A parent-targeted group intervention for pediatric pain delivered in-person or virtually: feasibility, acceptability, and effectiveness

Soeun Lee; Bruce Dick; Abbie Jordan; Meghan McMurtry

doi:10.1097/AJP.0000000000001100

A parent-targeted group intervention for pediatric pain delivered in-person or virtually: feasibility, acceptability, and effectiveness

Soeun Lee, Bruce Dick, Abbie Jordan, Meghan McMurtry

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Abstract

OBJECTIVES: Parents play integral roles in their youth's chronic pain and can experience elevated distress related to caregiving. This study examined a cognitive-behavior therapy-based parent-targeted group intervention, including understudied/novel resilience/risk (eg, distress, parenting self-regulation), and compared the effect of in-person versus virtual delivery format. HYPOTHESES: (1) Adequate feasibility and acceptability (enrolment>33%, attendance >60%, attrition <25%, satisfaction ratings >90%), with higher indicators of feasibility in the virtual groups; (2) Significant improvements in parent psychological flexibility, protectiveness, distress, and parenting self-regulation at posttreatment that were maintained at follow-up, with no difference between delivery type. METHODS: Parents were enroled from an outpatient pediatric chronic pain clinic and participated in the group intervention in-person or virtually; questionnaires were completed at baseline, posttreatment, and 3-month follow-up. RESULTS: Enrolment (55% in-person, 65% virtual) and attendance (86% in-person, 93% virtual) were higher, and attrition was lower than expected (4% in-person, 7% virtual). Satisfaction was high (4.95/5 in-person, 4.85/5 virtual); on written feedback, parents enjoyed connecting with other parents (27/56, 48%) the most. The least preferred were the virtual format (5/36, 14%) and timing of the group (6/52, 12%). There were no differences between delivery formats in feasibility/acceptability. The intervention significantly improved parents' psychological flexibility, protectiveness, distress, and parenting self-regulation over time. A small group difference favored the in-person format for psychological flexibility, and an interaction effect for parenting self-regulation was found. DISCUSSION: This standalone parent-targeted group intervention had positive effects on parent outcomes delivered either in-person or virtually.

Original language	English
Pages (from-to)	127-137
Number of pages	11
Journal	The Clinical Journal of Pain
Volume	39
Issue number	3
DOIs	https://doi.org/10.1097/AJP.0000000000001100
Publication status	Published - 3 Mar 2023

Bibliographical note

Funding Information:
This study was supported by the Canadian Psychological Association Student Research Grant awarded to Soeun Lee, as well as funding awarded to Meghan McMurtry from the Canada Foundation for Innovation (CFI) and the University of Guelph, Ontario, Canada. The authors declare no conflict of interest.

Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.

Keywords

caregivers
chronic pain
intervention
parents
virtual

ASJC Scopus subject areas

Clinical Neurology
Anesthesiology and Pain Medicine

Access to Document

10.1097/AJP.0000000000001100

Parent_Group_Intervention_Nov_11_accepted_ver
Copyright © 2023 Lippincott Williams & Wilkins, Inc. This is a non-final version of an article published in final form in Lee, Soeun MA*; Dick, Bruce D. PhD†,‡; Jordan, Abbie PhD§; McMurtry, C. Meghan PhD*,∥,¶. A Parent-Targeted Group Intervention for Pediatric Pain Delivered In-Person or Virtually: Feasibility, Acceptability, and Effectiveness. The Clinical Journal of Pain 39(3):p 127-137, March 2023. | DOI: 10.1097/AJP.0000000000001100 https://journals.lww.com/clinicalpain/pages/articleviewer.aspx?year=2023&issue=03000&article=00003&type=Fulltext
Accepted author manuscript, 435 KB

Cite this

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abstract = "OBJECTIVES: Parents play integral roles in their youth's chronic pain and can experience elevated distress related to caregiving. This study examined a cognitive-behavior therapy-based parent-targeted group intervention, including understudied/novel resilience/risk (eg, distress, parenting self-regulation), and compared the effect of in-person versus virtual delivery format. HYPOTHESES: (1) Adequate feasibility and acceptability (enrolment>33%, attendance >60%, attrition <25%, satisfaction ratings >90%), with higher indicators of feasibility in the virtual groups; (2) Significant improvements in parent psychological flexibility, protectiveness, distress, and parenting self-regulation at posttreatment that were maintained at follow-up, with no difference between delivery type. METHODS: Parents were enroled from an outpatient pediatric chronic pain clinic and participated in the group intervention in-person or virtually; questionnaires were completed at baseline, posttreatment, and 3-month follow-up. RESULTS: Enrolment (55% in-person, 65% virtual) and attendance (86% in-person, 93% virtual) were higher, and attrition was lower than expected (4% in-person, 7% virtual). Satisfaction was high (4.95/5 in-person, 4.85/5 virtual); on written feedback, parents enjoyed connecting with other parents (27/56, 48%) the most. The least preferred were the virtual format (5/36, 14%) and timing of the group (6/52, 12%). There were no differences between delivery formats in feasibility/acceptability. The intervention significantly improved parents' psychological flexibility, protectiveness, distress, and parenting self-regulation over time. A small group difference favored the in-person format for psychological flexibility, and an interaction effect for parenting self-regulation was found. DISCUSSION: This standalone parent-targeted group intervention had positive effects on parent outcomes delivered either in-person or virtually.",

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A parent-targeted group intervention for pediatric pain delivered in-person or virtually: feasibility, acceptability, and effectiveness

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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