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Adolescent and parent experiences and perceived effectiveness of physical interventions for chronic musculoskeletal pain: a qualitative study

Adolescent and parent experiences and perceived effectiveness of physical interventions for chronic musculoskeletal pain: a qualitative study
Adolescent and parent experiences and perceived effectiveness of physical interventions for chronic musculoskeletal pain: a qualitative study

Introduction: there is a paucity of evidence on the effectiveness of physical interventions for chronic musculoskeletal pain affecting adolescents. This study explored adolescent and parent experiences and perceived effectiveness of physical intervention for chronic musculoskeletal pain in the UK. 

Methods: using semi-structured interviews, 21 young people receiving treatment for chronic musculoskeletal pain and 21 parents were interviewed regarding their healthcare experiences. Data regarding experiences of physical interventions were analysed in this secondary qualitative analysis using inductive reflexive thematic analysis. 

Results: three themes that captured why adolescents and parents perceived physical interventions to be effective or not were (1) feeling in control, (2) the right person and an explanation that makes sense and (3) make a difference to me not my foot. 

Discussion: core concepts that appeared to influence the perceived effectiveness of physical interventions from the perspectives of adolescents and parents included facilitating adolescent autonomy, establishing a therapeutic alliance on the basis of trust and focusing physiotherapy treatment on meaningful participation in life. 

Conclusion: there were no ideal physical interventions. The themes convey the importance of therapeutic alliance, intervention context and the need for personalised care.

adolescent, child, chronic pain, musculoskeletal pain, parent, physical therapy, qualitative
1478-2189
Joslin, Rhiannon
2724bff5-4248-43db-b2d5-47bc10c1033e
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0
Joslin, Rhiannon
2724bff5-4248-43db-b2d5-47bc10c1033e
Roberts, Lisa
0a937943-5246-4877-bd6b-4dcd172b5cd0

Joslin, Rhiannon and Roberts, Lisa (2024) Adolescent and parent experiences and perceived effectiveness of physical interventions for chronic musculoskeletal pain: a qualitative study. Musculoskeletal Care, 22 (4), [e70006]. (doi:10.1002/msc.70006).

Record type: Article

Abstract

Introduction: there is a paucity of evidence on the effectiveness of physical interventions for chronic musculoskeletal pain affecting adolescents. This study explored adolescent and parent experiences and perceived effectiveness of physical intervention for chronic musculoskeletal pain in the UK. 

Methods: using semi-structured interviews, 21 young people receiving treatment for chronic musculoskeletal pain and 21 parents were interviewed regarding their healthcare experiences. Data regarding experiences of physical interventions were analysed in this secondary qualitative analysis using inductive reflexive thematic analysis. 

Results: three themes that captured why adolescents and parents perceived physical interventions to be effective or not were (1) feeling in control, (2) the right person and an explanation that makes sense and (3) make a difference to me not my foot. 

Discussion: core concepts that appeared to influence the perceived effectiveness of physical interventions from the perspectives of adolescents and parents included facilitating adolescent autonomy, establishing a therapeutic alliance on the basis of trust and focusing physiotherapy treatment on meaningful participation in life. 

Conclusion: there were no ideal physical interventions. The themes convey the importance of therapeutic alliance, intervention context and the need for personalised care.

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Accepted/In Press date: 10 October 2024
e-pub ahead of print date: 7 November 2024
Published date: December 2024
Keywords: adolescent, child, chronic pain, musculoskeletal pain, parent, physical therapy, qualitative

Identifiers

Local EPrints ID: 496882
URI: http://eprints.soton.ac.uk/id/eprint/496882
ISSN: 1478-2189
PURE UUID: da70cc6b-f76a-4000-96ab-53a09fc92f99
ORCID for Rhiannon Joslin: ORCID iD orcid.org/0000-0002-3712-3341
ORCID for Lisa Roberts: ORCID iD orcid.org/0000-0003-2662-6696

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Date deposited: 08 Jan 2025 11:30
Last modified: 22 Aug 2025 01:41

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Contributors

Author: Rhiannon Joslin ORCID iD
Author: Lisa Roberts ORCID iD

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