RecruitingNot ApplicableNCT06481072

Digital Psychological Intervention for Pediatric Functional Abdominal Pain Disorders in Primary Care

Digital Psychological Intervention for Pediatric Functional Abdominal Pain Disorders Through a Collaborative Pathway Between Primary- and Specialist Pediatric Care: A Randomized Clinical Trial

Sponsor

Göteborg University

Enrollment

300 participants

Start Date

Apr 1, 2024

Study Type

INTERVENTIONAL

Conditions

Functional Abdominal Pain Syndrome

Summary

The project involves researching two psychological treatments for functional abdominal pain in children. The treatments will be offered to children as an early intervention, at primary care level. The study will aim to find out if the treatments are effective and which children the different treatments are effective for.

Eligibility

Min Age: 8 YearsMax Age: 14 Years

Inclusion Criteria3

Eligible participants are children and young people aged 8-14.
Diagnosed with functional abdominal pain disorders by their physician.
Diagnosed at one of the participating primary care health centres.

Exclusion Criteria2

Children and young people with scores above the clinical cut-off on the Revised Child Anxiety and Depression Scale (RCADS).
Children who do not follow the mainstream Swedish National Curriculum due to learning disabilities.

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Interventions

OTHERDigital patient education

This educative intervention includes both medical and psychological explanations, as well as basic strategies to manage pediatric FAPD. The medical information spans the topics of pain, functional abdominal pain and general advice in terms of child health, and the psychological information is based on cognitive-behavioural and pain management theoretical approaches. The intervention consists of six short, animated films with a total run-time of approximately 30 minutes. The films each cover one of the following topics; Why and how do we feel pain? What is functional abdominal pain? How to help: general advice, Thoughts, feelings and behaviour, Goals and strategies. The films are accessed by the patient via 1177.se and maintained on the SoB (Stöd- och behandling) platform that is recognised by the care provider as meeting current safety criteria and standards.

OTHERDigital patient education and iCBT

This includes the educative intervention and a fully digital, four session version of the Aim to Decrease Anxiety and Pain Treatment (ADAPT), a CBT treatment program for FAPD. The treatment focuses on pain-management through the following core elements; The Pain-Gate Theory, breathing and relaxation strategies, calming statements, activity pacing, problem solving and behavior activation. This intervention is also accessed by the patient via 1177.se and maintained on the SoB (Stöd- och behandling) platform.