Experience of Chronic (Non-malignant) Musculoskeletal Pain of French Adolescent and Young Adult: a Qualitative Research With Their Physicians and Non-medical Practitioners

NCT03171792 | Completed

• 2 other identifiers: NI160152017-A00842-51
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to explore the perspectives of health professionals on chronic (non-malignant) musculoskeletal pain in adolescence and young adulthood. The prevalence of this pain symptom is rising for ten years, and most of the time the diagnosis is complex. Health professionals have to differentiate between the continuing activity of a somatic problem, some painful sequelae, a low threshold for the perception of pain, and psychological symptoms with somatic expression. Diagnosis in this case takes time, and is a matter of trained specialists. No protocol exists to assess the sub-clinical symptoms which will be used to help doing this complex task. This qualitative study will elicit the perspectives of trained specialists on this diagnosis: how do they deal with these patients? What signs and symptoms helps them? The results will present their clinical experiences. The overall goal is to construct the first chronic musculoskeletal pain multidimensional scale that will help the practitioners with this complex diagnosis.

Conditions

Chronic (Non-malignant) Musculoskeletal Pain

Keywords

Musculoskeletal pain; Adolescent; Qualitative research; Attitude; Health professionals

Outcome Measures

Primary Outcomes (1)

• Qualitative description of the experience of health professionals faced to adolescents consulting for chronic (non-malignant) musculoskeletal pain

  The data collection will consist in health professionals' interviews. All the content of the interviews will be included in the data analysis. The interviews will contain the deepest experience of these professionals in their confrontation of adolescents who present chronic musculoskeletal pain.

  1 day

Interventions

semi-structured interviews OTHER

Semi-structured face to face or telephone interviews with an open-ended approach. Duration: about 45 minutes. Audio-recorded. Exploration of the experience of taking care of the suffering adolescents.

Eligibility Criteria

• Age: 25 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study will concern the health professionals who takes care of adolescents suffering from chronic (non-malignant) musculoskeletal pain. In France, the medical specialities concerned are paediatric medicine, rheumatology, pain medicine, adolescent medicine and psychiatry. The investigators also want to include participants from paramedical fields: physiotherapists, ergotherapists and psychologists. The participants will be selected in the large repository of the professionals working with the French National Reference Center in Paediatric Rheumatology and Inflammatory Diseases

You may qualify if:

• Health care professionals working with the French National Reference in Center Pediatric Rheumatology and Inflammatory Diseases
• Professional experiences on the care of chronic musculoskeletal pain

You may not qualify if:

• \- Refusal to participate in the study

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead
• URC-CIC Paris Descartes Necker Cochin: collaborator

Study Sites (2)

Cochin hospital

Paris, Paris, 75014, France

Location

Necker Hospital

Paris, Paris, 75015, France

Location

Related Publications (15)

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  PMID: 15102634 BACKGROUND

• Anthony KK, Schanberg LE. Pediatric pain syndromes and management of pain in children and adolescents with rheumatic disease. Pediatr Clin North Am. 2005 Apr;52(2):611-39, vii. doi: 10.1016/j.pcl.2005.01.003.

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  PMID: 14760812 BACKGROUND

• Jaremko JL, Liu L, Winn NJ, Ellsworth JE, Lambert RG. Diagnostic utility of magnetic resonance imaging and radiography in juvenile spondyloarthritis: evaluation of the sacroiliac joints in controls and affected subjects. J Rheumatol. 2014 May;41(5):963-70. doi: 10.3899/jrheum.131064. Epub 2014 Mar 15.

  PMID: 24634199 BACKGROUND

• Bell DS, Bell KM, Cheney PR. Primary juvenile fibromyalgia syndrome and chronic fatigue syndrome in adolescents. Clin Infect Dis. 1994 Jan;18 Suppl 1:S21-3. doi: 10.1093/clinids/18.supplement_1.s21.

  PMID: 8148447 BACKGROUND

• McGhee JL, Burks FN, Sheckels JL, Jarvis JN. Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children. Pediatrics. 2002 Aug;110(2 Pt 1):354-9. doi: 10.1542/peds.110.2.354.

  PMID: 12165590 BACKGROUND

• Sherry DD, McGuire T, Mellins E, Salmonson K, Wallace CA, Nepom B. Psychosomatic musculoskeletal pain in childhood: clinical and psychological analyses of 100 children. Pediatrics. 1991 Dec;88(6):1093-9.

  PMID: 1956724 BACKGROUND

• Kashikar-Zuck S, Goldschneider KR, Powers SW, Vaught MH, Hershey AD. Depression and functional disability in chronic pediatric pain. Clin J Pain. 2001 Dec;17(4):341-9. doi: 10.1097/00002508-200112000-00009.

  PMID: 11783815 BACKGROUND

• - Lachal J, Speranza M, Schmitt A, Spodenkiewicz M, Falissard B, Moro MR, Revah-Levy A. Depression in adolescent from qualitative research to measurement. Adolescent Psychiatry 2012,2(4):296-308.

  BACKGROUND

• - Smith J. Interpretative phenomenological analysis. In: Qualitative Psychology: A Practical Guide to Research Methods. 2e éd. Sage Publications Ltd; 2008.

  BACKGROUND

• Taieb O, Bricou O, Baubet T, Gaboulaud V, Gal B, Mouthon L, Dhote R, Guillevin L, Rose Moro M. Patients' beliefs about the causes of systemic lupus erythematosus. Rheumatology (Oxford). 2010 Mar;49(3):592-9. doi: 10.1093/rheumatology/kep430. Epub 2009 Dec 29.

  PMID: 20040529 BACKGROUND

• Smith JA, Michie S, Stephenson M, Quarrell O. Risk Perception and Decision-making Processes in Candidates for Genetic Testing for Huntington's Disease: An Interpretative Phenomenological Analysis. J Health Psychol. 2002 Mar;7(2):131-44. doi: 10.1177/1359105302007002398.

  PMID: 22114233 BACKGROUND

• Chapman E, Smith JA. Interpretative phenomenological analysis and the new genetics. J Health Psychol. 2002 Mar;7(2):125-30. doi: 10.1177/1359105302007002397.

  PMID: 22114232 BACKGROUND

• Lefevre H, Loisel A, Meunier BB, Deslandre C, Lemoine N, Moro MR, Quartier P, Lachal J. Chronic idiopathic musculoskeletal pain in youth: a qualitative study. Pediatr Rheumatol Online J. 2019 Dec 27;17(1):86. doi: 10.1186/s12969-019-0389-3.

  PMID: 31882011 RESULT

Related Links

• QSR International. Logiciel NVivo pour la recherche qualitative - de l'analyse de contenu et de l'évaluation jusqu'à l'étude de marché \[Internet\]. 2015 \[cité 30 juill 2015\]

MeSH Terms

Conditions

Bronchiolitis Obliterans Syndrome; Musculoskeletal Pain; Behavior

Condition Hierarchy (Ancestors)

Organizing Pneumonia; Bronchiolitis Obliterans; Bronchiolitis; Bronchitis; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Graft vs Host Disease; Immune System Diseases; Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Pierre QUARTIER, MD, PhD

  Assistance Publique - Hôpitaux de Paris

  STUDY CHAIR

• Jonathan LACHAL, MD, PhD

  Assistance Publique - Hôpitaux de Paris

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 26, 2017
• First Posted: May 31, 2017
• Study Start: September 21, 2017
• Primary Completion: January 30, 2018
• Study Completion: January 30, 2018
• Last Updated: November 20, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)