Pain assessment methods and interventions used by pediatric psychologists: A survey by the Pain Special Interest Group of the Society of Pediatric Psychology.

Abstract

Although many valid pain-related assessment instruments and interventions exist, little is known about which are actually utilized in practice and the factors that contribute to pediatric psychologist’s decisions about their use. The aim of this survey study was to present a summary of current clinical practice among pediatric psychologists in the area of pediatric pain and to identify the needs and possible resources that would enable practitioners to better implement evidence-based assessments and interventions. To accomplish this aim, the Pain Special Interest Group of the Society of Pediatric Psychology (SPP) constructed an online survey that was sent electronically to current members of the SPP list serve. Results indicated the majority of participants are guided by a theoretical model and are using evidence-based assessments and interventions, although they are not always familiar with the literature supporting their use. Providers noted evidence-based pain intervention is facilitated by assessment tools, intervention resources, and appreciation of pain interventions by multidisciplinary team members. Barriers are both logistical (clinic space and time constraints) and knowledge-based (lack of familiarity with assessments/interventions). Thus, while pediatric psychologists are progressing towards better translation of research to practice, continued educational efforts and communication among practitioners about available resources are warranted.

Preliminary Validation of the Pain Burden Inventory in a Pediatric Chronic Pain Population

“…For example, a survey of pediatric psychologists found 79.2% utilize patient self-report questionnaires, 54.7% utilize parent questionnaires, and 96.2% utilize multiple assessment methods. 7 However, the same study also noted that barriers impact a provider's ability to use assessment strategiesmost commonly time. This suggests a need for brief, valid measures available to clinicians for quick screening of their patients.…”

“…Self-report measures of pain in these domains are commonly used in pediatric pain clinics. For example, a survey of pediatric psychologists found 79.2% utilize patient self-report questionnaires, 54.7% utilize parent questionnaires, and 96.2% utilize multiple assessment methods 7. However, the same study also noted that barriers impact a provider’s ability to use assessment strategies—most commonly time.…”