20 Participants Needed

PIUO Pathway for Pain and Irritability

SH
AH
Overseen ByAnne-Mette Hermansen, MA
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: University of British Columbia
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The Pain and Irritability of Unknown Origin (PIUO) Pathway is a clinical pathway that was developed to evaluate and manage unexplained pain and irritability for children with severe neurological impairments (SNI) who cannot verbally communicate 'where it hurts'. The investigators studied the usefulness of the Pathway with families and expert clinicians in 4 centres across Canada. The aim of this Phase 2 study is to determine whether this tool can transfer from hospital research centres into the community. The Pathway will be used by community pediatricians across British Columbia (BC) when they see patients with PIUO. The investigators want to know how well these pediatricians can follow the Pathway. The goal is to create a systematic, cohesive approach to enhance the clinical care for all children with complex medical needs experiencing PIUO.

Who Is on the Research Team?

HS

Hal Siden, MD

Principal Investigator

University of British Columbia and BC Children's Hospital Research Institute

Are You a Good Fit for This Trial?

This trial is for children with severe neurological impairments who can't communicate their pain verbally. It's designed to help community pediatricians in British Columbia manage unexplained pain and irritability using the PIUO Pathway, a tool developed for systematic care.

Inclusion Criteria

General pediatricians
Practicing in a community clinic in British Columbia
My child is between 6 months and 18 years old, has special needs, and cannot explain their pain.
See 1 more

Exclusion Criteria

Children that have an explained and treatable cause of pain and irritability. Parents that do not have sufficient English skills, or have access to assistance, to participate in the clinic visits and complete survey tools
Healthcare professionals who are not general pediatricians (e.g., pediatrician specialists, nurse practitioners, nurses, other allied health professionals)
My child does not fall within the required age range for the study.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Exploration

Exploration phase to assess feasibility and factors influencing the implementation of the Pain Pathway

3 months

Installation

Installation phase where community pediatricians are trained to use the Pain Pathway

3 months

Initial Implementation

Initial implementation of the Pain Pathway in community practice settings

6 months

Full Implementation

Full implementation of the Pain Pathway with ongoing evaluation and refinement

6-9 months

Follow-up

Participants are monitored for the effectiveness of the Pain Pathway and family well-being

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • PIUO Pathway
Trial Overview The study tests the PIUO Pathway's effectiveness when used by community pediatricians outside of hospital research settings. The goal is to see if this approach can improve clinical care for children with complex medical needs experiencing unknown pain and irritability.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: PIUO PathwayExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials
1,506
Recruited
2,528,000+
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