A Single-Arm Feasibility Trial of Problem-Solving Skills Training for Parents of Children with Idiopathic Chronic Pain Conditions Receiving Intensive Pain Rehabilitation
Open accessAbstract
Objective: To adapt problem-solving skills training (PSST) for parents of children receiving intensive pain rehabilitation and evaluate treatment feasibility, acceptability, and satisfaction. Methods: Using a prospective single-arm case series design, we evaluated the feasibility of delivering PSST to 26 parents (84.6% female) from one of three pediatric pain rehabilitation programs. Results: Parents completed four to six sessions of PSST delivered during a 2-4-week period. A mixed-methods approach was used to assess treatment acceptability and satisfaction. We also assessed changes in parent mental health and behavior outcomes from pretreatment to immediate posttreatment and 3-month follow-up. Parents demonstrated excellent treatment adherence and rated the intervention as highly acceptable and satisfactory. Preliminary analyses indicated improvements in domains of mental health, parenting behaviors, health status, and problem-solving skills. Conclusions: Findings demonstrate the potential role of psychological interventions directed at reducing parent distress in the context of intensive pediatric pain rehabilitation.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Psychological interventions focused on reducing parent distress were effective.
“Recent work has been done to adapt problem-solving skills training (PSST), which teaches parents structured approaches to solving problems and targets parent distress, with results demonstrating that psychological interventions focused on reducing parent distress were effective [41,42].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [41]
The Mental Health Composite results report significant improvements in parents’ mental health after treatment and at follow-up. But the Discussion says this single-arm feasibility trial cannot establish whether PSST caused those improvements, so its results do not demonstrate that the intervention was effective. No page number was provided in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.08.010 · Cited by 51,384 · see citing works
(2006) · Cited by 18,730 · see citing works
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
The epidemiology of chronic pain in children and adolescents revisited: A systematic review
King, S., Chambers, C. T., Huguet, A., MacNevin, R. C., McGrath, P. J., Parker, L., & MacDonald, A. J. (2011) · Pain · doi:10.1016/j.pain.2011.07.016 · Cited by 1,688 · see citing works
Abidin, R. R. (1990) · PsycTESTS Dataset · doi:10.1037/t02445-000 · Cited by 1,618 · see citing works
The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting
Hemming, K., Haines, T. P., Chilton, P. J., Girling, A. J., & Lilford, R. J. (2015) · BMJ · doi:10.1136/bmj.h391 · Cited by 1,410 · see citing works
Problem-solving therapy : a social competence approach to clinical intervention
D’Zurilla, T. J. (1986) · Springer eBooks · Cited by 735 · see citing works
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Kamper, S. J., Apeldoorn, A. T., Chiarotto, A., Smeets, R. J. E. M., Ostelo, R. W., Guzman, J., & van Tulder, M. W. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000963.pub3 · Cited by 629 · see citing works
Family and parent influences on pediatric chronic pain: a developmental perspective
Palermo, T. M., Valrie, C. R., & Karlson, C. W. (2014) · American Psychologist · doi:10.1037/a0035216 · Cited by 426 · see citing works
Self-citationLongitudinal Data Analyses Using Linear Mixed Models in SPSS: Concepts, Procedures and Illustrations
Shek, D. T. L., & Ma, C. M. S. (2011) · The Scientific World JOURNAL · doi:10.1100/tsw.2011.2 · Cited by 425 · see citing works
Development of a modified treatment evaluation inventory
Kelley, M. L., Heffer, R. W., Gresham, F. M., & Elliott, S. N. (1989) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf00960495 · Cited by 409 · see citing works
Parent and family factors in pediatric chronic pain and disability: An integrative approach
Palermo, T. M., & Chambers, C. T. (2005) · Pain · doi:10.1016/j.pain.2005.10.027 · Cited by 384 · see citing works
Self-citationPsychological interventions for parents of children and adolescents with chronic illness
Eccleston, C., Palermo, T. M., Fisher, E., & Law, E. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009660.pub2 · Cited by 378 · see citing works
Self-citationEccleston, C. (2003) · Archives of Disease in Childhood · doi:10.1136/adc.88.10.881 · Cited by 276 · see citing works
A word on standardization in longitudinal studies: don't
Moeller, J. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01389 · Cited by 260 · see citing works
Systematic review on intensive interdisciplinary pain treatment of children with chronic pain
Hechler, T., Kanstrup, M., Holley, A. L., Simons, L. E., Wicksell, R., Hirschfeld, G., & Zernikow, B. (2015) · Pediatrics · doi:10.1542/peds.2014-3319 · Cited by 230 · see citing works
Commentary: Writing and Evaluating Qualitative Research Reports
Wu, Y. P., Thompson, D., Aroian, K. J., McQuaid, E. L., & Deatrick, J. A. (2016) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsw032 · Cited by 220 · see citing works
Psychological interventions for parents of children and adolescents with chronic illness
Eccleston, C., Fisher, E., Law, E., Bartlett, J., & Palermo, T. M. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009660.pub3 · Cited by 216 · see citing works
Self-citationSAHLER, O. J. Z., VARNI, J. W., FAIRCLOUGH, D. L., BUTLER, R. W., NOLL, R. B., DOLGIN, M. J., PHIPPS, S., COPELAND, D. R., KATZ, E. R., & MULHERN, R. K. (2002) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200204000-00003 · Cited by 205 · see citing works
Sahler, O. J. Z., Dolgin, M. J., Phipps, S., Fairclough, D. L., Askins, M. A., Katz, E. R., Noll, R. B., & Butler, R. W. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2011.39.1870 · Cited by 195 · see citing works
Hechler, T., Ruhe, A., Schmidt, P., Hirsch, J., Wager, J., Dobe, M., Krummenauer, F., & Zernikow, B. (2013) · Pain · doi:10.1016/j.pain.2013.09.015 · Cited by 175 · see citing works
Law, E. F., Fisher, E., Fales, J., Noel, M., & Eccleston, C. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu032 · Cited by 159 · see citing works
Mohr, D. C., Siddique, J., Ho, J., Duffecy, J., Jin, L., & Fokuo, J. K. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9203-7 · Cited by 154 · see citing works
Palermo, T. M., Law, E. F., Bromberg, M., Fales, J., Eccleston, C., & Wilson, A. C. (2016) · Pain · doi:10.1097/j.pain.0000000000000508 · Cited by 82 · see citing works
Self-citationWhen Helping Hurts: Miscarried Helping in Families of Youth With Chronic Pain
Fales, J. L., Essner, B. S., Harris, M. A., & Palermo, T. M. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu003 · Cited by 69 · see citing works
Self-citationPalermo, T. M., Law, E. F., Essner, B. S., Jessen-Fiddick, T., & Eccleston, C. (2014) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000067 · Cited by 60 · see citing works
Self-citationSeid, M., Varni, J. W., Gidwani, P. P., Gelhard, L. R., & Slymen, D. J. (2010) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp133 · Cited by 56 · see citing works
Jordan, A. L., Eccleston, C., McCracken, L. M., Connell, H., & Clinch, J. (2007) · Pain · doi:10.1016/j.pain.2007.10.007 · Cited by 54 · see citing works
Managing Your Child's Chronic Pain (DRAFT)
Palermo, T. M., & Law, E. F. (2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199330041.001.0001 · Cited by 4 · see citing works
Self-citation
Flagged first, then by citations
2 of the 31 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Derogatis, L. R. (2001). Brief symptom inventory (BSI-18): Administration, scoring and procedures manual. Minneapolis, MN: NCS Pearson.
Cited by
Sorted by citations
Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain
Harrison, L. E., Pate, J. W., Richardson, P. A., Ickmans, K., Wicksell, R. K., & Simons, L. E. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8091267 · Cited by 140 · see citing works
“problem-solving skills training (PSST), which teaches parents structured approaches to solving problems and targets parent distress, with results demonstrating that psychological interventions focused on reducing parent distress were effective [41,42].”
BackgroundKemani, M. K., Kanstrup, M., Jordan, A., Caes, L., & Gauntlett-Gilbert, J. (2018) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsy031 · Cited by 78 · see citing works
A healthful home food environment: Is it possible amidst household chaos and parental stress?
Fulkerson, J. A., Telke, S. E., Larson, N., Berge, J. M., Sherwood, N. E., & Neumark‐Sztainer, D. (2019) · Appetite · doi:10.1016/j.appet.2019.104391 · Cited by 48 · see citing works
A Primer on Mixed Methods for Pediatric Researchers
Wu, Y. P., Deatrick, J. A., McQuaid, E. L., & Thompson, D. (2019) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsz052 · Cited by 40 · see citing works
Birnie, K. A., Heathcote, L. C., Bhandari, R. P., Feinstein, A. B., Yoon, I. A., & Simons, L. E. (2020) · Pain · doi:10.1097/j.pain.0000000000001820 · Cited by 38 · see citing works
mHealth for pediatric chronic pain: state of the art and future directions
Richardson, P. A., Harrison, L. E., Heathcote, L. C., Rush, G. Q., Shear, D., Lalloo, C., Hood, K. K., Wicksell, R. K., Stinson, J., & Simons, L. E. (2020) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2020.1819792 · Cited by 33 · see citing works
Benjamin, J. Z., Harbeck-Weber, C., Ale, C., & Sim, L. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.01.003 · Cited by 31 · see citing works
Reframe the Pain: A Randomized Controlled Trial of a Parent-Led Memory-Reframing Intervention
Pavlova, M., Lund, T., Nania, C. G., Kennedy, M., Graham, S. A., & Noel, M. E. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.08.002 · Cited by 30 · see citing works
Parenting in the Context of Children’s Chronic Pain: Balancing Care and Burden
Guite, J. W., Russell, B. S., Homan, K. J., Tepe, R. M., & Williams, S. E. (2018) · Children · doi:10.3390/children5120161 · Cited by 26 · see citing works
Longitudinal Impact of Parent Factors in Adolescents With Migraine and Tension‐Type Headache
Law, E. F., Blume, H. K., & Palermo, T. M. (2020) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13939 · Cited by 19 · see citing works
Self-citationCollins, A. B. (2023) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2023.01.010 · Cited by 17 · see citing works
Psychological Interventions for Parents of Youth With Chronic Pain
Lee, S., Dick, B. D., Jordan, A. L., & McMurtry, C. M. (2021) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000977 · Cited by 16 · see citing works
Wallrath, M. K., Rubel, J. A., Ohls, I., Demiralay, C., & Hechler, T. (2019) · European Journal of Pain · doi:10.1002/ejp.1512 · Cited by 15 · see citing works
Weiss, K. E., Junghans-Rutelonis, A. N., Aaron, R. V., Harbeck-Weber, C., McTate, E., Luedtke, C., & Bruce, B. K. (2019) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000737 · Cited by 14 · see citing works
Self-citationGuite, J. W., Russell, B. S., Pantaleao, A., Thompson Heller, A., Donohue, E., Galica, V., Zempsky, W. T., & Ohannessian, C. M. (2018) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000244 · Cited by 13 · see citing works
Randall, E. T., Gray, L. S., & Fletcher, A. A. (2018) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsx106 · Cited by 12 · see citing works
Self-citationRussell, B. S., & Guite, J. W. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-019-01635-x · Cited by 12 · see citing works
France, E. F., Uny, I., Turley, R. L., Thomson, K., Noyes, J., Jordan, A. L., Forbat, L., Caes, L., & Bianchim, M. S. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014873.pub2 · Cited by 12 · see citing works
Harbeck‐Weber, C., Sim, L., Morrow, A. S., & Murad, M. H. (2022) · European Journal of Pain · doi:10.1002/ejp.1986 · Cited by 9 · see citing works
Smith, A., & Logan, D. E. (2021) · Paediatric and Neonatal Pain · doi:10.1002/pne2.12063 · Cited by 6 · see citing works
Self-citationPavlova, M., Lund, T., Sun, J., Katz, J. D., Brindle, M. E., & Noel, M. E. (2022) · Canadian Journal of Pain · doi:10.1080/24740527.2022.2058919 · Cited by 7 · see citing works
Pavlova, M., Pirwani, A. F., Thomas, J. S., Birnie, K. A., Wan, M., Chambers, C. T., & Noel, M. E. (2023) · Children · doi:10.3390/children10071099 · Cited by 7 · see citing works
Baudino, M. N., Inverso, H., Wang, C., Tully, C., Levy, W. L., Clary, L., Gallagher, K. A., Monaghan, M. C., Streisand, R. M., & Hilliard, M. E. (2023) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsad039 · Cited by 5 · see citing works
A Parent-Targeted Group Intervention for Pediatric Pain Delivered In-Person or Virtually
Lee, S., Dick, B. D., Jordan, A. L., & McMurtry, C. M. (2023) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001100 · Cited by 5 · see citing works
Elterliche Reaktionen auf kindliche Schmerzen
Wallrath, M. K., Geremek, A., Rubel, J. A., Lindner, C., & Hechler, T. (2021) · Der Schmerz · doi:10.1007/s00482-021-00551-8 · Cited by 4 · see citing works
Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment
Christofferson, J., Scheurich, J. A., Black, W. R., Hoffart, C. M., & Wallace, D. P. (2024) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsad092 · Cited by 3 · see citing works
Bianchim, M. S., Caes, L., Forbat, L., Jordan, A. L., Noyes, J., Thomson, K., Turley, R. L., Uny, I., & France, E. F. (2024) · Health and Social Care Delivery Research · doi:10.3310/utpm7986 · Cited by 3 · see citing works
Replicating a Therapeutic Art Group Protocol for Parents of Youth With Chronic Pain
Wallace, D. P., Curtin, L., Pielech, M., & Hoffart, C. M. (2022) · The Journal of Child Life Psychosocial Theory and Practice · doi:10.55591/001c.37703 · Cited by 2 · see citing works
Hurtubise, K., Brousselle, A., Noel, M. E., Caldwell, K., Rayner, L., Dawson, M., Rasic, N. F., & Camden, C. (2022) · Pain Practice · doi:10.1111/papr.13171 · Cited by 2 · see citing works
Failo, A., Venuti, P., Villotti, P., Schmalholz, S., Chistè, N., Raffeiner, B., Salandin, M., Pellegrin, S. D., Pescollderungg, L., & Mazzoldi, M. (2021) · Adolescents · doi:10.3390/adolescents1040037 · Cited by 1 · see citing works
Self-citationPavlova, M., Kohut, S. A., Jordán, I., Sumpton, J. E., Schraeder, K. E., Orr, S. L., Craddock, L., Noel, M. E., & Birnie, K. A. (2024) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000525 · Cited by 1 · see citing works
Beals‐Erickson, S. E., & Connelly, M. A. (2018) · Current Treatment Options in Rheumatology · doi:10.1007/s40674-018-0087-1 · Cited by 1 · see citing works
Self-citationEffects of a Problem-Solving Skills Training for Mothers of Cystic Fibrosis Patients
Paixão, C., Alvarenga, P., & Ferreira, T. A. D. S. (2025) · Psico · doi:10.15448/1980-8623.2025.1.41559
Kuhn, J., Menon, N., Nunez-Pepen, R., Barnard, E., Patel, R., Much-Hichos, M., Brody-Fialkin, J., Hooker, J. L., Slate, E. H., Wetherby, A. M., et al. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07071-9
- Authors
- Law, E. F., Fales, J. L., Beals-Erickson, S. E., Failo, A., Logan, D., Randall, E., Weiss, K., Durkin, L., & Palermo, T. M.
- Affiliations
- University of Washington (US)
- Washington State University Vancouver (US)
- University of Trento (IT)
- Boston Children's Hospital (US)
- Mayo Clinic (US)
- Seattle Children's Research Institute (US)
- Corresponding author
- Law, Emily F.
- ORCID
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-10-15
- Volume
- 42
- Issue
- 4
- Pages
- jsw087
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC6075428
- OpenAlex
- W2531694536
- Cited by
- 33
- References
- 31
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 1
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Seattle Children's Research Institute
- Children’s Hospital of Wisconsin Research Institute
- National Institutes of Health
- Center for Child Health, Behavior and Development
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K08HD060067, K24HD060068)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Health Professions › Speech and Hearing › Problem Solving Skills Development
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- problem-solving training, parent training, pediatric chronic pain, parental mental health, parental behavior, treatment feasibility, treatment acceptability, parental distress
- MeSH terms
- Adolescent, Child, Education, Nonprofessional, Feasibility Studies, Female, Humans, Male, Parents, Patient Acceptance of Health Care, Problem Solving, Prospective Studies, Stress, Psychological, Parenting, Treatment Outcome, Patient Satisfaction, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
