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Development of the Help Overcoming Pain Early (HOPE) Programme Built on a Person-Centred Approach to Support School Nurses in the Care of Adolescents with Chronic Pain—A Feasibility Study

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Institute of Health and Care Sciences, and the University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
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Department of Neurobiology, Care and Sciences and Society, Division of Physiotherapy, Karolinska Institute, 141 52 Huddinge, Sweden
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Clintec, Karolinska Institute, 141 52 Huddinge, Sweden
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Lerums kommun, Sektor lärande, 443 80 Lerum, Sweden
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Närhälsan Research and Development Primary Health Care, Region Västra Götaland, SE 411 18 Gothenburg, Sweden
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Child Health Care and Futurum, Region Jönköping County, Barnhälsovården, Regionens hus, 551 85 Jönköping, Sweden
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CHILD Research Group, School of Health and Welfare, Jönköping University, 551 11 Jönköping, Sweden
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Department of Applied Educational Sciences, Umeå University, 901 87 Umeå, Sweden
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Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
*
Author to whom correspondence should be addressed.
Children 2019, 6(9), 95; https://doi.org/10.3390/children6090095
Received: 11 July 2019 / Revised: 15 August 2019 / Accepted: 21 August 2019 / Published: 25 August 2019
Chronic pain and its consequences are major global health challenges, and the prevalence is increasing worldwide among adolescents. Adolescents spend most of their waking hours in school; however, there is limited research available on how school nurses can address chronic pain among adolescents in the Swedish school context. Therefore, we designed a person-centred intervention, known as Help Overcoming Pain Early (HOPE), to enable school nurses to offer adolescents strategies to manage their stress and pain. We used the Medical Research Council (MRC) framework for developing and designing this new complex intervention. For this study, we describe two of the four phases: (a) development and (b) feasibility and piloting. The final version of the HOPE programme consists of (i) an educational package for school nurses in the areas person-centred care, stress and pain education/management and gender perspective; and (ii) an intervention package for adolescents with chronic pain. The programme consists of four sessions during which adolescents with chronic pain have person-centred dialogues with a school nurse. The HOPE programme is based on the existing evidence of managing chronic pain and on the assumption that school nurses can support adolescents with chronic pain by using person-centred care. View Full-Text
Keywords: adolescent; chronic pain; person-centred care; school health care; stress adolescent; chronic pain; person-centred care; school health care; stress
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Nilsson, S.; Wallbing, U.; Alfvén, G.; Dalenius, K.; Fors, A.; Golsäter, M.; Rosvall, P.-Å.; Wigert, H.; Lundberg, M. Development of the Help Overcoming Pain Early (HOPE) Programme Built on a Person-Centred Approach to Support School Nurses in the Care of Adolescents with Chronic Pain—A Feasibility Study. Children 2019, 6, 95.

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