Table 1.
ADAPT Intervention Components for Youth with FAPD and Their Caregivers
| Intervention Session | Platform | Caregiver Involvement | Session Content and Target Concern |
|---|---|---|---|
| Session 1 | In-person | Direct Participation, 40 minutes | • Program overview a
• Psychoeducation (Pain and Anxiety)a • Parent Guidelines (Pain) a,b • Deep Breathing/Guided Imagery (Pain) |
| Session 2 | In-person | End of Session Review, 10 minutes | • Progressive Muscle Relaxation (Pain) • Calming Statements (Pain) • Activity Pacing (Pain) |
| Session 3 | Web and phone | Brief Check-In, 5 minutes | • Pleasant Activity Scheduling (Pain) • Problem Solving (Pain) |
| Session 4 | Web and phone | Brief Check-In, 5 minutes | • Cognitive Restructuring (Anxiety) |
| Session 5 | Web and phone | Brief Check-In, 5 minutes | • Guided Exposure (Anxiety) • Assertiveness Training (Anxiety) |
| Session 6 | Web and phone | Brief Check-In, 5 minutes | • Maintenance Planning (Pain and Anxiety) |
Note. ADAPT = Aim to Decrease Anxiety and Pain Treatment; FAPD = Functional abdominal pain disorders; All ADAPT sessions were approximately 60 minutes. Web sessions of ADAPT were completed by the child participant independently (30 minutes) followed by phone support (15–30 minutes total) with the interventionist. Phone sessions were conducted primarily between the interventionist and child participant, with a brief portion of time reserved to check-in with caregivers. Caregivers received a review of child skills at the end of in-person sessions and through online videos.
active caregiver participation
content directed towards caregiver, which included how to help child cope with pain/anxiety by encouraging independence, eliminating status checks, giving the child praise for using coping skills, and encouraging normal activity for periods of pain/worry.