"Working Together": Perspectives of Healthcare Professionals in Providing Virtual Care to Youth with Chronic Pain during the COVID-19 Pandemic

Int J Environ Res Public Health. 2023 Mar 8;20(6):4757. doi: 10.3390/ijerph20064757.

Abstract

Background: The onset of the coronavirus disease in 2019 necessitated a rapid transition to virtual care for chronic pain treatment.

Methods: A mixed methods design was implemented using qualitative interviews and quantitative satisfaction surveys. Interviews were conducted in February 2021 with a sample of healthcare professionals (HCPs; n = 6) who had provided multidisciplinary treatment (MDT) through an outpatient hospital pediatric chronic pain program. Satisfaction surveys were distributed to all MDT professionals employed by the clinic in April 2021 (n = 13 of 20 eligible; 65% response rate). Participants represented medicine, rehabilitation, and mental health professionals.

Results: Analysis of interviews generated five themes: (1) adaptation to virtual care, (2) benefits of virtual care, (3) limitations of virtual care, (4) shifting stance on virtual care over time, and (5) considerations for implementing virtual care. The satisfaction survey data revealed that respondents were able to effectively provide appropriate diagnoses, recommendations, and/or care plans for pediatric chronic pain via virtual care (n = 12, 92.3%). Detailed survey responses are presented by discipline.

Conclusions: This study provides a rich exploration of HCPs' experiences in providing MDT for pediatric chronic pain within a virtual care model. The current results may contribute to the future development of guidelines for virtual care delivery with pediatric chronic pain populations.

Keywords: healthcare professional perspectives; mixed methods analysis; multidisciplinary treatment; pediatric chronic pain; virtual care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • COVID-19* / epidemiology
  • COVID-19* / therapy
  • Child
  • Chronic Pain* / epidemiology
  • Chronic Pain* / therapy
  • Delivery of Health Care
  • Health Personnel
  • Humans
  • Pandemics

Grants and funding

This work was supported by the Sick Kids Pain Centre Research Fund under the COVID-19 Catalyst Grant.