The main objective is to study the feasibility of a program for the management of chronic painful adolescents in meditation groups. This program is an adaptation of the MBI-A (Mindfulness-based intervention for adolescent) program developed in another socio-cultural context (i.e. in Canada). The secondary objectives will be to study the effect of a mindfulness meditation program for adolescents on pain, quality of life, acceptance of pain, functional disability, catastrophism, anxiety-depression, emotional repercussions and acceptance of mindfulness
Paediatric chronic pain can lead to serious consequences in terms of daily functioning (school absenteeism and loss of social interactions) and global quality of life. Mindfulness-based interventions (MBI's) approaches which emphasize acceptance rather than control of pain have gained increasing attention in adults with chronic pain. The effectiveness of MBI's for chronic pain in paediatric population remains largely unknown. An MBI program for adolescent was conducted in Toronto's Hospital for Sick Children and happened to be feasible and well received for adolescents with chronic pain conditions. The aim of the present program is to study the feasibility in France of a mindfulness program dedicated for adolescents with chronic pain. An eight-session, two hour Mindfulness Based Intervention dedicated to adolescents will be provided. The intervention will focus on skill building and will incorporate mindfulness meditation, exercises and activities specially adapted to teenagers with chronic pain. Topics will include mind body connection, the effect of stress on pain, living in the present moment, focused awareness, responding versus reacting to pain and/ or difficult situations, non judgement, gratitude, kindness and compassion towards self and others.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
27
Mindfulness Based Intervention with eight sessions (one session per week) of two hours dedicated to adolescents will be provided. The intervention will focus on skill building and will incorporate mindfulness meditation, exercises and activities specially adapted to teenagers with chronic pain. Topics will include mind body connection, the effect of stress on pain, living in the present moment, focused awareness, responding versus reacting to pain and/ or difficult situations, non judgement, gratitude, kindness and compassion towards self and others.
Hôpital des Enfants
Toulouse, France
Feasibility in France of a mindfulness program : percentage of adolescents who will attend at least 6 of the 8 sessions
The primary outcome will be the percentage of adolescents who will attend at least 6 of the 8 sessions.
Time frame: End of the mindfulness program (8 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 1st session of the program (T1 week)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 2nd session of the program (T2 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 3rd session of the program (T3 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 4th session of the program (T4 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 5th session of the program (T5 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 6th session of the program (T6 weeks)
Attendance rate
Percentage of adolescents present at each program session
Time frame: 7th session of the program (T7 weeks)
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Attendance rate
Percentage of adolescents present at each program session
Time frame: 8th session of the program (T8 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 1st session of the program (T1 week)
Punctuality at the session
binary criterion yes/no
Time frame: 2nd session of the program (T2 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 3rd session of the program (T3 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 4th session of the program (T4 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 5th session of the program (T5 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 6th session of the program (T6 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 7th session of the program (T7 weeks)
Punctuality at the session
binary criterion yes/no
Time frame: 8th session of the program (T8 weeks)
Treatment acceptability
Rate of eligible adolescents who agreed to participate in the study
Time frame: inclusion visit
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 2nd session of the program (T2 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 3rd session of the program (T3 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 4th session of the program (T4 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 5th session of the program (T5 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 6th session of the program (T6 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 7th session of the program (T7 weeks)
Treatment acceptability
Daily practice at home (binary criterion yes/no)
Time frame: 8th session of the program (T8 weeks)
Pain Level
Pain level will be assessed using Visual Analog Scale (from 0 "no pain" to 10 "the worst pain possible "). The pain will be measured by the average of the visual analogue rating scales evaluated over the last 8 days.
Time frame: Inclusion visit (baseline)
Pain Level
Pain level will be assessed using Visual Analog Scale (from 0 "no pain" to 10 "the worst pain possible "). The pain will be measured by the average of the visual analogue rating scales evaluated over the last 8 days.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Pain Level
Pain level will be assessed using Visual Analog Scale (from 0 "no pain" to 10 "the worst pain possible "). The pain will be measured by the average of the visual analogue rating scales evaluated over the last 8 days.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Quality of life at baseline : impact of adolescents health on their everyday life.
Quality of life will be assessed using the french scale VSPA-12 ("Vécu et Santé Perçue de l'adolescent (VSPA) - 12 items", "Lived and Health Perceived in 12 items) which is a self-questionnaire to assess the impact of adolescents health on their everyday life. The 12 items have five possible answers: never, rarely, sometimes, often, always.
Time frame: Inclusion visit (baseline)
Quality of life at the end of program
Quality of life will be assessed using the french scale VSPA-12 ("Vécu et Santé Perçue de l'adolescent - 12 items", "Lived and Health Perceived in 12 items) which is a self-questionnaire to assess the impact of adolescents health on their everyday life. The 12 items have five possible answers: never, rarely, sometimes, often, always.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Quality of life in long term
Quality of life will be assessed using the french scale VSPA-12 ("Vécu et Santé Perçue de l'adolescent - 12 items", "Lived and Health Perceived in 12 items) which is a self-questionnaire to assess the impact of adolescents health on their everyday life. The 12 items have five possible answers: never, rarely, sometimes, often, always.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Chronic pain acceptance
Chronic pain acceptance will be assessed using Chronic Pain Acceptance Questionnaire, Adolescent version (CPAQ-A) translated in French. CPAQ-A has 20 items For each item, the answer modalities are: 0= Never True, 1 = Rarely true, 2 = sometimes true, 3 = Often true, 4 = always true.
Time frame: Inclusion visit (baseline)
Chronic pain acceptance
Chronic pain acceptance will be assessed using CPAQ-A (Chronic Pain Acceptance Questionnaire, Adolescent version) translated in French. CPAQ-A (Questionnaire for acceptance of chronic pain for adolescents) has 20 items For each item, the answer modalities are: 0= Never True, 1 = Rarely true, 2 = sometimes true, 3 = Often true, 4 = always true.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Chronic pain acceptance
Chronic pain acceptance will be assessed using CPAQ-A (Chronic Pain Acceptance Questionnaire, Adolescent version) translated in French. CPAQ-A (Questionnaire for acceptance of chronic pain for adolescents) has 20 items For each item, the answer modalities are: 0= Never True, 1 = Rarely true, 2 = sometimes true, 3 = Often true, 4 = always true.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Functional disability
Functional disability will be assessed using FDI (Functional Disability Inventory) which is a functional disability scale to assess physical problems or any difficulties that adolescents may have in performing activities of daily living. FDI have 15 items. For each item, the answer modalities are 0 = no trouble, 1 = a little trouble, 2 = some trouble, 3 = a lot of trouble and 4 = impossible. The total FDI score is a sum of all of the items. The FDI score ranges from 0 to 60, with higher score indicating greater functional disability.
Time frame: Inclusion visit (baseline)
Functional disability
Functional disability will be assessed using FDI (Functional Disability Inventory) which is a functional disability scale to assess physical problems or any difficulties that adolescents may have in performing activities of daily living. FDI have 15 items. For each item, the answer modalities are 0 = no trouble, 1 = a little trouble, 2 = some trouble, 3 = a lot of trouble and 4 = impossible. The total FDI score is a sum of all of the items. The FDI score ranges from 0 to 60, with higher score indicating greater functional disability.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Functional disability
Functional disability will be assessed using FDI (Functional Disability Inventory) which is a functional disability scale to assess physical problems or any difficulties that adolescents may have in performing activities of daily living. FDI have 15 items. For each item, the answer modalities are 0 = no trouble, 1 = a little trouble, 2 = some trouble, 3 = a lot of trouble and 4 = impossible. The total FDI score is a sum of all of the items. The FDI score ranges from 0 to 60, with higher score indicating greater functional disability.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Anxiety and Depression
The anxiety and depression will be assessed using the french version of the Revised Children's Anxiety and Depression Scale (RCADS) intended to evaluate the symptomatology associated with anxiety disorders and major depression in children. This scale have 29 items. For each item, the possible answers are: never, sometimes, often, always.
Time frame: Inclusion visit (baseline)
Anxiety and Depression
The anxiety and depression will be assessed using the french version of the Revised Children's Anxiety and Depression Scale (RCADS) intended to evaluate the symptomatology associated with anxiety disorders and major depression in children. This scale have 29 items. For each item, the possible answers are: never, sometimes, often, always.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Anxiety and Depression
The anxiety and depression will be assessed using the french version of the Revised Children's Anxiety and Depression Scale (RCADS) intended to evaluate the symptomatology associated with anxiety disorders and major depression in children. This scale have 29 items. For each item, the possible answers are: never, sometimes, often, always.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Catastrophism
Catastrophism will be assessed using PCS-Ado (Pain Catastrophizing Scale for Francophone Adolescents) which identifies the thoughts and emotions that may be associated with the pain. PCS-Ado have 13 items. For each item, the possible answers are: never, rarely, sometimes, often and always.
Time frame: Inclusion visit (baseline)
Catastrophism
Catastrophism will be assessed using PCS-Ado (Pain Catastrophizing Scale for Francophone Adolescents) which identifies the thoughts and emotions that may be associated with the pain. PCS-Ado have 13 items. For each item, the possible answers are: never, rarely, sometimes, often and always.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Catastrophism
Catastrophism will be assessed using PCS-Ado (Pain Catastrophizing Scale for Francophone Adolescents) which identifies the thoughts and emotions that may be associated with the pain. PCS-Ado have 13 items. For each item, the possible answers are: never, rarely, sometimes, often and always.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Mindfulness acceptance
Mindfulness acceptance will be assessed using the French version of Five Facets Mindfulness Questionnaire (FFMQ) with 39 items. For each item the possible answers are: 1 = never or very rarely true, 2 = rarely true, 3 = sometimes true, 4 = often true, 5 = very often or always true.
Time frame: Inclusion visit (baseline)
Mindfulness acceptance
Mindfulness acceptance will be assessed using the French version of Five Facets Mindfulness Questionnaire (FFMQ) with 39 items. For each item the possible answers are: 1 = never or very rarely true, 2 = rarely true, 3 = sometimes true, 4 = often true, 5 = very often or always true.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Mindfulness acceptance
Mindfulness acceptance will be assessed using the French version of Five Facets Mindfulness Questionnaire (FFMQ) with 39 items. For each item the possible answers are: 1 = never or very rarely true, 2 = rarely true, 3 = sometimes true, 4 = often true, 5 = very often or always true.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Strengths and Difficulties
Strengths and difficulties will be assessed using the french version of the Strengths and Difficulties Questionnaire (SDQ-Fra) with 25 items. For each item, the possible answers are : not true, a little true, very true. The total difficulty score of the SDQ ranges from 0-40.
Time frame: Inclusion visit (baseline)
Strengths and Difficulties
Strengths and difficulties will be assessed using the french version of the Strengths and Difficulties Questionnaire (SDQ-Fra) with 25 items. For each item, the possible answers are : not true, a little true, very true. The total difficulty score of the SDQ ranges from 0-40.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Strengths and Difficulties
Strengths and difficulties will be assessed using the french version of the Strengths and Difficulties Questionnaire (SDQ-Fra) with 25 items. For each item, the possible answers are : not true, a little true, very true. The total difficulty score of the SDQ ranges from 0-40.
Time frame: T3 Visit (3 months after the end of the 8-week program)
Adolescents satisfaction
Adolescents satisfaction about the mindfulness program will be assessed using a satisfaction questionnaire with 8 items designed for this study. For each item, the modality answers are scored from 1 to 4.
Time frame: T2 Visit (1 week after the end of the 8-week program)
Parents satisfaction
Parents satisfaction about the mindfulness program followed by their children will be assessed using a satisfaction questionnaire with 8 items designed for the study.
Time frame: T2 Visit (1 week after the end of the 8-week program)