{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:46:37Z","timestamp":1788414397113,"version":"build-2803163510"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Absenteeism among adolescents experiencing chronic pain is a critical issue, and factors influencing absence have been identified as an evidence gap. Existing research overlooks aspects beyond attendance, such as presenteeism, reflecting adolescents' school functioning before becoming absent. This novel qualitative study sought to identify the influencing factors on presenteeism and absence from school in adolescents (11\u201318\u2009years) experiencing chronic pain, through exploration of adolescent and parent perspectives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study conducted a secondary analysis of qualitative data using semi\u2010structured interviews and a timeline drawing from 21 adolescents treated for chronic musculoskeletal pain and 21 parents. Data regarding school experiences were extracted and analysed using the six stages of thematic analysis, identified by Braun and Clarke. Initial codes were identified manually, discussed and validated by all authors in a face\u2010to\u2010face meeting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thematic analysis of the data identified three themes: (1) understanding the unseen struggle, (2) the feeling of belonging and (3) navigating transitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A key finding was the importance of adolescents feeling understood and supported by their peers and teachers throughout their education. Receiving validation of their symptoms, despite the invisible nature of chronic pain, affirmed a sense of security at school, contributed to a more positive school experience and improved adolescents' reported attendance. This has important practice implications in healthcare and education, in validating the adolescents' struggle, fostering a sense of belonging through shared goal setting and advocating for their voices to be heard.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.70140","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T08:23:58Z","timestamp":1752567838000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding School Presenteeism and Absence in Adolescents Affected by Chronic Musculoskeletal Pain: A Qualitative Study"],"prefix":"10.1111","volume":"51","author":[{"given":"Beau","family":"Sherwood","sequence":"first","affiliation":[{"name":"School of Health Sciences University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2662-6696","authenticated-orcid":false,"given":"Lisa","family":"Roberts","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton  Southampton UK"},{"name":"Therapy Services Department University Hospital Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-3341","authenticated-orcid":false,"given":"Rhiannon","family":"Joslin","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Southampton  Southampton UK"},{"name":"Women's and Children's Department University Hospitals Sussex, St. Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/24740527.2021.1889925"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.7146\/qs.v3i1.6272"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.22488\/okstate.93.100504"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/104973239600600408"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003267"},{"key":"e_1_2_12_10_1","unstructured":"Children's Commissioner.2022. \u201cBack Into School: New Insights Into School Absence.\u201dEvidence from the Three Multi\u2010Academy Trusts. 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