The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups
Background: Access to pain care is recognized as a fundamental human right, ratified by Law 38/2010 and supported by the professional codes of conduct for healthcare practitioners. Pain, defined by the International Association for the Study of Pain (IASP), as an unpleasant sensory and emotional ex...
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Università degli Studi di Torino
2024-12-01
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| Series: | Journal of Biomedical Practitioners |
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| Online Access: | https://ojsunito33.archicoop.it/index.php/jbp/article/view/11343 |
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| author | Aldana Paola Ercolano Sabrina Galvan Tessa Louise Marchesan Alessia Gavioli Gerardo Papa Mariarita Todaro Lidia Berforini D’Aquino Alessia Zanatta Andrea Vianello |
| author_facet | Aldana Paola Ercolano Sabrina Galvan Tessa Louise Marchesan Alessia Gavioli Gerardo Papa Mariarita Todaro Lidia Berforini D’Aquino Alessia Zanatta Andrea Vianello |
| author_sort | Aldana Paola Ercolano |
| collection | DOAJ |
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Background: Access to pain care is recognized as a fundamental human right, ratified by Law 38/2010 and supported by the professional codes of conduct for healthcare practitioners. Pain, defined by the International Association for the Study of Pain (IASP), as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It becomes chronic when it persists beyond three months, affecting quality of life and clinical prognosis. The World Health Organization (WHO) has recently promoted a multidisciplinary approach for pediatric chronic pain, integrating physical, psychological, and pharmacological interventions, given the high prevalence of pain in pediatric populations, affecting up to 46% of children and adolescents. However, recent studies highlight gaps in healthcare providers’ competencies in managing pediatric chronic pain, and the need to update professional training and explore further non-pharmacological approaches to improve its management.
Objectives: To explore healthcare professionals’ perceptions and expectations regarding the multidisciplinary approach to chronic pediatric pain, and identify areas for improvement to optimise rehabilitative practices.
Methods: The study adopted a qualitative design, utilizing the Focus Group technique and unstructured interviews, following Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Six pediatric rehabilitation professionals, each with at least 10 years of experience, were involved to investigate the multidisciplinary management of chronic pain.
Results: Family involvement (30%), the multidisciplinary approach (25%), and the biopsychosocial model (20%) were identified as key elements in the management of pediatric chronic pain. The importance of preventing physical complications and improving the child’s quality of life also emerged.
Discussion: The results confirm the importance of a holistic, multidisciplinary approach to managing pediatric chronic pain. However, some critical issues emerged, such as the limited early involvement of rehabilitation professionals and the need for better coordination between different healthcare professionals.
Conclusions: The study highlights that a multidisciplinary and personalized approach is crucial in the management of pediatric chronic pain. While confirming the efficacy of the holistic approach, the results reveal the need for more efficient coordination between professionals and early involvement of rehabilitation specialists. Future studies with larger samples could validate the findings and refine recommendations for effective chronic pain management in pediatric patients.
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| format | Article |
| id | doaj-art-f004ac8a83c9456b87d5b346c49285d8 |
| institution | Kabale University |
| issn | 2532-7925 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Università degli Studi di Torino |
| record_format | Article |
| series | Journal of Biomedical Practitioners |
| spelling | doaj-art-f004ac8a83c9456b87d5b346c49285d82025-02-03T09:36:02ZengUniversità degli Studi di TorinoJournal of Biomedical Practitioners2532-79252024-12-018210.13135/2532-7925/11343The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groupsAldana Paola Ercolano0https://orcid.org/0009-0007-3388-397XSabrina Galvan1Tessa Louise Marchesan 2Alessia Gavioli 3Gerardo Papa 4Mariarita Todaro5Lidia Berforini D’Aquino 6Alessia Zanatta 7Andrea Vianello 8Fisioterapista. Fondazione Hospice Seragnoli, Bologna - ItalyFisioterapista, Tutor Didattico Aziendale, Direzione delle Professioni Sanitarie, Azienda Ospedale Università di Padova; CdL in Fisioterapia dell’Università degli Studi di Padova - ItalyEducatore Professionale, SC Disabilità e Disturbi del Neurosviluppo dell'Adulto - Azienda Sanitaria Universitaria Giuliano Isontina - ItalyTerapista Occupazionale Libera professione, AISM Veneto - Sezione provinciale di Vicenza - ItalyFisioterapista, UOC Recupero e Rieducazione Funzionale, Ospedale di Asiago Aulss 7 Pedemontana - ItalyFisioterapista, UOC Medicina Fisica e Riabilitativa, Ospedale di Schiavonia, Azienda ULSS 6 Euganea - ItalyOrtottista ed assistente di oftalmologia, SOSD professioni riabilitative ospedaliere - Area ortottica, Azienda Sanitaria Universitaria Friuli Centrale - ItalyTerapista della Neuro e Psicomotricità dell'Età Evolutiva, Fondazione Robert Hollman Padova - ItalyProfessore Associato di Pneumologia, Facoltà di Medicina e Chirurgia, Università degli Studi di Padova, Direttore della Divisione di Fisiopatologia Respiratoria, Azienda Ospedaliero-Universitaria Municipale di Padova - Italy Background: Access to pain care is recognized as a fundamental human right, ratified by Law 38/2010 and supported by the professional codes of conduct for healthcare practitioners. Pain, defined by the International Association for the Study of Pain (IASP), as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It becomes chronic when it persists beyond three months, affecting quality of life and clinical prognosis. The World Health Organization (WHO) has recently promoted a multidisciplinary approach for pediatric chronic pain, integrating physical, psychological, and pharmacological interventions, given the high prevalence of pain in pediatric populations, affecting up to 46% of children and adolescents. However, recent studies highlight gaps in healthcare providers’ competencies in managing pediatric chronic pain, and the need to update professional training and explore further non-pharmacological approaches to improve its management. Objectives: To explore healthcare professionals’ perceptions and expectations regarding the multidisciplinary approach to chronic pediatric pain, and identify areas for improvement to optimise rehabilitative practices. Methods: The study adopted a qualitative design, utilizing the Focus Group technique and unstructured interviews, following Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Six pediatric rehabilitation professionals, each with at least 10 years of experience, were involved to investigate the multidisciplinary management of chronic pain. Results: Family involvement (30%), the multidisciplinary approach (25%), and the biopsychosocial model (20%) were identified as key elements in the management of pediatric chronic pain. The importance of preventing physical complications and improving the child’s quality of life also emerged. Discussion: The results confirm the importance of a holistic, multidisciplinary approach to managing pediatric chronic pain. However, some critical issues emerged, such as the limited early involvement of rehabilitation professionals and the need for better coordination between different healthcare professionals. Conclusions: The study highlights that a multidisciplinary and personalized approach is crucial in the management of pediatric chronic pain. While confirming the efficacy of the holistic approach, the results reveal the need for more efficient coordination between professionals and early involvement of rehabilitation specialists. Future studies with larger samples could validate the findings and refine recommendations for effective chronic pain management in pediatric patients. https://ojsunito33.archicoop.it/index.php/jbp/article/view/11343multidisciplinary approach; chronic pain; infants; rehabilitation; adolescents |
| spellingShingle | Aldana Paola Ercolano Sabrina Galvan Tessa Louise Marchesan Alessia Gavioli Gerardo Papa Mariarita Todaro Lidia Berforini D’Aquino Alessia Zanatta Andrea Vianello The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups Journal of Biomedical Practitioners multidisciplinary approach; chronic pain; infants; rehabilitation; adolescents |
| title | The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups |
| title_full | The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups |
| title_fullStr | The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups |
| title_full_unstemmed | The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups |
| title_short | The multidisciplinary approach to the treatment of paediatric chronic pain: a qualitative analysis through focus groups |
| title_sort | multidisciplinary approach to the treatment of paediatric chronic pain a qualitative analysis through focus groups |
| topic | multidisciplinary approach; chronic pain; infants; rehabilitation; adolescents |
| url | https://ojsunito33.archicoop.it/index.php/jbp/article/view/11343 |
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