HELP Pain Training Program

Study Overview
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Brief Summary
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The aim of this project is to develop and test the Helping Educators Learn Pediatric Pain Assessment & Intervention Needs (HELP Pain) program. HELP Pain provides training for school providers (e.g., school nurses, mental health professionals) on strategies to assess and manage pain-related concerns in school children. Participants will learn cognitive behavioral therapy techniques to help school children manage pain, and report on their use of strategies, and child's progress throughout the school year. Follow-up data will be collected in year 2.

Detailed Description
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Chronic pain is common among school children, and impacts social, emotional and academic functioning. School providers are often tasked with addressing student pain, but may have limited training in evidence-based pain management strategies. Thus, the PI developed a training program, HELP Pain, to train school providers, such as school nurses and mental health professionals, in cognitive behavioral therapy strategies for addressing student pain. In this study, the feasibility and acceptability of the training program will be evaluated. Provider knowledge will be evaluated before and after receiving the HELP Pain training. Further, the use of HELP Pain strategies with students and their associated disability and pain outcomes will be evaluated. Results will help to tailor the HELP Pain training program for future use.

Official Title
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Engaging School Providers to Manage Student Pain in Michigan Schools

Conditions
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Pain

Intervention / Treatment
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* Other: HELP Pain Training Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: engaged as a school provider in Michigan

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Health Department of Northwest Michigan<br>School providers (school nurses, mental health specialists) from the Health Department of Northwest Michigan. | Other: HELP Pain Training Program<br>* A training program to teach school providers nonpharmacologic (e.g., cognitive behavioral and mindfulness meditation) strategies to use with students with pain symptoms.<br>|
| Michigan Association of School Nurses<br>School providers (nurses) from the Michigan Association of School Nurses. | Other: HELP Pain Training Program<br>* A training program to teach school providers nonpharmacologic (e.g., cognitive behavioral and mindfulness meditation) strategies to use with students with pain symptoms.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility - Qualitative report | Implementation success of the program measured by a semi-structured qualitative interview method which addresses feasibility. | 9 months | 
| Acceptability - Qualitative report | Implementation success of the program measured by a semi-structured qualitative interview method which addresses acceptability. | 9 months | 
| Appropriateness - Qualitative report | Implementation success of the program measured by a semi-structured qualitative interview method which addresses appropriateness. | 9 months | 
| Implementation Success - Quantitative report | Twelve psychometrically validated items to assess program implementation success, will be administered after training. Providers will rate items with responses using a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge | Knowledge quiz scores before and after training, 0-20, where 20 indicates higher knowledge. | 9 months | 
| Fidelity | Self-reported use of HELP Pain strategies with students via online survey. | 9 months, 2 years | 
| Self-report Knowledge | Self-reported agreeableness using a 5-point Likert scale from strongly disagree (1) to strongly agree (5) to 3 statements indicating knowledge from the program. | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain, Cognitive Behavioral Therapy, School Providers