Clinical trial NCT01496378: Problem Solving Skills Training For Parent Caregivers of Youth With Chronic Pain
Official title: Problem Solving Skills Training For Parent Caregivers of Youth With Chronic Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Abdominal Pain
Headache
Keywords: Chronic Pain
Abdominal Pain
Headache
Adolescents
Children
Parents
Problem-Solving Skills Training
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
Collaborators: name: Oregon Health and Science University
First posted: 2011-12-21
Enrollment: 122
Sex: ALL
Minimum age (years): 10
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to evaluate the feasibility and efficacy of problem-solving skills training (PSST) to reduce distress and increase coping abilities among parents of youth with chronic pain. We hypothesize that parents will complete the PSST intervention and will find it to be an acceptable and satisfactory treatment. We also hypothesize that parents who receive PSST will have less distress and better coping skills than parents who receive standard care, and that children of parents who receive PSST will have better physical and emotional functioning than children of parents who receive standard care.

Detailed description: Chronic pain affects 25-40% of children and adolescents, and results in significantly lower quality of life for these youth. Parents play an important role in how their children cope with chronic pain, and can also experience their own distress related to their child's illness. Parental psychological distress is widely recognized to be associated with poorer child adjustment. However, no interventions have been developed specifically to treat psychological distress in parents of children with chronic pain. Problem-solving skills training (PSST) has been shown to result in significant reductions in parental distress among caregivers of children with other types of chronic illness such as cancer. The purpose of this study is to test the feasibility and preliminary efficacy of PSST for parents of youth with chronic pain.

Eligibility criteria: Inclusion Criteria:

* Child age 10-17 years
* Child's pain present for at least 3 months duration
* Pain occurs at least 1 time per week and interferes with daily functioning
* Pain is not related to a chronic disease
* Receiving evaluation or treatment in a pediatric pain clinic
* Literate in English

Exclusion Criteria:

* A serious comorbid chronic condition in the child (e.g., diabetes, arthritis, cancer)
* Non-English speaking
* Parent has lived with the child for less than one year
* Parent has active psychosis or suicidal ideation

Primary outcomes:
measure: Change in problem solving skills from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, immediately post-treatment, 3-month follow-up
measure: Change in depressive symptoms from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, immediately post-treatment, 3-month follow-up
measure: Change in anxiety and depressive symptoms from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, immediately post-treatment, 3-month follow-up
measure: Change in parenting stress from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, post-treatment, 3-month follow-up
measure: Change in child physical and emotional functioning from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, post-treatment, 3-month follow-up
Secondary outcomes:
measure: Change in parental impact of chronic pain from baseline to immediately post-treatment and 3-month follow-up
timeFrame: baseline, immediately post-treatment, and 3-month follow-up
measure: Treatment expectancies
timeFrame: baseline
measure: Brief symptom inventory
timeFrame: baseline
measure: Treatment satisfaction
timeFrame: immediately post-treatment and 3-month follow-up
Other outcomes:
Locations:
city: Portland
country: United States
facility: Oregon Health and Science University
state: Oregon
city: Seattle
country: United States
facility: Seattle Children's Hospital
state: Washington
Study officials:
affiliation: University of Washington
name: Tonya M. Palermo, PhD
role: PRINCIPAL_INVESTIGATOR
References: