Sabrina Gmuca, Anyun Chatterjee, Mackenzie McGill, Nellie Butler, Katherine S Kellom, Jami F Young, Tonya M Palermo, Pamela F Weiss, Abby R Rosenberg, Peter F Cronholm
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引用次数: 0
Abstract
Objective: Promoting Resilience in Stress Management (PRISM) is a resilience coaching program designed for adolescents with chronic illness. We aimed to examine the perceived feasibility, acceptability, and appropriateness of PRISM among pediatric rheumatologists managing adolescents with chronic musculoskeletal pain as well as obtain recommendations for improvement to inform future implementation efforts.
Methods: We performed semi-structured interviews with pediatric rheumatologists across several US institutions. Interviews were audio-recorded and transcribed verbatim. Hybrid inductive-deductive coding was employed to capture emergent themes, guided by the Consolidated Framework for Implementation Research (CFIR) 2.0, and develop the codebook. We performed double coding for 20% (n=2) of the transcripts to develop the codebook and ensure inter-rater reliability.
Results: Ten pediatric rheumatologists were interviewed and feedback on PRISM was uniformly positive in terms of perceived clinical value and favorability for local implementation. Perceived facilitators included PRISM's brevity, remote delivery, and the potential for a peer group session. Finding the funding and having enough staff for such a program as well as the concerns around competing demands and building PRISM into adolescents' busy schedules were the primary perceived barriers for implementation.
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. Implementation strategies are needed to support program costs and staffing to effectively deliver and sustain the program.
期刊介绍：
Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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