Adolescents' experiences of Help Overcoming Pain Early—A school based person‐centred intervention for adolescents with chronic pain

Author:

Wallbing U.12ORCID,Nilsson S.1ORCID,Wigert H.13ORCID,Lundberg M.14ORCID

Affiliation:

1. Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

2. Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society Karolinska Institutet Stockholm Sweden

3. Division of Neonatology Sahlgrenska University Hospital Gothenburg Sweden

4. Department of Health Promoting Science Sophiahemmet University Stockholm Sweden

Abstract

AbstractTo illuminate adolescents' experiences of Help Overcoming Pain Early (HOPE), a person‐centred intervention delivered in a school setting by school nurses. Twenty‐one adolescents with chronic pain recruited from secondary school, who had completed the HOPE intervention, were included in the interview study. The HOPE intervention was built on person‐centred ethics and consisted of four meetings between school nurses and adolescents on the subject of stress and pain management. A qualitative method using content analysis with an inductive approach was employed. In the interviews, the adolescents describe how they reclaim their lives with the help of HOPE. They use different strategies and parts of the intervention to move on with their lives. A trustful relationship, as that with the school nurse, was essential to dare to change. The overarching theme summarizes in Becoming myself again and is built up by three sub‐themes: Trust a pillar for growth, Making sense of my life with pain, and Putting myself into the world again. A person‐centred intervention such as HOPE applied in a school context is promising for promoting confidence in adolescents with chronic pain. A trust‐building process emerged, in terms of both the adolescents' trust in the healthcare staff they meet and their confidence in their own ability to handle and influence their situation, which in the long term can promote trust in themselves as a person.

Funder

Centrum fÖr Personcentrerad Vård

Karolinska Institutet

Publisher

Wiley

Subject

General Medicine

Reference40 articles.

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3. Chronic pediatric pain in low‐ and middle‐income countries;Walters CB;Children (Basel),2018

4. Pain could negatively affect school grades - Swedish middle school students with low school grades most affected

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