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.

Pediatric Pulmonology
|March 1, 2021
PubMed

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.
Abstract

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