Peer mentorship to promote effective pain management in adolescents: study protocol for a randomised controlled trialReport as inadecuate

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, 12:132

First Online: 22 May 2011Received: 28 January 2011Accepted: 22 May 2011DOI: 10.1186-1745-6215-12-132

Cite this article as: Allen, L.B., Tsao, J.C., Hayes, L.P. et al. Trials 2011 12: 132. doi:10.1186-1745-6215-12-132


BackgroundThis protocol is for a study of a new program to improve outcomes in children suffering from chronic pain disorders, such as fibromyalgia, recurrent headache, or recurrent abdominal pain. Although teaching active pain self-management skills through cognitive-behavioral therapy CBT or a complementary program such as hypnotherapy or yoga has been shown to improve pain and functioning, children with low expectations of skill-building programs may lack motivation to comply with therapists- recommendations. This study will develop and test a new manualized peer-mentorship program which will provide modeling and reinforcement by peers to other adolescents with chronic pain the mentored participants. The mentorship program will encourage mentored participants to engage in therapies that promote the learning of pain self-management skills and to support the mentored participants- practice of these skills. The study will examine the feasibility of this intervention for both mentors and mentored participants, and will assess the preliminary effectiveness of this program on mentored participants- pain and functional disability.

MethodsThis protocol will recruit adolescents ages 12-17 with chronic pain and randomly assign them to either peer mentorship or a treatment-as-usual control group. Mentored participants will be matched with peer mentors of similar age ages 14-18 who have actively participated in various treatment modalities through the UCLA Pediatric Pain Program and have learned to function successfully with a chronic pain disorder. The mentors will present information to mentored participants in a supervised and monitored telephone interaction for 2 months to encourage participation in skill-building programs. The control group will receive usual care but without the mentorship intervention. Mentored and control subjects- pain and functioning will be assessed at 2 months end of intervention for mentored participants and at 4 month follow-up to see if improvements persist. Measures of treatment adherence, pain, disability, and anxiety and depression will be assessed throughout study participation. Qualitative interviews for mentors, mentored participants, and control subjects will also be administered.

Trial NCT01118988.

List of Abbreviations UsedANOVAAnalysis of variance

BDI-IIBeck Depression Inventory: 2nd edition

CASIChild Anxiety Sensitivity Index

CBTCognitive-behavioral therapy

CAMComplementary and alternative medicine

FDIFunctional Disability Inventory

NRSNumerical Rating Scales

PIPrincipal investigator

RAPRecurrent abdominal pain

RCADSRevised Child Anxiety and Depression Scale.

Electronic supplementary materialThe online version of this article doi:10.1186-1745-6215-12-132 contains supplementary material, which is available to authorized users.

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Author: Laura B Allen - Jennie CI Tsao - Loran P Hayes - Lonnie K Zeltzer


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