Psychological Factors Related to Pediatric Limb-Lengthening and Orthopedic Procedures

Objective: To identify common psychosocial stressors among pediatric patients and caregivers undergoing limb-lengthening and other orthopedic procedures. It is hypothesized that demographical factors and individual traits will moderate the relationship between orthopedic procedures and the subsequent experience of pain. The results of the study may be applied to the development of maximally efficacious pain management. Design: Descriptive statistics will be analyzed and between-factor ANOVAs will be utilized in order to understand the relationship between family characteristics and outcome measures. Setting: Inpatient pediatric orthopedic hospital in the Southeastern region of the United States. Participants: Participants included pediatric orthopedic patients ages 8-17 years of age, currently undergoing treatment and their available caregiver(s). Procedures: Participants were recruited from on-site support groups for patients and families. Interested English-speaking families and patients meeting the age criteria were provided with online consent forms, assent forms, a demographic questionnaire, and survey. Participants were provided with a $15 gift card immediately following completion. Measures: Family Assessment Device (FAD), Pediatric Patient-Reported Outcome Measurement Information System-37 (PROMIS-37), and Parent-Proxy Patient-Reported Outcome Measurement Information System (Parent-proxy PROMIS) Results: Data is currently being collected. The N number at the time of the conference is anticipated to range between 20-30 individuals. Descriptive statistics will be analyzed in order to highlight particular familial and personal traits that may related to the overall experience and well-being of pediatric patients’ and caregivers during extensive orthopedic procedures. Conclusions: Previous literature has demonstrated that demographical information may influence both the experience and expression of pain (Batista, et al., 2012). The results are intended to be utilized in order to understand common stressors within this unique population, as well as potential barriers for effective pain management. It is further anticipated that results will be applicable during the development of pain and stress management techniques for this specific individuals within this population