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Biofeedback in pediatric populations: a systematic review and meta-analysis of treatment outcomes

Katherine E Darling1, Ethan R Benore2, Erin E Webster2

  • 1Kent State University, Kent, OH, USA.

Translational Behavioral Medicine
|August 18, 2019
PubMed

Insights

Biofeedback shows a large, significant effect in treating pediatric conditions. However, current research quality is low, necessitating more high-quality studies to confirm efficacy in children.

Area of Science:

  • Clinical Psychology
  • Pediatric Medicine
  • Rehabilitation Science

Background:

  • Biofeedback is widely used clinically for pediatric and adult patients.
  • Existing research predominantly focuses on adult biofeedback applications.
  • Limited evidence examines biofeedback's effectiveness in pediatric populations.

Purpose of the Study:

  • To quantitatively assess the usefulness of biofeedback interventions for pediatric conditions.
  • To synthesize current evidence on biofeedback efficacy in children through a systematic review and meta-analysis.

Main Methods:

  • Systematic review of biofeedback interventions in children across four major databases.
  • Inclusion of 23 studies (24 effect sizes) from 3,128 identified articles.
  • Random effects model meta-analysis to determine overall effect size and statistical significance.

Main Results:

  • A statistically significant, large overall effect size for pediatric biofeedback was observed.
  • Included studies demonstrated low general quality, impacting the interpretability of findings.
  • Despite positive indications, robust conclusions are limited by study quality.

Conclusions:

  • Biofeedback demonstrates potential benefits for addressing pediatric conditions.
  • High-quality research is essential to validate the efficacy of biofeedback in children.
  • Further rigorous studies are required to support widespread clinical recommendations for pediatric biofeedback.

Keywords:
BiofeedbackMeta-analysisNeurofeedbackPediatric

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