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A Single-Armed Pilot Study to Evaluate a Psychosocial Intervention for Young People Who Have Experienced a Burn
Rigel Paciente1,2, Nicole Hanna1, Elmie Janse van Rensburg1
1The Kids Research Institute Australia, Nedlands, Western Australia 6009, Australia.
Insights
A pilot online psychoeducational program for children with burns showed some benefits but did not significantly change psychosocial outcomes. Further research is needed to confirm the effectiveness of this wellbeing intervention for pediatric burn survivors.
Area of Science:
- Pediatric Psychology
- Burn Injury Rehabilitation
- Mental Health Interventions
Background:
- Children with severe burns frequently experience negative psychosocial effects.
- A novel six-session online psychoeducational intervention was developed to enhance wellbeing in pediatric burn survivors.
Purpose of the Study:
- To evaluate the pilot of a new online psychoeducational intervention for children who have experienced burns.
- To assess the acceptability and preliminary effectiveness of the intervention on psychosocial outcomes.
Main Methods:
- A single-arm pilot study involving psychosocial screening at baseline, post-intervention, and 6- and 12-month follow-ups.
- Participants were children aged 6-17 years, 6 weeks to 2 years post-burn, with no cognitive or pre-existing mental health concerns.
- Interviews were conducted post-intervention to explore participant acceptability.
Main Results:
- 12 out of 27 recruited children completed the intervention; 8 were lost to follow-up.
- No significant changes in group medians for psychosocial outcomes were observed over the follow-up period.
- Individual results varied, with some showing improvement, stagnation, or deterioration on specific scales; qualitative feedback indicated content applicability.
Conclusions:
- The pilot intervention suggests potential benefits for young burn survivors.
- Further investigation is necessary to definitively establish the Wellbeing Program's effectiveness in improving psychosocial outcomes for pediatric burn patients.
Abstract:
Children with serious burns often suffer psychosocial consequences. This study evaluated the pilot of a 6-session psychoeducational intervention newly designed to support the wellbeing of children who experienced burns. Each 1-h session was delivered online to individuals at times deemed convenient to participants, by trained facilitators (mental health researchers and other allied health professionals). The pilot was single-arm, with psychosocial screening administered at baseline, immediately postintervention, and at 6- and 12-month follow-ups. Eligible participants were 6-17 years, 6-week to 2-year postburn, the burn must be nonintentional, without cognitive disability or existing mental health concerns in themselves or their parents. Interviews postintervention explored acceptability. Overall, 27 young people were recruited; 12 started and completed the intervention, but 8 young people were lost to follow-up by the end of the follow-up period. Results from the problem and syndrome subscales of the Youth Self-Report (YSR) and the Child Behavior Checklist showed that group medians did not significantly change over the postintervention follow-up period. The individual-based characteristics showed that some young people improved on 1-3 YSR subscales (n = 3), stagnated (n = 3), and 2 young people started within clinical ranges while showing deterioration throughout the follow-up period. The results indicate some benefit to the young people but further investigation is required to ascertain the Wellbeing Program's effectiveness in improving the psychosocial outcomes of young people who have sustained a burn injury.
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