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Evolution of Parent-Targeted Interventions for Pain-Predominant Disorders of Gut-Brain Interactions: Research and
Katherine Lamparyk1, Jacklyn Stellway2, Cathleen Turnage2
1Akron Children's Hospital.
Insights
Parent-targeted interventions show promise for childhood functional abdominal pain disorders. Engaging parents and stakeholders is key to integrating these effective strategies into clinical practice for better outcomes.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Behavioral Medicine
Background:
- Functional abdominal pain-related disorders of gut-brain interactions (DGBIs) in children are complex, influenced by biopsychosocial factors.
- Parental involvement is increasingly recognized as crucial for managing pediatric DGBIs.
- Understanding the child's environment is vital for effective treatment.
Purpose of the Study:
- To review the development of parent-targeted interventions for pediatric pain-related DGBIs.
- To offer recommendations for implementing these interventions in clinical settings.
- To bridge the gap between research findings and practical application.
Main Methods:
- A literature review focused on parent-targeted interventions for pediatric pain-related DGBIs.
- Analysis of factors influencing the translation of research into practice.
- Discussion of clinical application strategies.
Main Results:
- Evidence supports parent-targeted interventions for pediatric DGBIs.
- Implementation challenges include physician buy-in, parental engagement, and logistical factors.
- Considerations for multiple caregivers, child age, and billing are important.
Conclusions:
- Parent-targeted interventions for DGBIs have a growing evidence base.
- Widespread adoption into clinical practice recommendations is limited.
- Stakeholder engagement and attention to nuanced application are recommended for successful implementation.
Objective:
Abdominal pain-related Disorders of Gut-Brain Interaction (DGBIs) in children are best understood from a biopsychosocial model, including particular attention to the child's environment. Interventions have begun to increasingly target parents as important agents of change in this population. The purpose of this manuscript is to summarize the evolution of parent-targeted interventions for pediatric pain-related DGBIs and provide recommendations for application of the model to clinical practice.
Methods:
A topical review of literature regarding parent-targeted interventions and related factors in the treatment of pediatric pain-related DGBIs was conducted, followed by a discussion of these findings to clinical practice settings.
Results:
A growing body of research has supported parent-targeted interventions in the treatment of pediatric pain-related disorders of gut-brain interactions (DGBI), although translation of these findings to practice settings is complicated by numerous factors. Strategies for obtaining physician buy-in and parental engagement are discussed, as are potential logistical considerations of multiple caregivers, child age, and billing considerations.
Conclusions:
There is a promising and growing evidence-base for parent-targeted interventions for pain-related DGBIs, which have not yet been widely adopted into clinical practice recommendations. Engaging all stake-holders and attending to the nuances of this approach are recommended to successfully apply parent-targeted interventions into clinical practice settings.
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