Feasibility and impact of multidisciplinary training of an evidence-based intervention within a pediatric psychiatry consultation service.
OBJECTIVE
To train clinicians on a multidisciplinary pediatric consultation-liaison (CL) psychiatry service to administer an evidence-based intervention, biofeedback-assisted relaxation training (BART), in the inpatient medical setting and obtain their opinions about BART's utility and feasibility in the CL setting.


METHODS
Attendings and trainees on a multidisciplinary pediatric CL service received 3 h of BART training and completed a 10-item questionnaire designed to assess opinions about BART at two time points: after training but prior to using the intervention with patients and again 3 months after implementing the intervention in their clinical practice.


RESULTS
Nineteen clinicians administered BART with 28 patients across the study period, and clinicians rated BART positively after training and significantly more positively after utilizing BART in the clinical setting. From post-training to post-implementation, trainees reported significant increases in their opinions that BART increased parent and patient receptiveness to psychiatric consultation (p<0.05) and attendings reported significant increases in their opinions that BART enhanced clinical intervention (p<0.05).


CONCLUSIONS
BART training on a multidisciplinary CL service was well received by clinicians and patients and may enhance psychiatry trainees' repertoire of cognitive-behavioral and evidence-based interventions.
Boston Children's Hospital, Harvard Medical School, Boston, MA, USA, katherine.gallagher@childrens.harvard.edu.
Katherine A S
KA
Gallagher
Kristine
K
McKenna
Patricia
P
Ibeziako
D000293:Adolescent; D001676:Biofeedback, Psychology / Q000379:methods; D002648:Child; D002662:Child Health Services / Q000592:standards; D002665:Child Psychiatry / Q000193:education*; D019317:Evidence-Based Medicine / Q000193:education*; D005240:Feasibility Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008605:Mental Health Services / Q000592:standards; D002666:Psychology, Child / Q000193:education*; D012064:Relaxation Therapy / Q000193:education*