Stefan Nilsson1, Andreas Fors1, Per-إke Rosvall1, Marie Golsنter1, Ulrika Wallbing1, Helena Wigert1
1) Sweden
The Help Overcoming Pain Early (HOPE) approach contains four sessions of person-centered health dialogues with the adolescent during a period of six weeks. The goal of these sessions is jointly decided by the adolescent and the school nurse in the first session. The second session also includes education about stress and pain. The aim of this study is to evaluate the effects of the HOPE approach on the adolescents’ self-reported self-efficacy.
Adolescents with recurrent pain according to the definition of the International Association for the Study of Pain were invited to participate in the study during September 2016, if they also reported that at least two out of every three occasions were associated with stress according to the Verbal Rating Scale for Stress. The participants were randomized to either intervention or control. The Self-Efficacy for Daily Activities (SEDA) instrument contains three subscales, a total of 16 items which are rated on a 10-point scale and are summed to give a total score ranging from 0-160, where higher scores indicate greater self-efficacy. SEDA was used to measure the difference in the self-reported self-efficacy before and after the intervention period.
Sixteen children aged 14-15 years (2 boys) were randomized to either intervention (N=10) or control (N=6) and reported on SEDA before and after the intervention period. There was a significant increase (Md=13, Md=-1.5; p 0.043) in favor of the intervention, and also specifically on subscale one (p 0.012) (physical activities) and three (p 0.001) (daily strains).
The results showed that the HOPE approach has the potential to increase self-reported self-efficacy when adolescents have recurrent pain affected by stress. However, the results need to be confirmed in a randomized controlled trial with a larger number of participants.
This work was supported by the Gothenburg Centre for Person-Centred Care.
