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Updated: Nov 15, 2025

Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
A novel behavioral health program for family caregivers of children admitted to a transitional chronic ventilator
Adrienne P Borschuk1,2, Sara E Williams1,2, Jessica M McClure2
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Insights
A new behavioral health program significantly improved caregiver engagement and reduced distress in families of pediatric patients on ventilators. Completing psychotherapy further enhanced training completion times and caregiver involvement.
Area of Science:
- Pediatric critical care
- Family-centered care
- Behavioral health interventions
Background:
- Caring for pediatric patients on mechanical ventilators presents significant challenges for family caregivers.
- Existing literature lacks interventions specifically designed to support these family caregivers.
- Optimizing family caregiver support is crucial for improving patient outcomes.
Purpose of the Study:
- To describe a novel behavioral health program for family caregivers of pediatric chronic ventilator-dependent patients.
- To evaluate the program's impact on caregiver engagement and psychological distress.
Main Methods:
- A mixed-methods approach using electronic chart review with retrospective and prospective enrollment.
- Longitudinal evaluation of caregiver engagement across three phases: pre-program, post-program, and post-program with psychotherapy.
- Statistical analysis to compare outcomes between groups.
Main Results:
- The behavioral health program increased caregiver participation in patient care rounds.
- Caregivers completing psychotherapy showed reduced training completion times.
- Psychotherapy completion was linked to higher staff-rated caregiver engagement and significantly lower caregiver distress.
Conclusions:
- A novel behavioral health program effectively enhances caregiver engagement and reduces psychological distress in families of pediatric ventilator-dependent patients.
- Psychotherapy within the program offers additional benefits, including faster training and improved engagement.
- This program represents a vital resource for supporting vulnerable families in pediatric chronic care settings.
Background:
The care of mechanically ventilated pediatric patients is complex and burdensome. It is essential to adequately support the family caregivers of these children to optimize outcomes; however, there is no literature describing interventions for caregivers in this population.
Research Question:
This study described a novel behavioral health program and examined its impact on family caregiver engagement and psychological distress on a pediatric inpatient chronic ventilator unit.
Study Design And Methods:
Electronic chart review was completed with retrospective and prospective participant enrollment for the purposes of longitudinal evaluation of caregiver engagement. For analytic purposes, participants were grouped into three categories: (1) preprogram, (2) postprogram, and (3) postprogram with completion of psychotherapy.
Results:
The behavioral health program was associated with increased caregiver participation in rounds, t = 7.76, p = < .001. Parents who completed a course of psychotherapy within the behavioral health program demonstrated reduced time to training completion (F = 5.89; p < .01), higher staff-rated caregiver engagement (F = 3.69; p < .05), and significantly reduced levels of caregiver distress (t = 2.09; p < .05).
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