ALT: a girl wearing a red mask with the words " it 's just science " next to her

Title: Beyond One-Size-Fits-All: A Tailored Approach to Perioperative Pain in Youth with Developmental Disabilities Authors:Chasity Brimeyer and Casey M. Calkins Pages: 1-4 Download PDF:Click here to view/download the full article (PDF) Read on screen Title: Integrative Health within Intensive Interdisciplinary Pain Treatment for Pediatric Patients with Chronic Pain Authors:Urszula Winkiewicz, Francesca J. Muraca, Staci Loer-Fisher, […]

Contains a list of all previous Pediatric Pain Letter issues, including links to read on page and also to download individual article PDFs.

Prospective authors of a commentary are invited to e-mail the proposed topic to the editor and the editorial assistant before submission.

Contains a list of all previous Pediatric Pain Letter issues, including links to read on page and also to download individual article PDFs.

Prospective authors of a commentary are invited to e-mail the proposed topic to the editor and the editorial assistant before submission.

Background: Consumer-grade wearables, such as Fitbits, are a promising, cost-effective methodology for objectively assessing sleep and physical activity in youth with pain. Objective: The current study investigated the acceptability and #feasibility of implementing Fitbits for youth with acute and chronic pain in and out of hospital settings while maintaining data security and patient confidentiality. Methods: We investigated participant experience of Fitbit usage over three to four weeks for a sample of youth with acute pain undergoing either orthopedic or cardiac surgical procedures (N=34, mean age=14.46, SD=3.70, 47.06% female) and a sample of youth with chronic pain enrolled in an intensive interdisciplinary pain treatment program (N=28, mean age=15.00, SD=2.33, 82.14% female). We assessed the acceptability of Fitbit usage through survey items probing comfortability (0=extremely uncomfortable to 10=extremely comfortable), perceived burdensomeness (0=not burdensome at all to 10=extremely burdensome), and open-ended issues or concerns. #feasibility was assessed by tracking the daily compliant wear of the Fitbit device, which was operationalized as more than 600 minutes of daily wear time. We tested for group differences in acceptability and #feasibility between orthopedic and cardiac patients within the acute pain sample and between the acute pain and chronic pain samples. We created an automated data pipeline to ensure data security, patient confidentiality, and quality. Results: Acceptability findings revealed high levels of reported comfort (acute pain: M=8.56, SD=1.43; chronic pain: M=8.27, SD=1.69) and low levels of perceived burdensomeness (acute: M=0.68, SD=1.17; chronic: M=1.15, SD=1.38) related to Fitbit wearing in both samples. No significant differences in these acceptability outcomes emerged between orthopedic and cardiac patients or between the acute pain and chronic pain groups (ps>.10). Transient concerns of mild wrist irritation and sleep discomfort were occasionally reported across both samples (15.79% of participants). #feasibility findings indicated high #feasibility (acute: median compliance rate of 86.67%; chronic: median compliance rate of 96.65%) for the study duration in both samples. Mann-Whitney U tests indicated significantly higher median compliance rates per participant among orthopedic as compared to cardiac patients (U=146.5, p=.04) and significantly higher median compliance rates per participant among the chronic pain group as compared to the acute pain group (U=186, p

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Chronic pain in children is common. Effective solutions exist − and training community providers is one way to get treatment to kids who need it.