Browsing by Author "Patton, Michaela"

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    Characterizing Pain in Long-Term Survivors of Childhood Cancer
    (2020-08-04) Patton, Michaela; Schulte, Fiona S.M.; Noel, Melanie; Carlson, Linda E.; Birnie, Kathryn A.
    Many long-term survivors of childhood cancer (LTSCCs) experience late- and long-term effects from their treatments, including pain. Yet, pain is poorly understood among LTSCCs. The current study aims to 1a) identify rates and patterns of chronic pain 1b) describe multiple dimensions of pain, and 2) test predictors of chronic pain in LTSCCs. Survivors [n=140; 48.6% male, Mage=17.3 years (SD=4.9)] were recruited from across Canada. Participants completed the Pain Questionnaire, Pain Catastrophizing Scale, Pediatric Quality of Life Inventory, Patient Reported Outcome Measurement Information System (PROMIS) – Pain Interference, Anxiety, and Depression scales, Child Posttraumatic Stress Scale, the Posttraumatic Stress Disorder Checklist for the DSM-V, and the Cancer Worry Scale. It was found that 26% of LTSCCs reported experiencing chronic pain. An exploratory cluster analysis revealed that 20% of survivors had a moderate to severe chronic pain problem based on measures of pain intensity and interference. The combination of anxiety, depression, PTSS, cancer worry, current age, age at diagnosis, pain catastrophizing, and sex significantly predicted the presence of chronic pain, χ2(8, N = 123) = 27.87, p < .001. Higher pain catastrophizing (OR = 1.09; 95% CI = 1.03-1.15) and older current age (OR = 1.13; 95% CI = 1.01-1.27) were significant predictors of chronic pain. LTSCCs should be screened for the presence and magnitude of chronic pain during their long-term follow-up visits so appropriate interventions can be discussed. Future research should investigate pain interventions tailored for this population.
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    Internet-Delivered Cognitive Behavioral Treatment for Chronic Pain in Adolescent Survivors of Childhood Cancer: A Single-group Feasibility Trial
    (2024-09-20) Patton, Michaela; Schulte, Fiona; Birnie, Kathryn; Carlson, Linda; Truong, Tony; McMurtry, Meghan
    Introduction: Two-thirds of survivors of childhood cancer experience long-term side effects from treatments, like chronic pain. No pain management interventions have been tested on youth survivors of childhood cancer. Including parents in treatment and understanding parents’ own experience with pain can help improve youth outcomes. Web-based Management of Adolescent Pain (WebMAP) is an evidence-based, online intervention that includes parents, but has not yet been tested on survivors of childhood cancer. Methods: Survivors and parents were given online questionnaires about their pain. The feasibility and acceptability of WebMAP in survivors of childhood cancer and their parents was evaluated. Qualitative interviews were conducted and analyzed using inductive thematic analysis. Results: The prospective observational study found that half of survivors of childhood cancer with chronic pain have parents with chronic pain. The intervention study found that WebMAP met acceptability benchmarks but did not meet all feasibility benchmarks. Themes that emerged from qualitative interviews included “We found the program useful” and “There were areas of the program that could be improved upon”. Conclusion: Pain is prevalent in both survivors of childhood cancer and their parents. WebMAP is acceptable but not feasible in this specific subset of survivors of childhood cancer. WebMAP may be better suited for survivors whose primary concern is pain. Survivors of childhood cancer may benefit from an intervention that addresses multiple common health sequela in this population. Qualitative interviews provide helpful considerations for pediatric health interventions, more broadly.