A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion

Background Spinal fusion surgery is a common and painful musculoskeletal surgery performed in the adolescent population. Despite the known risk for developing chronic post-surgical pain, few perioperative psychosocial interventions have been evaluated in this population, and none have been delivered...

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Autores principales:	Caitlin B. Murray, Anthea Bartlett, Alagumeena Meyyappan, Tonya M. Palermo, Rachel Aaron, Jennifer Rabbitts
Formato:	article
Lenguaje:	EN FR
Publicado:	Taylor & Francis Group 2021
Materias:	adolescent scoliosis acute pain chronic pain psychosocial intervention Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/7c0a601b7b58453db885939df4135716
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spelling	oai:doaj.org-article:7c0a601b7b58453db885939df41357162021-12-01T14:41:00ZA pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion2474-052710.1080/24740527.2021.2009334https://doaj.org/article/7c0a601b7b58453db885939df41357162021-11-01T00:00:00Zhttp://dx.doi.org/10.1080/24740527.2021.2009334https://doaj.org/toc/2474-0527Background Spinal fusion surgery is a common and painful musculoskeletal surgery performed in the adolescent population. Despite the known risk for developing chronic post-surgical pain, few perioperative psychosocial interventions have been evaluated in this population, and none have been delivered remotely (via the Internet) to improve accessibility. Aims The aim of this single-arm pilot study was to evaluate the feasibility and acceptability of the first Internet-based psychological intervention delivered during the perioperative period to adolescents undergoing major spinal fusion surgery and their parents. Methods : 13 adolescents (M age = 14.3; 69.2% female) scheduled for spine fusion surgery and their parents were provided access to the online psychosocial intervention program. The program included 6 lessons delivering cognitive-behavioral therapy skills targeting anxiety, sleep, and acute pain management using a model of pre- and post-operative skills training. Feasibility indicators included recruitment rate, intervention engagement, and measure completion. Acceptability was assessed via quantitative ratings and qualitative interviews. Results Our recruitment rate was 81.2% of families approached for screening. Among participating adolescent-parent dyads, high levels of engagement were demonstrated (100% completed all 6 lessons). All participants completed outcome measures. High treatment acceptability was demonstrated via survey ratings and qualitative feedback, with families highlighting numerous strengths of the program as well as areas for improvement. Conclusions These findings suggest that this online psychosocial intervention delivered during the perioperative period is feasible and acceptable to adolescents and their parents. Given favorable feasibility outcomes, an important next step is to evaluate the intervention in a full-scale randomized controlled trial.Caitlin B. MurrayAnthea BartlettAlagumeena MeyyappanTonya M. PalermoRachel AaronJennifer RabbittsTaylor & Francis Grouparticleadolescent scoliosisacute painchronic painpsychosocial interventionMedicine (General)R5-920Therapeutics. PharmacologyRM1-950ENFRCanadian Journal of Pain, Vol 0, Iss 0 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	adolescent scoliosis acute pain chronic pain psychosocial intervention Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950
spellingShingle	adolescent scoliosis acute pain chronic pain psychosocial intervention Medicine (General) R5-920 Therapeutics. Pharmacology RM1-950 Caitlin B. Murray Anthea Bartlett Alagumeena Meyyappan Tonya M. Palermo Rachel Aaron Jennifer Rabbitts A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
description	Background Spinal fusion surgery is a common and painful musculoskeletal surgery performed in the adolescent population. Despite the known risk for developing chronic post-surgical pain, few perioperative psychosocial interventions have been evaluated in this population, and none have been delivered remotely (via the Internet) to improve accessibility. Aims The aim of this single-arm pilot study was to evaluate the feasibility and acceptability of the first Internet-based psychological intervention delivered during the perioperative period to adolescents undergoing major spinal fusion surgery and their parents. Methods : 13 adolescents (M age = 14.3; 69.2% female) scheduled for spine fusion surgery and their parents were provided access to the online psychosocial intervention program. The program included 6 lessons delivering cognitive-behavioral therapy skills targeting anxiety, sleep, and acute pain management using a model of pre- and post-operative skills training. Feasibility indicators included recruitment rate, intervention engagement, and measure completion. Acceptability was assessed via quantitative ratings and qualitative interviews. Results Our recruitment rate was 81.2% of families approached for screening. Among participating adolescent-parent dyads, high levels of engagement were demonstrated (100% completed all 6 lessons). All participants completed outcome measures. High treatment acceptability was demonstrated via survey ratings and qualitative feedback, with families highlighting numerous strengths of the program as well as areas for improvement. Conclusions These findings suggest that this online psychosocial intervention delivered during the perioperative period is feasible and acceptable to adolescents and their parents. Given favorable feasibility outcomes, an important next step is to evaluate the intervention in a full-scale randomized controlled trial.
format	article
author	Caitlin B. Murray Anthea Bartlett Alagumeena Meyyappan Tonya M. Palermo Rachel Aaron Jennifer Rabbitts
author_facet	Caitlin B. Murray Anthea Bartlett Alagumeena Meyyappan Tonya M. Palermo Rachel Aaron Jennifer Rabbitts
author_sort	Caitlin B. Murray
title	A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
title_short	A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
title_full	A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
title_fullStr	A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
title_full_unstemmed	A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
title_sort	pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/7c0a601b7b58453db885939df4135716
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A pilot feasibility and acceptability study of an internet-delivered psychosocial intervention to reduce postoperative pain in adolescents undergoing spinal fusion

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