青少年慢性肌肉骨疼痛的弹性教练:在压力管理中促进弹性 (PRISM) 的试点随机对照试验的协议
Sabrina Gmuca1,2,3,4, Mackenzie McGill1,2,3, Nellie Butler1,2,3
1Division of Rheumatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
本研究评估了一项针对慢性肌肉骨疼痛 (CMP) 的青少年的弹性辅导计划. 促进应激管理中的弹性 (PRISM) 计划显示,有潜力改善CMP的青少年的结果和心理健康支持.
科学领域:
- 青少年健康 青少年健康
- 心理弹性 心理弹性
- 慢性疼痛管理 慢性疼痛管理
背景情况:
- 患有慢性肌肉骨疼痛 (CMP) 的年轻人经常表现出低至中度的自我感知心理性.
- 弹性水平与CMP的症状严重程度相关.
- 弹性辅导计划为青少年CMP管理和可访问的心理健康支持提供了潜在的非药物治疗方法.
研究的目的:
- 评估促进应激管理中的弹性 (PRISM) 弹性辅导计划的可行性,可接受性和初步有效性.
- 收集设计更大规模临床试验所必需的数据.
- 探索影响PRISM有效性的患者和护理人员因素.
主要方法:
- 一项试点随机对照试验 (RCT),将常规护理与PRISM相比较,再加上新诊断CMP的青少年的常规护理.
- PRISM计划是一个远程的,一对一的弹性辅导干预,在大约3个月的时间内进行.
- 主要结果指标是随机化后3个月的功能障碍库存 (FDI) 得分.
主要成果:
- 该试验目前是开放的,并积极招募参与者.
- 获得了机构审查委员会的批准,并实施了协议修正案.
- 招聘开始于2023年5月,预计将于2025年8月结束.
结论:
- 虽然性辅导对其他慢性疾病有效,但其在青少年CMP中的应用需要进一步研究.
- 弹性教练有望提高青少年CMP患者的治疗结果.
- 这项试点RCT将确定PRISM的可接受性,可行性和初步有效性,确定障碍物和促进者,为未来的大规模试验提供信息.
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