Chronic or recurrent pain in children aged 5-17 years with autism spectrum disorder Signs and Symptoms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children aged between 5-17 years with a diagnosis of Autism Spectrum Disorder (ASD) with or without co-occurring intellectual disability 2. Experience chronic or recurrent pain for a period of 3 months as defined by the International Association for the Study of Pain (IASP, 2019) 3. Sufficient command of English to complete the programme and outcome measures 4. Able to provide consent/assent 5. Access to a computer/iPad with an internet connection
Exclusion criteria
Exclusion criteria: 1. People with sensory impairment that would prevent participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain communication (frequency) measured using structured questions at baseline and post-intervention (13 weeks) 2. Pain-coping strategies (frequency) measured using the PedsQL Coping Skills Inventory at baseline and post-intervention (13 weeks) The primary feasibility outcome measures for this study are: 1. Recruitment and retention rates measured from the programme database post-intervention 2. Treatment engagement: the number of missions completed, the number of times participants logged in, the average length of time participants logged in, the number of times individual pages were viewed, the number of interactive activities completed, the number of participants who completed the daily pain diary, the most and least accessed programme components based on the mission page accessed and completion rates measured from the programme database post-intervention 3. Programme satisfaction measured at post-test using open-ended programme-specific questions referring to theme, navigation, intensity, interactive features, ease of use and level of researcher contact. Also, participants are asked to rate experience satisfaction on a 5- 5-point Likert scale ranging from 0 (not at all) to 4 (very) at post-test. 4. Treatment expectancy measured using a 5-point Likert scale at baseline and post-intervention 5. Treatment acceptability and satisfaction measured using the Internet Evaluation and Utility Questionnaire at post-test | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical outcomes measured at baseline and post-intervention: 1.1. Pain intensity measured using a visual analogue scale (VAS) at baseline and post-intervention (13 weeks). Parents respond to four questions. The child completes one self-report question at baseline and post-intervention (13 weeks) 1.2. Pain interference with daily living measured using the Child Activity Limitations Interview-21 (parent version) at baseline and post-intervention (13 weeks) 1.3. Overall well-being measured using the PedsQL General Well-Being Inventory (parent version) at baseline and post-intervention (13 weeks) 1.4. Parental protectiveness measured using the Adult Responses to Children's Symptoms ARCS, protect sub-scale at baseline and post-intervention (13 weeks) 1.5. Pain catastrophizing measured using the Pain Catastrophizing Scale (parent version) at baseline and post-intervention (13 weeks) 2. Adverse events measured through five questions completed by parents at post-intervention (13 weeks), reporting on any adverse events across the study period 3. Parents' and participants' beliefs about the overall/global efficacy of the intervention measured using the Global Impression of Change (three questions) at baseline and post-intervention (13 weeks) 4. Programme usage data measured from the programme database post-intervention | — |
Countries
Ireland