The integrated prevention model of pain–Chronic pain prevention in the primary care setting.

Objective: Chronic pain is a significant problem that affects a large percentage of children around the world (King et al., 2011). It is widely accepted that pediatric chronic pain can lead to functional impairment, including decreased school attendance, social withdrawal, and decreased participation in extracurricular activities (Huguet & Miró, 2008; Perquin et al., 2000). However, there is a paucity of research examining prevention of chronic pain in children and adolescents (King et al., 2011). Because pain accounts for 20—40% of primary care appointments during childhood and adolescence (De Inocencio, 2004), understanding how to identify youth on the trajectory to chronic pain and provide targeted treatment is essential. Methods: This paper proposes a model of integrating cognitive-behavioral therapy for pain management into a primary care setting as a secondary prevention technique to reduce the incidence of pediatric chronic pain. Case illustrations are utilized to highlight intervening points within primary care. Results: Using principles from Kazak’s (2006) Pediatric Psychosocial Prevention Health Model, integrated primary care providers may be in an ideal position to reduce the incidence of pediatric chronic pain and subsequent financial, social, emotional, and educational burden. Conclusions: The Integrated Prevention Model for Pain offers a way to prevent pediatric chronic pain at the primary care level. Recommendations at the various intervention levels, implementation strategies, and future directions are provided. (PsycINFO Database Record (c) 2019 APA, all rights reserved)