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ADAPTed Cognitive Behavioral Therapy for Pediatric Functional Abdominal Pain in Community-Based Pediatric Care: Mixed
Emma Ramsay Milford1,2, Sandra Buratti1, Natoshia R Cunningham3
1Department of Psychology, University of Gothenburg, Haraldsgatan 1, Gothenburg, 413 14, Sweden, 46 0708276061.
The Aim to Decrease Anxiety and Pain Treatment (ADAPT) program significantly reduced functional disability and pain intensity in children with functional abdominal pain disorders (FAPDs). Participants found the blended digital and live format effective, reporting improved daily functioning and school participation.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Digital Health Interventions
Background:
- Functional abdominal pain disorders (FAPDs) and anxiety are common in children.
- The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is a blended cognitive behavioral therapy program.
- A culturally adapted Swedish version of ADAPT was developed for community-based pediatric care.
Purpose of the Study:
- Evaluate a modified ADAPT program as an early intervention for FAPD in Sweden.
- Assess the treatment effect on pain and anxiety.
- Explore participants' experiences with the intervention.
Main Methods:
- Mixed methods design with a single-arm pre-posttest and semistructured interviews.
- 13 children (aged 9-14) diagnosed with FAPD participated.
- Quantitative analysis of pain-related functional disability, pain intensity, and anxiety; qualitative thematic analysis of interviews.
Main Results:
- Significant reductions in pain-related functional disability (P=.04, r=-0.58) and pain intensity (P=.02, r=-0.70).
- 46% achieved clinically meaningful improvement in functional disability; 33% in pain intensity.
- Qualitative analysis revealed positive experiences with the blended format and improved daily functioning, including school participation.
Conclusions:
- The modified ADAPT program shows potential as an early intervention for FAPD in Swedish community pediatric settings.
- Positive patient experiences and quantitative results suggest feasibility and benefit.
- Further research with larger sample sizes and long-term follow-up is needed to confirm effectiveness.
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