ArticleHealth and quality of life outcomes2020
Health-related quality of life in adolescents with persistent pain and the mediating role of self-efficacy: a cross-sectional study.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03551977 (Cultural Adaptation and Evaluation of the "iCanCope With Pain" App Among Norwegian Adolescents Living With Pain), which is not on this map. Cited by 26 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Cultural Adaptation and Evaluation of the "iCanCope With Pain" App Among Norwegian Adolescents Living With Pain
Who cites it
26 citing papers in PubMed.
- Gamified IMU Sensor-Based System for Training Head-Orientation Tasks in Healthy Teenagers: Event-Driven Architecture and Randomised Pilot Feasibility Study.Sensors (Basel, Switzerland) · 2026Trial
- Adolescents' health literacy and health-related quality of life: The mediating role of self-efficacy.Public health in practice (Oxford, England) · 2026Article
- Can pain self-efficacy mediate the influence of pain intensity on outcomes for patients with musculoskeletal pain? A prospective mediation analysis with 12 months follow-up.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Indirect association of kinesiophobia with physical activity through pain self-efficacy in older women with primary osteoporosis.Frontiers in public health · 2026Observational
- The relationship between parental self-efficacy, health-related quality of life, stress and educational level on adolescents' self-efficacy: a cross-sectional study.Journal of health, population, and nutrition · 2025Article
- Persistent musculoskeletal pain and its association with future mental distress in adolescents: The Fit Futures study.BMC public health · 2025Article
- Co-creating support for adolescents with long-lasting pain: findings from workshops with adolescents, parents, and professionals.BMC health services research · 2025Article
- Life satisfaction across sports disciplines and sports categories among Norwegian adolescents: comparisons to national data.Frontiers in psychology · 2025Article
- The health-related quality of life in children with IgA vasculitis.Frontiers in pediatrics · 2025Article
- Article
- Understanding the unique and common perspectives of partners engaged in knowledge mobilization activities within pediatric pain management: a mixed methods study.BMC health services research · 2024Article
- The use of youth healthcare services and its association with health-related quality of life, physical and mental health and over-the-counter analgesics use in 13-19-year-old adolescents: a cross-sectional study.BMC public health · 2024Article
- Associations between levels of physical activity and satisfaction with life among Norwegian adolescents: a cross-sectional study.Frontiers in sports and active living · 2024Article
- Adherence to physical activity recommendations and associations with self-efficacy among Norwegian adolescents: trends from 2017 to 2021.Frontiers in public health · 2024Article
- Sleep duration in schooldays is associated with health-related quality of life in norwegian adolescents: a cross-sectional study.BMC pediatrics · 2023Article
- Explaining variance in self-efficacy among adolescents: the association between mastery experiences, social support, and self-efficacy.BMC public health · 2023Article
- Participation in everyday life for young people with chronic pain in Saudi Arabia: "you feel lacking in life and you feel that time is flying by".Frontiers in rehabilitation sciences · 2023Article
- Development and expansion of a pediatric transitional pain service to prevent complex chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- The relationship between stress and health-related quality of life and the mediating role of self-efficacy in Norwegian adolescents: a cross-sectional study.Health and quality of life outcomes · 2022Article
- Coping expectancies and disability across the new ICD-11 chronic pain categories: A large-scale registry study.European journal of pain (London, England) · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPersistent pain has a high prevalence among adolescents. Pain has been shown to reduce all aspects of the adolescent's health-related quality of life (HRQOL). In adult patients with pain, self-efficacy has been shown to mediate the relationship between pain intensity, disability and depression. However, little is known about whether self-efficacy acts as a mediating variable in the relationship between persistent pain and HRQOL sub-scale scores in a school-based population of adolescents.
objectivesTo describe the experience of pain, HRQOL and self-efficacy, and to explore the association between pain intensity, general self-efficacy and HRQOL in adolescents with persistent pain by testing self-efficacy as a possible mediator.
methodsThe study participants were 78 adolescents with persistent pain, aged 16-19 years, who were recruited from five high schools in southern Norway. All participants completed an electronic survey consisting of the Lubeck Pain Questionnaire, which included a visual analogue scale (VAS) measuring pain intensity, the General Self-Efficacy Scale (GSE) and the KIDSCREEN-52 Questionnaire measuring HRQOL. Statistical analyses were conducted using the PROCESS macro for SPSS developed by Andrew Hayes.
resultsAll participants reported pain in multiple locations, of which the head was most common (88.5%). Mean (SD) pain intensity score of the participants was 5.4 (1.8). The study sample had poor HRQOL, with mean (SD) scores for several sub-scales ranging from 45.2 (21.0) to 91.0 (13.3) on a 0-100 scale. The associations between pain intensity and the HRQOL sub-scales of physical well-being, psychological well-being, mood, self-perception, autonomy and school environment were mediated by self-efficacy. The highest degree of mediation and, thus, the largest indirect effect was estimated for the HRQOL sub-scale physical well-being (67.2%).
conclusionsThis school-based sample of adolescents with persistent pain had impaired HRQOL. Up to 67% of the reduction in the HRQOL sub-scale scores for physical well-being, psychological well-being, mood, self-perception, autonomy and school environment could be explained by the mediating variable self-efficacy. Thus, future pain-management interventions that aim to increase HRQOL in school-based populations of adolescents with persistent pain should consider promoting self-efficacy and providing more targeted interventions.
trial registrationClinicalTrials.gov ID NCT03551977.
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