Gastrointestinal Group Education for Children and Adolescents with Functional Abdominal Pain Disorders—A Feasibility Study of a Brief Intervention

Author:

Löfgren Emilia1,Lindfors Perjohan23ORCID,Nilsson Karin4,Wannstedt Jenny45,Bonnert Marianne67,Uusijärvi Agneta48ORCID

Affiliation:

1. Surbrunns Primary Health Care Center, Surbrunnsgatan 66, 11327 Stockholm, Sweden

2. Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Nobels väg 9, 17165 Stockholm, Sweden

3. Department of Gastroenterology, Akademiska University Hospital, 75185 Uppsala, Sweden

4. Astrid Lindgren Children’s Hospital, Karolinska University Hospital, 17176 Stockholm, Sweden

5. Medical Unit Clinical Nutrition, Theme Women’s Health and Allied Health Professionals, Karolinska University Hospital, 17176 Stockholm, Sweden

6. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobels väg 12, 17177 Stockholm, Sweden

7. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Norra Stationsgatan 69, 11364 Stockholm, Sweden

8. Division of Paediatrics, Department of Clinical Science, Intervention and Technology Karolinska Institutet, Novum, Blickagången 6 A, 14157 Huddinge, Sweden

Abstract

Functional abdominal pain disorders are common and disabling in children, but treatment options are limited. In a pilot study, we aimed to investigate if a brief group education program for pediatric patients with functional abdominal pain disorders and their parents is feasible and acceptable. Group education in adult irritable bowel syndrome has shown large treatment effects, but it has not been evaluated in children. The gastrointestinal (GI) group education, delivered in the clinic to 23 child–parent dyads, consisted of lectures by a pediatric gastroenterologist, a psychologist, and a dietician. Validated digital questionnaires were filled in by children and parents before and after the intervention. Most participants in the GI group education attended all sessions, and credibility in treatment was deemed high. Children’s self-reported knowledge of functional abdominal pain disorders increased, and improvements in gastrointestinal symptoms were reported at the end of this study. Our findings indicate that group education for children and adolescents with functional abdominal pain disorders, and their parents, is acceptable and feasible and may improve symptoms. A brief group education program may be of benefit in the management of pediatric functional abdominal pain disorders in several cases and when the family needs more knowledge than can be provided in primary care.

Funder

Innovationsfonden

Föreningen Mjölkdroppen

Publisher

MDPI AG

Subject

Gastroenterology,Oncology,Immunology and Microbiology (miscellaneous),Hepatology

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