackgroundChronic pain among adolescents is common but effective interventions applicable in a school setting are rare. Person‐centred care (PCC) is a key factor in improving health by engaging persons as partners in their own care.MethodsIn this randomized controlled trial, a total of 98 adolescents in secondary school or upper secondary school (aged 14 − 21 years) with chronic pain were randomly assigned to a PCC intervention or standard school healthcare. In the intervention group a pain management programme, based on a PCC approach, comprising four face‐to‐face sessions with a school nurse over a period of 5 weeks was added to standard school healthcare. The main outcome measure was self‐efficacy in daily activities (SEDA scale) and rating scales for pain intensity and pain impact were used as secondary outcome measures.ResultsAt the follow‐up, no significant differences were found between the groups in the SEDA scale (p = .608) or in the rating scales for pain intensity (p = .261) and pain impact (p = .836). In the sub‐group analysis, a significant improvement in the SEDA scale was detected at the secondary school in favour of the PCC intervention group (p = .021).ConclusionIn this pain management programme based on a PCC approach, we found no effect in the total sample, but the programme showed promising results to improve self‐efficacy in daily activities among adolescents at secondary school.SignificanceThis study evaluates the effects of a pain management programme based on a PCC approach in a school setting addressing adolescents at upper secondary and secondary schools with chronic pain. No overall effects were shown, but results illustrate that the intervention improved self‐efficacy in adolescents at secondary school. Implementation of a PCC approach in a school setting may have the potential to improve self‐efficacy in daily activities for adolescents with chronic pain at secondary school.

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Dealing with adolescents' recurrent pain problems in school health care—Swedish school nurses' view

Cited by 5 publications

References 18 publications

Adolescents' experiences of Help Overcoming Pain Early—A school based person‐centred intervention for adolescents with chronic pain

Adolescents' experiences of Help Overcoming Pain Early—A school based person‐centred intervention for adolescents with chronic pain

Help overcoming pain early, a brief person-centred intervention for adolescents with chronic pain in a school setting, may improve symptoms of insomnia

Effects of a person‐centred approach in a school setting for adolescents with chronic pain—The HOPE randomized controlled trial

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