The Feasibility and Acceptability of Resilience Coaching for Adolescent Chronic Musculoskeletal Pain: A Single-Arm Pilot Trial.

Promoting Resilience in Stress Management (PRISM) is a well-established resilience coaching program for youth with chronic illness. It is a one-on-one intervention targeting skills in stress management, goal-setting, cognitive reframing, and meaning-making. We aimed to (i) assess the feasibility and acceptability of PRISM and (ii) explore PRISM’s impact on clinical outcomes among youth with chronic musculoskeletal pain (CMP). This was a single-arm pilot trial of PRISM for youth with CMP aged 12–17 years. Patients completed patient-reported outcome measures (PROs) pre- and post- intervention; patients and caregivers provided qualitative feedback. Twenty-seven patients were enrolled (63% enrollment rate); 82% percent were female. The patients’ median age was 16 years (IQR: 13–16). The intervention completion rate was 81% (n = 22). The mean satisfaction for PRISM overall was 4.3 (SD 0.9), while the mean acceptability of the intervention measure (AIM) was 4.4 (SD 0.89). Participants reported improved resilience (2.2 [SD 5.1]), functional disability (−3.5 [IQR: −6.0, 1.0]), and psychological distress (−1.0 [−5.0, 2.0]) from baseline to immediately post-treatment; pain intensity, pain catastrophizing, and global health were similar at both time points. Feedback was positive and suggested that a group component may be helpful. PRISM is feasible and acceptable among youth with CMP. Exploratory analyses suggest improvements in clinically relevant outcomes, warranting further investigation.

促进压力管理中的韧性（PRISM）是一个针对患有慢性疾病青少年的成熟的韧性辅导项目。它是一种一对一的干预措施，针对压力管理、目标设定、认知重构和意义构建等技能。我们的目的是（i）评估PRISM的可行性和可接受性，以及（ii）探究PRISM对患有慢性肌肉骨骼疼痛（CMP）青少年的临床结果的影响。这是一项针对12 - 17岁患有CMP青少年的PRISM单臂试点试验。患者在干预前后完成患者报告的结果测量（PROs）；患者和照顾者提供了定性反馈。27名患者入组（入组率63%）；82%为女性。患者的中位年龄为16岁（四分位距：13 - 16）。干预完成率为81%（n = 22）。对PRISM总体的平均满意度为4.3（标准差0.9），而干预措施可接受性量表（AIM）的平均得分为4.4（标准差0.89）。参与者报告从基线到治疗后即刻韧性有所提高（2.2 [标准差5.1]），功能残疾有所改善（-3.5 [四分位距：-6.0，1.0]），心理困扰有所减轻（-1.0 [-5.0，2.0]）；疼痛强度、疼痛灾难化和整体健康状况在两个时间点相似。反馈是积极的，并表明小组形式可能会有帮助。PRISM在患有CMP的青少年中是可行且可接受的。探索性分析表明临床相关结果有所改善，值得进一步研究。