Journal article
A Pilot Study on the Freelisting Method Among Adolescents with Chronic Musculoskeletal Pain: Feasibility, Acceptability and Study Findings
Children (Basel), v 12(1), 48
01 Jan 2025
PMID: 39857879
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background/Objectives: To assess the feasibility and acceptability of freelisting for adolescents with chronic musculoskeletal pain (CMP) and use freelisting to identify how adolescents with CMP cope with pain. Methods: This was a mixed-methods cross-sectional single-center study of patients 12-18 years old, diagnosed with CMP. Twenty-seven subjects participated in an interview which included the freelisting exercise, probing questions, Connor-Davidson Resilience Scale 10-item, and semi-structured interview. Feasibility was pre-defined as >= 85% completion. A list of 'standardized' freelisting terms was created, and we calculated Smith's salience index. Freelisting terms were grouped into individual, family, friends, school, and medical domains. Results: In this predominantly female population, resilience levels were low to moderate, and on average, participants had moderate pain intensity and functional disability. The freelisting exercise was feasible and acceptable among females, with low recruitment of males. Salient words to describe adolescents' pain included frustrating, upsetting, annoying, and painful. Participants identified family, friends, teachers, guidance counselors, and health professionals as key sources of support. Many participants reported difficulties communicating their pain. Helpful coping strategies included rest, distraction, relaxation, endurance, and extracurricular participation. Conclusions: Freelisting was well perceived among female adolescents with CMP. Supportive relationships with community members play an important role for this population. However, perceived stigma may deter female adolescents from talking about their pain. Purposive sampling of male participants and recruitment strategies ensuring diverse patient representation are necessary to ensure generalizability of future results when using the freelisting method for adolescents with CMP.
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Details
- Title
- A Pilot Study on the Freelisting Method Among Adolescents with Chronic Musculoskeletal Pain: Feasibility, Acceptability and Study Findings
- Creators
- Sabrina Gmuca - Children's Hospital of PhiladelphiaDori Abel - Children's Hospital of PhiladelphiaMackenzie Mcgill - Children's Hospital of PhiladelphiaDaneka Stryker - Drexel UniversityEda Akpek - University of PennsylvaniaWhitney Eriksen - University of PennsylvaniaPamela F. Weiss - Children's Hospital of PhiladelphiaPeter F. Cronholm - Children's Hospital of Philadelphia
- Publication Details
- Children (Basel), v 12(1), 48
- Publisher
- Mdpi
- Number of pages
- 16
- Grant note
- K23AR081409; K24AR078950 / Rheumatology Research Foundation Investigator Award NIAMS of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) Snider Foundation - NIAMS of the National Institutes of Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001403756400001
- Scopus ID
- 2-s2.0-85216126342
- Other Identifier
- 991022197331304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics