title: iPeer2Peer program: a pilot feasibility study in adolescents with chronic pain.
abstract: Adolescents with chronic pain are often socially isolated, having never met others with chronic pain, and often feel misunderstood by healthy peers. Adolescence is a sensitive period for developing one's sense of self and autonomy, which often occurs in the context of peer relationships. This developmental process is disrupted in adolescents when their chronic pain interferes with their social interactions. Peer mentoring is proposed as a developmentally timely intervention. The aim of this study is to develop and test the feasibility, acceptability, and impact of the iPeer2Peer program. The iPeer2Peer program is a tailored peer mentorship program that provides modeling and reinforcement by peers (trained young adults with chronic pain aged 18-25 years who have learned to successfully manage their pain). This program aimed to enhance self-management of chronic pain in adolescents through 10 Skype video calls over the course of 8 weeks. A pilot randomized controlled trial design using waitlist controls was used in an adolescent chronic pain sample. Twenty-eight adolescents aged 14.8 ± 1.6 years (93% female) completed the trial (intervention: n = 12; control n = 16). Three adolescents completed the intervention after completing their participation in the control arm. The iPeer2Peer program was feasible and acceptable, provided the adolescents were given more time to complete all 10 calls. When compared with controls, adolescents who completed the iPeer2Peer program had significant improvement in self-management skills and their coping efforts were more successful. The iPeer2Peer program is a promising peer mentoring intervention that complements standard care for adolescents with chronic pain.
authors.affiliation: Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada Bloomberg School of Nursing, University of Toronto, Toronto, ON, Canada Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada Department of Psychology, York University, Toronto, ON, Canada School of Nursing, University of Ottawa, Ottawa, ON, Canada.
authors.forename: Sara
authors.initials: S
authors.lastname: Ahola Kohut
authors.forename: Jennifer N
authors.initials: JN
authors.lastname: Stinson
authors.forename: Danielle
authors.initials: D
authors.lastname: Ruskin
authors.forename: Paula
authors.initials: P
authors.lastname: Forgeron
authors.forename: Lauren
authors.initials: L
authors.lastname: Harris
authors.forename: Margaret
authors.initials: M
authors.lastname: van Wyk
authors.forename: Stephanie
authors.initials: S
authors.lastname: Luca
authors.forename: Fiona
authors.initials: F
authors.lastname: Campbell
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D000328:Adult; D002648:Child; D059350:Chronic Pain / Q000523:psychology / Q000534:rehabilitation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020407:Internet; D007398:Interpersonal Relations; D008297:Male; D017063:Outcome Assessment, Health Care; D010147:Pain Measurement; D010379:Peer Group; D010865:Pilot Projects; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D055815:Young Adult