Pediatric rheumatology

“I’d like more options!”: Interviews to explore young people and family decision-making needs for pain management in juvenile idiopathic arthritis

Pediatr Rheumatol Online JPublished Qualitative descriptive study

Authors' conclusion

Findings suggest a need for evidence-based information and communication about pain management options, which would be addressed by decision support interventions and HCP training in pain and SDM.

Study context

Population
Young people with juvenile idiopathic arthritis (JIA) aged 8–18 years, parents/caregivers and health care providers (HCPs), recruited online across Canada and the United States, from a hospital and a quality improvement network
Participants
12 / 13 / 11
Comparison
Young people vs Parents/caregivers vs HCPs
  • Young peoplen = 12
  • Parents/caregiversn = 13
  • HCPsn = 11
Outcome
Families' decision-making needs for pain management in JIA
Methodological detailssemi-structured individual interviews, virtual or face-to-face, thematic analysis, Ottawa Decision Support Framework
  • Semi-structured individual interviews
  • Virtual or face-to-face
  • Thematic analysis
  • Ottawa Decision Support Framework

Main finding

As reported in the abstract

Decision-making needs for pain management (themes)
  • Need to assess pain in an accurate manner
  • Need to address pain in pediatric rheumatology consultations
  • Need for information on pain management options, especially nonpharmacological approaches
  • Importance of effectiveness, safety and ease of use of treatments
  • Need to discuss young people/families' values and preferences for pain management options
  • Need for decision support
  • Themes similar for young people, parents/caregivers and HCPs, although their respective importance varied

Original publication

“I’d like more options!”: Interviews to explore young people and family decision-making needs for pain management in juvenile idiopathic arthritis. Pediatr Rheumatol Online J. Published 26 July 2023. doi:10.1186/s12969-023-00849-0

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