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      “A source of empowerment and well-being”: Experiences of a dance and yoga intervention for young girls with functional abdominal pain disorders

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          Abstract

          Background

          Functional abdominal pain disorders are common among children and adolescents worldwide and effective treatments are needed to alleviate suffering for these children and their families. This study aimed to explore the experience of participating in a combined dance and yoga intervention from the perspectives of girls aged 9–13 years with functional abdominal pain disorders.

          Materials and Methods

          A randomized controlled trial called Just in TIME ( Try, Identify, Move and Enjoy) recruited 121 girls aged 9–13 years with functional abdominal pain disorders. The eight-month intervention combined dance and yoga twice a week, focusing on enjoyment, socialization and playful creativity in an undemanding and non-judgemental environment. The intervention group comprised 64 girls, of whom 25 were purposefully selected for this qualitative interview study. Semi-structured interviews were conducted and analysed using qualitative content analysis with an inductive approach.

          Results

          The girls' experiences of the Just in TIME intervention can be described as “A source of empowerment and well-being which facilitated personal growth and new ways of engaging in life”. The main category was derived from six generic categories: “A sense of belonging”, “Joy and emotional expression through movement”, “Relief from pain”, “More self-confident”, “More active in daily life” and “A sense of calm.”

          Conclusions

          Regular participation in an eight-month intervention with combined dance and yoga in a supportive and non-judgemental atmosphere can ease pain and strengthen inner resources, resulting in empowerment, well-being and a more active life for girls with functional abdominal pain disorders.

          Trial registration

          The Just in TIME study is available online at clinicaltrials.gov, ID: NCT02920268.

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          Most cited references62

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          Three approaches to qualitative content analysis.

          Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
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            Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.

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              The qualitative content analysis process.

              This paper is a description of inductive and deductive content analysis. Content analysis is a method that may be used with either qualitative or quantitative data and in an inductive or deductive way. Qualitative content analysis is commonly used in nursing studies but little has been published on the analysis process and many research books generally only provide a short description of this method. When using content analysis, the aim was to build a model to describe the phenomenon in a conceptual form. Both inductive and deductive analysis processes are represented as three main phases: preparation, organizing and reporting. The preparation phase is similar in both approaches. The concepts are derived from the data in inductive content analysis. Deductive content analysis is used when the structure of analysis is operationalized on the basis of previous knowledge. Inductive content analysis is used in cases where there are no previous studies dealing with the phenomenon or when it is fragmented. A deductive approach is useful if the general aim was to test a previous theory in a different situation or to compare categories at different time periods.
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                Author and article information

                Contributors
                Journal
                Front Pediatr
                Front Pediatr
                Front. Pediatr.
                Frontiers in Pediatrics
                Frontiers Media S.A.
                2296-2360
                21 April 2023
                2023
                : 11
                : 1040713
                Affiliations
                [ 1 ]University Health Care Research Center, Faculty of Medicine and Health, Örebro University , Örebro, Sweden
                [ 2 ]Faculty of Medicine and Health, School of Health Sciences, Örebro University , Örebro, Sweden
                [ 3 ]Edith Cowan University, School of Nursing and Midwifery , Joondalup, WA, Australia
                [ 4 ]Department of Health, Medicine and Caring Sciences , Linköping University, Linköping, Sweden
                Author notes

                Edited by: George Paltoglou, University Research Institute of Maternal and Child Health and Precision Medicine, National and Kapodistrian University of Athens, Greece

                Reviewed by: Alfonso Javier Ibáñez-Vera, University of Jaén, Spain Silvia Salvatore, University of Insubria, Italy

                [* ] Correspondence: Sofie Högström sofie.hogstrom@ 123456oru.se

                Specialty Section: This article was submitted to Pediatric Gastroenterology, Hepatology and Nutrition, a section of the journal Frontiers in Pediatrics

                Article
                10.3389/fped.2023.1040713
                10160435
                896c3158-298a-419c-9c05-4b7c86b71e5d
                © 2023 Högström, Eriksson, Mörelius, Duberg.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 September 2022
                : 17 March 2023
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 65, Pages: 0, Words: 0
                Funding
                Funded by: Uppsala-Örebro Regional Research Council
                Award ID: RFR-655161, RFR-740981, RFR-839811
                Funded by: Nyckelfonden
                Award ID: OLL-689081
                Funded by: Örebro Research Committee
                Award ID: OLL-615471
                Funded by: Thurings Stiftelse
                Award ID: 2016-00243
                Funded by: Region Örebro County
                Award ID:  
                This study has received funding from the Uppsala-Örebro Regional Research Council (grant numbers RFR-655161, RFR-740981, RFR-839811), the Nyckelfonden (grant number OLL-689081), Örebro Research Committee (OLL-615471), Thurings Stiftelse (2016-00243) and ALF funding Region Örebro County.
                Categories
                Pediatrics
                Original Research

                dance,experiences,functional abdominal pain disorders,intervention,yoga 3(20)

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