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An interdisciplinary intervention for children with complex health complaints; a feasibility study of selection
Irene Elgen1,2, Ragnhild B Lygre1,2, Ånen Årli3
1Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Insights
New criteria effectively identify children with complex health needs for interdisciplinary intervention. This approach improves healthcare access for pediatric patients requiring integrated medical and psychological support.
Area of Science:
- Pediatric Healthcare
- Interdisciplinary Health Services
- Child Psychology
Background:
- Complex pediatric health complaints necessitate redesigned health services.
- An interdisciplinary team (pediatrician, psychologist, physiotherapist) intervention was developed.
- Previous research informed the selection criteria for eligible patients.
Purpose of the Study:
- To establish criteria for identifying children with complex health complaints.
- To assess the feasibility of these criteria through participation and compliance.
- To gather feedback from the interdisciplinary team on the intervention's suitability.
Main Methods:
- Selected patients based on criteria: multi-referred, young school-age children (6-12 years) needing both mental health and pediatric services.
- Measured participation and compliance rates.
- Collected qualitative feedback from the interdisciplinary team.
Main Results:
- 32 (5%) of 677 children met the eligibility criteria.
- Parental refusal rate was low (6%).
- The interdisciplinary team deemed the intervention suitable for 88% of the children.
Conclusions:
- The developed criteria are feasible for identifying eligible pediatric patients.
- The interdisciplinary intervention is well-suited for children with complex health needs.
- This approach can optimize healthcare delivery for pediatric patients with multifaceted conditions.
Background:
There is a need for re-designing the health service for children suffering from complex and compound health complaints. Based on a previous register study, we have developed criteria to select patients with complex health complaints eligible for an Intervention with an interdisciplinary professional team. The team consists of a pediatrician, a psychologist and a physiotherapist.
Method:
To identify children with complex health complaints who would benefit from this intervention, we have selected a group of patients by using a set of criteria consisting of the following criteria: multi-referred young school age children referred to both mental health service and pediatric service. This study focuses on the feasibility of these criteria by measuring participation and compliance and by gathering feedback from the team members in the interdisciplinary team.
Results:
Among 677 children aged 6-12 years referred to a regional hospital, we found 32 (5%) children eligible for the interdisciplinary Intervention according to the applied criteria. Only 6% of the invited parents declined to participate in the intervention. According to the interdisciplinary team, the intervention was found suitable for 88% of the children.
Conclusion:
The suggested criteria seemed feasible, in terms of identifying eligible patients for this interdisciplinary Intervention for children with complex health complaints.
Clinical Trial Registration:
Retrospectively registered on www.clinicaltrials.gov, ID NCT04652154, on the 3rd of December 2020.
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