PTPilotJournal of pediatric rehabilitation medicine2026

Coping experiences in child and adolescent rehabilitation through a novel device: A multi-method feasibility study.

Elisabeth Ørskov Rotevatn, Nina Elisabeth Hjorth, Emilie Stensaker Paz and 4 others

PMID 41773657

WHAT IT FOUND

Children and adolescents in a rehabilitation programme could use a squeeze device to record coping experiences.

Most found it easy and motivating, but it was added to the programme, so its separate benefit is unknown.

Key findings

01Children and adolescents aged 8 to 16 were eligible; all 23 invited children and adolescents consented and were enrolled, 22 completed the Grasp intervention, one dropped out on the final day, all used the device and the software visualisation, 13 used the device daily, and among the remaining nine participants the device was used an average of three days.

02Registered coping experiences ranged from 4 to 80, with a median of 19. Among 22 children and adolescents who completed the questionnaire, 71% found the concept easy to understand, 61% found the device enjoyable to use, and 89% reported some or great motivation. Among 16 healthcare professionals, 88% found it very or somewhat useful to be informed about coping experiences, and 94% found it very or somewhat useful to discuss records with children and adolescents.

03Fifteen children and adolescents in interviews described the device as helping them remember good experiences and reflect on mastery. It was used during the 5-day Life Coping Course and was an adjunct to the Life Coping Programme, so the contribution of any single component cannot be separated.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

There was no control group, so the study cannot show that the Grasp device added benefit beyond the rehabilitation programme. The device was used only as an adjunct to the Life Coping Programme, so the contribution of the device, the rehabilitation stay, and the summary meeting cannot be separated. The study was small and single-site, so the findings may not apply to other settings or broader populations. The questionnaires were purpose-made and not validated, so the acceptability scores should be read as descriptive. Parents were present during many interviews, which may have made children's answers more positive. Some authors helped develop the concept and conducted interviews or analysis, which may have introduced bias. Healthcare professionals' ability to use the system independently was not assessed because study personnel handled setup and provided the tablet. Younger participants gave less complex reflections, and participants were only chronically ill or survivors of severe disease.

Declared interests

The study was financed through a Norwegian Research Council grant that covered research expenses and Grasp AS company expenses for supplying the Grasp units and software development. The authors declared no financial interest in Grasp AS and no potential conflicts of interest.

The easy way to misread this

Do not conclude that the Grasp device improves self-efficacy, motivation, or physical activity. The study did not test effectiveness, had no control group, and placed the device inside a broader rehabilitation programme.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →