探讨青少年对疼痛的理解、体验与信念:一项质性研究。

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Isabelle Bogard, Julie Ayre, Jenna Smith, Joshua W. Pate, Andrew Sortwell, Jonah Gorringe, Georgia Gordon, Steven J. Kamper, Tie P. Yamato
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引用次数: 0

摘要

背景:疼痛在整个生命周期中普遍存在,并造成重大的社会和经济负担。公众经常对疼痛和疼痛管理有误解。尽管如此,没有资源充足的公共卫生举措向公众提供有关疼痛和疼痛管理的信息。青春期是教育公众关于疼痛的好时机。为青少年设计的保健干预措施应反映他们的理解、信念和经验;然而,没有研究探讨这在非临床人群的青少年。本研究旨在探讨青少年对疼痛的理解、体验和信念,为基于学校的疼痛教育模块的开发提供信息。方法:我们对在澳大利亚中学就读的7-10年级(11-16岁)的25名青少年进行了半结构化访谈。访谈通过视频会议软件进行,录音,逐字转录,并使用框架分析进行分析。结果:我们产生了三个主题:(i)身体和心理疼痛是不同的,(ii)心理和环境因素影响人们对身体疼痛的感受或反应,(iii)如果身体疼痛影响参与有意义的活动,它就很重要。结论:青少年对疼痛的理解和信念并不总是与当前对疼痛的科学理解一致。以学校为基础的疼痛教育计划应该针对这些失调的区域。通过疼痛教育解决青少年对疼痛的误解也可以为经历疼痛的青少年创造一个更支持性的学校环境。互动的学习方法,例如鼓励青少年反思他们的疼痛经历的讨论,可能是一个有希望的疼痛教育途径。患者或公众贡献:两位共同作者是研究人群的一部分,并为研究设计和分析做出了贡献。他们的投入确保了访谈指南适合目标人群,并为调查结果提供了青少年的视角。他们的工作时间是按照消费者参与准则支付报酬的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Adolescents' Understanding, Experiences and Beliefs About Pain: A Qualitative Study

Background

Pain is prevalent across the lifespan and contributes to significant societal and economic burdens. The public often holds misconceptions about pain and pain management. Despite this, there are no well-resourced public health initiatives delivering information about pain and pain management to the public. Adolescence is an opportune time to educate the public about pain. Health interventions designed for adolescents should reflect their understanding, beliefs and experiences; however, no studies explore this in non-clinical populations of adolescents. We aimed to explore adolescents' understanding, experiences and beliefs about pain to inform the development of a school-based pain education module.

Methods

We conducted semi-structured interviews with 25 adolescents in grades 7–10 (ages 11–16) attending Australian secondary schools. Interviews were conducted on video-conferencing software, audio-recorded, transcribed verbatim and analysed using Framework Analysis.

Results

We generated three themes: (i) physical and psychological pain are distinct, (ii) psychological and contextual factors influence how someone feels or reacts to physical pain and (iii) physical pain matters if it impacts participation in meaningful activities.

Conclusions

Adolescents' understanding and beliefs about pain do not always align with current scientific understanding of pain. School-based pain education programmes should target these areas of misalignment. Addressing adolescents' misconceptions about pain through pain education could also create a more supportive school environment for adolescents experiencing pain. Interactive approaches to learning, such as discussions that encourage adolescents to reflect on their experiences of pain, could be a promising avenue for pain education.

Patient or Public Contribution

Two co-authors are part of the study population and contributed to the study design and analysis. Their input ensured the interview guide was appropriate for the target population and provided an adolescent perspective on the findings. They were remunerated for their time in accordance with consumer involvement guidelines.

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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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