| dc.contributor.author | Wallbing, Ulrika | |
| dc.date.accessioned | 2022-08-16T11:36:30Z | |
| dc.date.available | 2022-08-16T11:36:30Z | |
| dc.date.issued | 2022-08-16 | |
| dc.identifier.isbn | 978-91-8009-893-9 (PRINT) | |
| dc.identifier.isbn | 978-91-8009-894-6 (PDF) | |
| dc.identifier.uri | https://hdl.handle.net/2077/71514 | |
| dc.description.abstract | The overall aim of the thesis was to develop and evaluate a school health-based
intervention, Help Overcoming Pain Early (HOPE) for promotion of
adolescents’ ability to manage their problems with chronic pain.
Study I. A qualitative study on the development and feasibility of the complex
intervention HOPE, based on interviews with adolescents with chronic pain
and school nurses. Results illustrated that HOPE, through its participative
design, corresponded to the wishes expressed by school nurses prior to the
intervention. The intervention was based on a person-centred approach,
including an education program for school nurses and four sessions for
adolescents with school nurses.
Study II. A randomized controlled trial evaluating the effect of HOPE for
adolescents with chronic pain in comparison with a wait-list control group.
Results did not show any effect on self-efficacy in daily activities, pain
intensity, or pain impact. Sub-group analyses illustrated a significant effect on
self-efficacy in daily activities among adolescents in secondary school.
Study III. A non-randomized study including participants from both the
intervention and the wait-list control group in Study II after receiving the
intervention. Results showed improvements in symptoms of insomnia at the
six-month follow-up as well as perceived health at post-assessment and at the
six-month follow-up.
Study IV. A qualitative interview study with adolescents in the intervention
group at secondary school. Results revealed the main theme: A trust-building
process towards a strengthened identity, including two sub-themes: Trust in
the school nurse and the intervention and Confidence in oneself as a person.
Conclusively, HOPE can potentially be used as a brief intervention for
adolescents with chronic pain and associated problems such as symptoms of
insomnia and perceived health. HOPE did not influence self-efficacy in daily
activities, pain intensity, and pain impact, except for adolescents in secondary
school. Adolescents perceived HOPE as a trust-building process in relation to
school nurses, the intervention and confidence in themselves. | en_US |
| dc.language.iso | eng | en_US |
| dc.relation.haspart | I. Nilsson S, Wallbing U, Alfvén G, Dalenius K, Fors A,
Golsäter M, Rosvall P-Å, Wigert H, Lundberg M.
Development of the Help Overcoming Pain Early (HOPE)
programme built on a person-centred approach to support
school nurses in the care of adolescents with chronic pain-A
feasibility study. Children (Basel). 2019;6(9):95. http://doi.org/10.3390/children6090095 | en_US |
| dc.relation.haspart | II. Fors A, Wallbing U, Alfvén G, Kemani MK, Lundberg M,
Wigert H, Nilsson S. Effects of a person‐centred approach in
a school setting for adolescents with chronic pain—The
HOPE randomized controlled trial. European Journal of Pain.
2020;24(8):1598–608. http://doi.org/10.1002/ejp.1614 | en_US |
| dc.relation.haspart | III. Wallbing U, Nilsson S, Lundberg M, Wigert H, Kemani MK.
Improving symptoms of insomnia in adolescents with chronic
pain in a school health setting using a brief person-centred
intervention – Help Overcoming Pain Early (HOPE). In
manuscript. | en_US |
| dc.relation.haspart | IV. Wallbing U, Nilsson S, Wigert H, Lundberg M. Adolescents’
experiences of HOPE – an intervention in school settings for
adolescents with chronic pain. Submitted. | en_US |
| dc.subject | adolescent | en_US |
| dc.subject | chronic pain | en_US |
| dc.subject | insomnia | en_US |
| dc.subject | person-centred care | en_US |
| dc.subject | school health | en_US |
| dc.subject | self-efficacy | en_US |
| dc.subject | self-rated health | en_US |
| dc.title | Help Overcoming Pain Early (HOPE) - a person-centred intervention for adolescents with chronic pain in a school setting | en_US |
| dc.type | text | eng |
| dc.type.svep | Doctoral thesis | eng |
| dc.gup.mail | ulrika.wallbing@ki.se | en_US |
| dc.type.degree | Doctor of Philosophy (Health Care Sciences) | en_US |
| dc.gup.origin | University of Gothenburg. Sahlgrenska Academy | en_US |
| dc.gup.department | Institute of Health and Care Sciences | en_US |
| dc.gup.defenceplace | Fredagen den 9 september 2022, kl. 13.00, Hörsal Arvid Carlsson, Academicum, Medicinaregatan 3; Göteborg | en_US |
| dc.gup.defencedate | 2022-09-09 | |
| dc.gup.dissdb-fakultet | SA | |
