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iPeer2Peer program: a pilot feasibility study in adolescents with chronic pain.

Sara Ahola Kohut1, Jennifer N Stinson, Danielle Ruskin

  • 1Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada Bloomberg School of Nursing, University of Toronto, Toronto, ON, Canada Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada Department of Psychology, York University, Toronto, ON, Canada School of Nursing, University of Ottawa, Ottawa, ON, Canada.

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Summary

Peer mentoring for adolescents with chronic pain improved self-management and coping skills. The iPeer2Peer program, using trained young adult mentors, showed feasibility and positive outcomes for youth managing long-term pain.

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Area of Science:

  • Adolescent medicine
  • Pain management
  • Psychology

Background:

  • Adolescents with chronic pain experience social isolation and developmental disruption.
  • Peer relationships are crucial for adolescent self-identity and autonomy.
  • Chronic pain interferes with social interactions, impacting development.

Purpose of the Study:

  • To develop and assess the feasibility, acceptability, and impact of the iPeer2Peer program.
  • To enhance chronic pain self-management skills in adolescents.
  • To evaluate peer mentoring as an intervention for adolescent chronic pain.

Main Methods:

  • Pilot randomized controlled trial with waitlist controls.
  • Intervention: iPeer2Peer program (10 Skype calls over 8 weeks) with trained young adult peer mentors.
  • Participants: 28 adolescents (aged 14.8 ± 1.6 years, 93% female) with chronic pain.

Main Results:

  • The iPeer2Peer program was feasible and acceptable with extended time for completion.
  • Adolescents in the iPeer2Peer program showed significant improvements in self-management skills.
  • Peer mentoring led to more successful coping efforts compared to controls.

Conclusions:

  • The iPeer2Peer program is a promising intervention for adolescents with chronic pain.
  • Peer mentoring complements standard care for improving adolescent chronic pain self-management.
  • The intervention positively impacts self-management and coping in a vulnerable population.