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Access Type
WSU Access
Date of Award
January 2022
Degree Type
Dissertation
Degree Name
Ph.D.
Department
Nursing
First Advisor
April Hazard Vallerand
Abstract
A DESCRIPTION OF THE EFFECTS OF A MINDFULNESS MARTIAL ARTS PROGRAM ON CHRONIC PAIN, FUNCTION, AND PERCEIVED CONTROL OVER PAIN IN ADOLESCENTS WITH SICKLE CELL DISEASE: A MIXED METHODS STUDY
Purpose: The purpose of this study was to explore the experience of adolescents with chronic pain from SCD who attended the Kids Kicking Cancer mindfulness martial arts program and the association of this program with pain control.Theoretical Framework: Roy’s Adaptation Model was used to guide the study in the exploration of a relationship between chronic pain, perceived control over pain, and functional status. Methodology: A mixed-methods design (MMD) was used. A convenience sample of 20 participants ages 10-17, for quantitative and 14 for qualitative were needed. The participants were recruited from Kids Kicking Cancer, in Southfield, MI. Data were collected using survey methods via Qualtrics for the quantitative portion and semi-structured, open-ended questions were asked via Zoom for the qualitative portion. Descriptive statistics and Pearson’s correlation analysis were used to determine the significance of the relationship among the variables. The qualitative data were transcribed using a third-party transcription service and analyzed line-by-line. Findings: Some of the participants reported pain all over, while others reported pain in specific areas. As pain and negative coping increased, beliefs about how controllable pain was decreased. Pain behaviors related to functional status was significantly correlated with pharmacologic control. The adolescents identified the advantages of using the breathing techniques when scared or nervous, when getting a poke (injection), when irritated, and which aided with pain and stress management. Conclusions: The quantitative results revealed that the adolescents experienced frequent intense pain with SCD that affected many activities in their daily lives. The results demonstrated that when the Breath Brake® is used during painful procedures, times of stress, and times when their pain was severe, it helped to decrease their symptoms. The results of the current study contribute to the advancement of pain research in adolescents with chronic pain from SCD by addressing the lack of treatment in this patient population.
Recommended Citation
Cofield, Cherie, "A Description Of The Effects Of A Mindfulness Martial Arts Program On Chronic Pain, Function, And Perceived Control Over Pain In Adolescents With Sickle Cell Disease: A Mixed Methods Study" (2022). Wayne State University Dissertations. 3622.
https://digitalcommons.wayne.edu/oa_dissertations/3622