Yoga-CBT Group Intervention for Adolescents With Chronic Pain and Their Caregivers

Children's Hospital of Philadelphia35 enrolled

Overview

Clinical symptoms that are often found to be comorbid with pediatric chronic pain include anxiety, depression as well as increased stress, obesity, and decreased physical conditioning. Integrative therapies have been increasingly offered at children's hospitals as part of an integrated approach to treatment. Limited research exits on the efficacy of mind-body practices (e.g., yoga) utilized in conjunction with evidenced-based non-pharmacological treatments like cognitive behavioral therapy (CBT) to treat pediatric pain. Hence, this 7-week interventional pilot study was conducted to evaluate the impact of combining yoga and CBT for both pediatric patients with chronic pain and their caregivers.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pediatric Chronic Pain

Interventions

CBT trains individuals to identify and reframe dysfunctional thoughts to help improve mood and behavior. CBT intervention also includes teaching relaxation and mindfulness strategies, as well as ways to help improve functioning through the use of behavioral goal setting.

Eligibility

Sex: ALLMin age: 14 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Established Children's Hospital of Philadelphia (CHOP) patients 14-18 years old, of any gender, race, or ethnicity * English speaking * Has received a diagnosis related to the primary symptom of chronic pain * For adolescents who are less than 18 y/o, parental or guardian permission (informed consent) and adolescent assent (patient) * Parents or legal guardians of adolescents enrolled, who speak English * Parents or legal guardians' permission (informed consent) of their own participation Exclusion Criteria: * Current medical status or cognitive functioning precludes completing assessment instruments (e.g., cognitive or intellectual disability such as diagnosis of autism spectrum disorder) * Physical limitation, handicap, or injury that would prevent participation or risk further injury or harm (e.g. physical assistance required from a device) * Non-English speaking * For adolescents who are less than 18 years of age, parental or guardian permission (informed consent) and/or adolescent (patient) assent declined * Patient, who in the opinion of the investigator, may be non-compliant or unable to complete the study procedures * Parents or legal guardians of adolescents enrolled, who do not speak English * Parents or legal guardians' permission (informed consent) for their own participation or if the adolescent is less than 18 years of age and assent has been declined * Parents or legal guardians, who in the opinion of the investigator, may be non-compliant or unable to complete the study procedures (If the dyad or triad includes a primary caregiver who has a developmental delay, intellectual disability, or communication challenge that prohibits completion of questionnaires or participation in study sessions)

Outcomes

Primary Outcomes

Assessment of the feasibility of conducting a 7-week group intervention combining yoga and cognitive behavioral therapy (CBT)

Likert-scale used to quantify satisfaction with the intervention; content clarity; concept-applicability to current life; impression of program design; scheduling considerations and other open-ended questions about their study preferences

Time frame: Feasibility Questionnaires given after the 7-week intervention

Secondary Outcomes

Patient Reported Outcome Measurement Information System (PROMIS) Pediatric Pain Interference

Consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities.