Paediatricians’ perceptions of a potential online psychosocial intervention for children with...

Paediatricians’ perceptions of a potential online psychosocial

intervention for children with RAP



• Have you ever heard about RAP (Recurrent

abdominal pain) or DAR (Dolor abdominal

recurrent)?

• Do you know any children with RAP?

• Are online Psychosocial interventions effective?

• Do Paediatricians prescribe psychosocial

interventions?.... and online psychosocial

interventions?



• RAP is common in children (prevalence about 12%), it

has no identifiable organic cause, and it affects their

daily lives.

• Psychosocial interventions are effective for children

with RAP to improve their quality of life and reduce its

consequences later in life.

• Online interventions can help to increase access to

treatments.

• Paediatricians don’t prescribe psychosocial

interventions, whether face-to-face or online.

What is already known about RAP?



Researchers

Rubén Nieto, Mercè Boixadós , Eulàlia Hernández-Encuentra , Imma Beneitez, Elisabeth Aulet

PSiNET research group, Internet Interdisciplinary Institute - Universitat Oberta de Catalunya, Barcelona

Anna Huguet, Patrick McGrath

IWK Health Centre, Halifax, NS, Canada,

Dalhousie University, Halifax, NS, Canada

2011-2013 PHASE

DEVELOPMENT AND PRELIMINARY TEST

OF DARWEB

2013-2016 PHASE

IMPROVING DARWEB AND TESTING IT IN

A CLINICALTRIAL

Nieto Luna, R.; Hernández-

Encuentra, E.; Boixadós, M.;

Huguet, A. Beneitez, I. &

McGrath, P. (2015). Testing

the feasibility of DARWeb: an

online intervention for children

with FAP and their parents.

The Clinical Journal of Pain

Boixadós, M., Hernández Encuentra,

E., Nieto Luna, R., Huguet, A. &

Aumatell, E. (2014). Paediatricians’

perceptions of a potential online

psychosocial intervention for children

with recurrent abdominal pain. Journal

of Paediatrics and Child Health, 50(6),

449–454. doi:10.1111/jpc.12511

OBJECTIVE 1

Designing DARWeb V1

OBJECTIVE 1

Designing

DARWeb V2

OBJECTIVE 2

Assessing the effects of

DARWeb V2 through a

randomized clinical trial

OBJECTIVE 2

Pilot study with

children and parents to

assess the feasibility of

the program



Aims

To evaluate paediatricians’ perceived efficacy and perceptions of an

online psychosocial intervention for children with RAP

Participants

N=131 paediatricians

70.2% males

62% working in primary care services

76.3% with more than 10 years of experience

M= 47.74 years old (SD=11.30)

Measures

Ad-hoc online survey combining open- and closed-ended questions

Methods

Mixed-methods concurrent study combining qualitative and quantitative

data (QUAN+ QUAL).



Quantitative analyses. Perceptions of the effectiveness of an online psychosocial intervention

(face-to-face)



Qualitative analyses :

Perceptions of an online psychosocial intervention for children with RAP: Characteristics,

and advantages and disadvantages

• “Easy and attractive design “

• “Clear and coherent contents “

Characteristics of an online psychosocial

intervention

• “Accessible and comfortable “

• “Cheap, reduces costs of consultations” Main Advantages

• “Depersonalized, lack of personal relationships and verbal communication“

• “Neglect, difficulty to control and monitor”

• “Difficulties with access and with the use of ICT”

• “Distrust”

Main Disadvantages



• Paediatricians have a positive attitude towards

using online psychosocial interventions for RAP,

expecting them to be effective.

• Face-to-face interventions for children with RAP are

preferred to those delivered online.

• Online interventions should be easy to use,

attractive and have quality contents in order to be

applied in a clinical context.

What does this paper add to the topic?



http://youtu.be/6IwcTOjSUKU





Researchers

Rubén Nieto, Mercè Boixadós , Eulàlia Hernández-Encuentra , Imma Beneitez, Elisabeth Aulet

PSiNET research group, Internet Interdisciplinary Institute - Universitat Oberta de Catalunya, Barcelona

Anna Huguet, Patrick McGrath

IWK Health Centre, Halifax, NS, Canada,

Dalhousie University, Halifax, NS, Canada

2011-2013 PHASE

DEVELOPMENT AND PRELIMINARY TEST

OF DARWEB

2013-2016 PHASE

IMPROVING DARWEB AND TESTING IT IN

A CLINICALTRIAL

Nieto Luna, R.; Hernández-

Encuentra, E.; Boixadós, M.;

Huguet, A. Beneitez, I. &

McGrath, P. (2015). Testing

the feasibility of DARWeb: an

online intervention for children

with FAP and their parents.

The Clinical Journal of Pain

Boixadós, M., Hernández Encuentra,

E., Nieto Luna, R., Huguet, A. &

Aumatell, E. (2014). Paediatricians’

perceptions of a potential online

psychosocial intervention for children

with recurrent abdominal pain. Journal

of Paediatrics and Child Health, 50(6),

449–454. doi:10.1111/jpc.12511

OBJECTIVE 1

Designing DARWeb V1

OBJECTIVE 1

Designing

DARWeb V2

OBJECTIVE 2

Assessing the effects of

DARWeb V2 through a

randomized clinical trial

OBJECTIVE 2

Pilot study with

children and parents to

assess the feasibility of

the program



Thanks!!!

Acknowledgements

This work has been funded with a grant from the Fundació La Caixa

(Recercaixa2012). PSINET is a research group recognized and

supported by the Catalan Government (SGR09-197; SGR2014-585).

Paediatricians’ perceptions of a potential online psychosocial intervention for children with...

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