Pediatric rheumatology

Barriers and Facilitators for Implementing Resilience Coaching for Youth With Chronic Musculoskeletal Pain: Pediatric Rheumatologists’ Perspectives

Arthritis Care Res (Hoboken)Published Qualitative interview study

Authors' conclusion

Pediatric rheumatologists report that PRISM would be valuable and of interest to their patients with chronic musculoskeletal pain, and the resilience coaching program could be further augmented by the addition of a peer support component.

Study context

Population
Pediatric rheumatologists treating adolescents with chronic musculoskeletal pain, several US institutions
Participants
10 pediatric rheumatologists
Outcome
Perceived feasibility, acceptability and appropriateness of PRISM resilience coaching program, and recommendations for improvement
Methodological detailssemistructured interviews, multicentre (several US institutions), hybrid inductive-deductive coding guided by CFIR 2.0, Double coding for 20% (n = 2) of transcriptions to develop codebook and ensure interrater reliability
  • Semistructured interviews
  • Multicentre (several US institutions)
  • Hybrid inductive-deductive coding guided by CFIR 2.0
  • Double coding for 20% (n = 2) of transcriptions to develop codebook and ensure interrater reliability

Main finding

As reported in the abstract

Perceived feasibility, acceptability and appropriateness of PRISM
  • Feedback on Promoting Resilience in Stress Management (PRISM) uniformly positive for perceived clinical value and favorability for local implementation
  • Perceived facilitators: PRISM's brevity, remote delivery, potential for a peer group session
  • Primary perceived barriers: finding funding, enough staff, competing demands, fitting PRISM into adolescents' busy schedules

Original publication

Barriers and Facilitators for Implementing Resilience Coaching for Youth With Chronic Musculoskeletal Pain: Pediatric Rheumatologists’ Perspectives. Arthritis Care Res (Hoboken). Published 16 April 2025. doi:10.1002/acr.25531

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