Novel interventions in children's healthcare for youth hospitalized for chronic pain

Michael A. Harris, David V. Wagner, Anna C. Wilson, Kim Spiro, Matthew Heywood, Dana Hoehn

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The purpose of this study was to pilot the implementation of the Novel Interventions in Children's Healthcare (NICH) program for youth with chronic pain who used a disproportionate amount of health care. Three youth (2 males and 1 female, aged 11 to 15 years) participated. The intervention consisted of a combination of family based problem-solving, care coordination, and case management, with the inclusion of technology-assisted treatment delivery (e.g., text messages, video chat) to reduce costs. Both objective (i.e., hospitalization records) and subjective (e.g., interventionist reports) outcomes were examined to assess changes over the course of treatment. Two of the three youth demonstrated reductions in the number of days hospitalized and associated costs. In addition, interventionist reports indicated improved quality of life for family and youth served. Although further research is needed, NICH appears to be a promising intervention for youth with chronic pain and high health care utilization and shows the potential to result in improved youth health and reduced monetary costs for families, providers, and the health care system.

Original languageEnglish (US)
Pages (from-to)48-58
Number of pages11
JournalClinical Practice in Pediatric Psychology
Volume3
Issue number1
DOIs
StatePublished - 2015

Keywords

  • chronic pain
  • high-risk youth
  • intensive behavioral health care
  • repeated hospitalizations

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Applied Psychology

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