ADAPTing CBT for Pediatric Functional Abdominal Pain in Primary Care (ADAPT-PCP)

Michigan State University

Status: Not yet enrolling

Conditions: Abdominal Pain

Treatments: Behavioral: Aim to Decrease Anxiety and Pain Treatment (ADAPT)

Study type: Interventional

Funder types: Other

Identifiers

NCT07526727

STUDY202500550

Details and patient eligibility

About

Many youth experience ongoing stomach pain that does not have a clear medical cause. These conditions, called functional abdominal pain disorders, are common and can last for years. They often interfere with school attendance, daily activities, and social life, and are frequently linked with anxiety. Families may go through many medical tests and appointments without finding relief. The investigator's research shows that teaching these children coping skills, like relaxation, problem solving, and managing anxious thoughts, can reduce pain and improve functioning. The Aim to Decrease Anxiety and Pain Treatment (ADAPT) is a brief program, using cognitive behavioral strategies and mindfulness, the investigators developed that helps children. ADAPT has been shown to work well in specialty clinics, but most children with stomach pain are first seen in primary care, where this type of support is not usually available. The purpose of this project is to test ADAPT in pediatric primary care and test whether it can be delivered successfully. The goal is to improve access to care, reduce symptoms, and better support children.

Enrollment: 15 estimated patients

Sex: All

Ages: 9 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• FAPD diagnosis
• Ages 9-14 years
• Functional disability score of 7 or greater

Exclusion criteria

• <9 years or >14 years
• Known developmental disability, sensory, or cognitive impairments that limit youths' ability to engage with behavioral programming
• Unmanaged psychiatric illness (e.g., psychosis, active suicidal ideation, severe depression as indicated in electronic medical records)
• Symptoms directly attributable to a physical health concern (e.g., cancer, cystic fibrosis, inflammatory bowel disease).
• Lack of English proficiency

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

ADAPT, cognitive behavioral program for pediatric functional abdominal pain

Experimental group

Description:

Cognitive behavioral intervention for management of pediatric functional abdominal pain, stratified to 4- or 6- sessions depending on presence of anxiety symptoms

Treatment:

Behavioral: Aim to Decrease Anxiety and Pain Treatment (ADAPT)