Skip to main content

Advertisement

SpringerLink
Log in

Feasibility and Impact of Multidisciplinary Training of an Evidence-Based Intervention Within a Pediatric Psychiatry Consultation Service

  • Empirical Report
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

To train clinicians on a multidisciplinary pediatric consultation-liaison (CL) psychiatry service to administer an evidence-based intervention, biofeedback-assisted relaxation training (BART), in the inpatient medical setting and obtain their opinions about BART’s utility and feasibility in the CL setting.

Methods

Attendings and trainees on a multidisciplinary pediatric CL service received 3 h of BART training and completed a 10-item questionnaire designed to assess opinions about BART at two time points: after training but prior to using the intervention with patients and again 3 months after implementing the intervention in their clinical practice.

Results

Nineteen clinicians administered BART with 28 patients across the study period, and clinicians rated BART positively after training and significantly more positively after utilizing BART in the clinical setting. From post-training to post-implementation, trainees reported significant increases in their opinions that BART increased parent and patient receptiveness to psychiatric consultation (p < 0.05) and attendings reported significant increases in their opinions that BART enhanced clinical intervention (p < 0.05).

Conclusions

BART training on a multidisciplinary CL service was well received by clinicians and patients and may enhance psychiatry trainees’ repertoire of cognitive-behavioral and evidence-based interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Sudak D, Goldberg A. Trends in psychotherapy training: a national survey of psychiatry residency training. Acad Psychiatry. 2012;36:369–73.

    Article  PubMed  Google Scholar 

  2. Ruddy R, House A. Meta-review of high-quality systematic reviews of interventions in key areas of liaison psychiatry. Br J Psychiatry. 2005;187:109–20.

    Article  PubMed  Google Scholar 

  3. Piazza-Wagoner C, Roddenberry A, Yeomans-Maldonado G, Noll J, Ernst MM. Inpatient pediatric psychology consultation-liaison program development: 5-year practice patterns and implications for trends in health care. Clin Pract Pediatr Psychol. 2013;1:28–41.

    Article  Google Scholar 

  4. Weerekesera P, Feinstein RE. The future of psychiatric education: an international perspective. Acad Psychiatry. 2013;37:229–32.

    Article  Google Scholar 

  5. Schmaling KB, Giardino ND, Korslund KE, Roberts LJ, Sweeny S. The utility of interdisciplinary training and service: psychology training on a psychiatric consultation-liaison service. Prof Psychol Res Pract. 2002;33:413–7.

    Article  Google Scholar 

  6. Palermo TM, Eccleston C, Lewandowski AS, Williams AC, Morley S. Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review. Pain. 2010;148:387–97.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Humphreys P, Gevirts RN. Treatment of recurrent abdominal pain: components analysis of four treatment protocols. J Pediatr Gastroenterol Nutr. 2000;31:47–51.

    Article  CAS  PubMed  Google Scholar 

  8. Nada PJ. Heart rate variability in the assessment and biofeedback training of common mental health problems in children. Med Arh. 2009;63:244–8.

    PubMed  Google Scholar 

  9. Katsamanis M, Lehrer PM, Escobar JI, Gara MA, Kotay A, Liu R. Psychophysiologic treatment for patients with medically unexplained symptoms: a randomized controlled trial. Psychosomatics. 2011;52:218–29.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Peper E, Harvey R, Takabayashi N. How to do clinical biofeedback in psychosomatic medicine: an illustrative brief therapy example for self-regulation. Jpn J Biofeedback Res. 2009;36:1–16.

    Google Scholar 

  11. Michael J. Where’s the evidence that active learning works? Adv Physiol Educ. 2006;30:159–67.

    Article  PubMed  Google Scholar 

Download references

Disclosures

This work was supported by the Program in Behavioral Science, Department of Psychiatry, Boston Children’s Hospital. The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.

Author information

Authors and Affiliations

  1. Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Katherine A. S. Gallagher, Kristine McKenna & Patricia Ibeziako

Authors
  1. Katherine A. S. Gallagher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kristine McKenna
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Patricia Ibeziako
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Katherine A. S. Gallagher.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gallagher, K.A.S., McKenna, K. & Ibeziako, P. Feasibility and Impact of Multidisciplinary Training of an Evidence-Based Intervention Within a Pediatric Psychiatry Consultation Service. Acad Psychiatry 38, 445–450 (2014). https://doi.org/10.1007/s40596-014-0121-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-014-0121-z

Keywords

Search

Navigation