The children's health & illness recovery program (CHIRP): Feasibility and preliminary efficacy in a clinical sample of adolescents with chronic pain and fatigue

Bryan D. Carter, William G. Kronenberger, Brooke Threlkeld, Aimee Townsend, Alexandria Pruitt

Research output: Contribution to journalArticle

4 Scopus citations


Our goal was to determine the feasibility and efficacy of a manualized treatment (CHIRP) for pediatric patients with chronic painful and fatiguing medical conditions in reducing symptoms and improving functioning. Participants included 26 clinical referrals with chronic pain and/or fatigue between the ages of 11 and 19, and their parent/guardian, who attended a 12-session manualized treatment employing a cognitive- behavioral systems-based intervention, along with strong advocacy for schoolbased accommodations. Pre- and postintervention ratings of pain, fatigue, and functional disability were obtained, along with helpfulness ratings in improving symptoms and functioning. Participants and parents reported highly favorable ratings of the helpfulness of the intervention in improving symptoms and overall daily functioning. Both participants and their parents reported significant improvements in pain, fatigue and functional disability. Pilot data indicate the CHIRP intervention appears to demonstrate considerable promise as an effective treatment for improving functioning in pediatric patients with these chronic conditions. Further controlled clinical trails are being planned.

Original languageEnglish (US)
Pages (from-to)184-195
Number of pages12
JournalClinical Practice in Pediatric Psychology
Issue number2
StatePublished - Jan 1 2013



  • Adolescents
  • Chronic pain
  • Cognitive therapy
  • Pediatrics
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Applied Psychology

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