An interdisciplinary intervention for children and adolescents with multiple referrals and complex health complaints: a feasibility study.

Autor: Lygre RB; Department of Clinical Medicine, University of Bergen, Postbox 7804, 5020, Bergen, Norway. ralyg0358@uib.no.; Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway. ralyg0358@uib.no.; Department of Child and Adolescent Mental Health Services, Haukeland University Hospital, Bergen, Norway. ralyg0358@uib.no., Gjestad R; Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.; Centre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Bergen, Norway., Norekvål TM; Centre on Patient-Reported Outcomes, Haukeland University Hospital, Bergen, Norway.; Department of Clinical Science, University of Bergen, Bergen, Norway., Mercer SW; Usher Institute, University of Edinburgh, Edinburgh, Scotland., Elgen IB; Department of Clinical Medicine, University of Bergen, Postbox 7804, 5020, Bergen, Norway.; Department of Child and Adolescent Mental Health Services, Haukeland University Hospital, Bergen, Norway.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2023 Nov 11; Vol. 23 (1), pp. 1241. Date of Electronic Publication: 2023 Nov 11.
DOI: 10.1186/s12913-023-10250-y
Abstrakt: Background: Children and adolescents with complex health complaints are often referred to several different healthcare specialists for assessments and treatment. This may result in fragmented care, higher risks of medical errors, and sub-optimal health outcomes. The aim of this non-controlled open label trial was to evaluate the feasibility of implementing a new interdisciplinary intervention for children and adolescents with multiple referrals and complex health complaints and to gather experiences from participating children, adolescents and parents.
Methods: In all, 47 children and adolescents aged 6-16 years with multiple referrals at a tertiary hospital were invited to participate. The intervention was a half-day consultation based on a biopsychosocial model. The aim of the intervention was to clarify the child/adolescent's condition(s) and provide a joint understanding and treatment plan in collaboration with the family. A team consisting of a pediatrician, a physiotherapist and a psychologist delivered the intervention. Acceptance and completion rate was recorded, and child- and parent-experience measures were collected; the children and adolescents completed the Visual Consultation and Relational Empathy Scale (CARE) five questions and parents completed two de novo created measures about their experiences.
Results: Almost all invited families consented to participate (96%) and ultimately received the interdisciplinary intervention (92%). Mean age of the children and adolescents was 12 years, and under half were boys (40%). Before the intervention, 39 (91%) parents completed a questionnaire about previous experiences with healthcare. After the consultation 39 children and adolescents (91%) and 40 (93%) parents completed the questionnaire regarding their experience with the interdisciplinary intervention. Of the children and adolescents, 18-30 (47-77%) rated relational empathy in the intervention as "Very good" or "Excellent". Of the parents, 35-39 (92-100%) rated their experience with the consultation using the more positive response options. The parents were significantly more content with the intervention compared to previously received healthcare (p < .001).
Conclusions: The present intervention was highly acceptable with positively reported experiences from parents of, and children and adolescents with, complex health complaints. A future randomized controlled trial is required to test the effectiveness of this intervention.
Trial Registration: The study was registered at ClinicalTrials.gov NCT04652154 03.12.2020. Retrospectively registered.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje