The purpose of the study is to examine social risk and protective factors for pediatric pain.

Your child may be eligible to participate in this study if they:

• Are between the age of 11-14 years
• Recently sought medical care for a pain problem present for less than 3 months (for example, sports-related or accidental injury, new onset headaches or stomachaches)
• Are otherwise generally healthy and have never received treatment for a chronic pain problem

In addition:

• You and your child do not have a developmental delay or cognitive impairment
• You and your child speak English
• You and your child have access to a computer, smartphone, and internet to complete study assessments

If you choose to be in the study, you will be asked to complete a set of secure and confidential online surveys at 4 separate timepoints over a 2-year period (at time 1, 6 months, 12 months, and 24 months). You will be asked to provide information about your and your child’s demographic and socio-economic characteristics (e.g., gender, race, employment status). We use this information in aggregate to describe the participants in our study. You will also be asked to provide information about your experiences with pain (personal history, family history), how you think about and respond to your child when they are in pain, and the types of health care and related services your child has received in the past year and their estimated costs.

If you grant permission for your child to be in the study, they will be asked to do the following:

• Fill out several secure and confidential surveys online. These surveys would ask your child about whether they have pain, their thoughts about pain, and how much pain interferes with their daily activities. The surveys would also ask questions about your child’s pubertal status, their mood, and how they feel about themselves. There will also be a lot of questions about their social interactions, including their experiences with friends, peers, and online social networking.
• Fill out a brief online daily ‘diary’ each evening for 7 days. The daily diary will ask your child questions about their social interactions during the day, as well as a few quick questions about their mood, sleep, pain, and whether pain got in the way of activities that were important to them that day. We would also ask them to share some information about their time spent on social media each day. They would do this by uploading screenshots from their smartphone (if they have one) from Apple’s Screen Time setting (if they have an iPhone) or from a free app called ActionDash (if they have an Android device). We will provide guidance about how to do this.
• During this week-long monitoring period, we would ask them to wear a small, unobtrusive watch-like device that tracks the intensity of their physical activity during the day and the quality of their sleep at night. This device tracks movement and light; it does NOT collect GPS data or other information about your child’s physical location.
• We would repeat these procedures in six months, then again six months after that, and for a final time 1 year later. This means that your child would be asked to complete the online surveys and week-long monitoring a total of 4 times over 24 months (at baseline, 6 months, 12 months, and 24 months).

In addition, some teens will be asked to participate in two one-on-one interviews (via Zoom) about their social media use and their beliefs about how it impacts their health. Interviews will take place at around 6 months and 24 months, at a time convenient for your family.

The total compensation schedule is as follows:

• Baseline ($120 child, $20 parent)
• 6 months ($130 child, $30 parent)
• 12 months ($140 child, $40 parent)
• 24 months ($150 child, $50 parent)

Combined compensation to the family totals $680 over the 24-month period of the study.

In addition, a smaller group of participants will be compensated an additional $100 for participating in one-on-one interviews at 6 months and 24 months ($50 for completion of each interview).

Finally, child participants who achieve 7 days of consecutive diary monitoring will be entered into a raffle for a $50 gift card. Raffles will be held at the end of data collection. Six winners will be selected over the course of the study.

There is no cost for you and your child to participate in our research study.