Integrated psychological care in pediatric hospital settings for children with complex chronic illness and their families: a systematic review.

To synthesize and critically evaluate evidence on the effectiveness of integrated psychological care models for children with complex chronic illness within pediatric hospital settings and provide recommendations for successful implementation. Six electronic databases (Medline, Cochrane, Embase, Psy...

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Publicado en:Psychology & Health Vol. 39; no. 4; pp. 452 - 479
Autores principales: Marshall, Kate H., Pincus, Harold A., Tesson, Stephanie, Lingam, Raghu, Woolfenden, Susan R., Kasparian, Nadine A.
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Taylor & Francis Ltd
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        10.1080/08870446.2022.2072843
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        atl: Integrated psychological care in pediatric hospital settings for children with complex chronic illness and their families: a systematic review.
      aug:
        au:
          Marshall, Kate H.
          Pincus, Harold A.
          Tesson, Stephanie
          Lingam, Raghu
          Woolfenden, Susan R.
          Kasparian, Nadine A.
        affil: Heart Centre for Children, The Sydney Children's Hospitals Network, Sydney, NSW, Australia
      sug:
        subj:
          Hospitals, Pediatric
          Chronic Disease In Infancy and Childhood
          Psychosocial Intervention
          Pediatric Care
          Health Care Delivery, Integrated
          Support, Psychosocial
          Human
          Systematic Review
          Infant
          Child, Preschool
          Child
          Adolescence
          Medline
          Cochrane Library
          Embase
          Psycinfo
          CINAHL Database
          Neuropsychology
          Descriptive Statistics
          Funding Source
          Models, Psychological
          Family
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: To synthesize and critically evaluate evidence on the effectiveness of integrated psychological care models for children with complex chronic illness within pediatric hospital settings and provide recommendations for successful implementation. Six electronic databases (Medline, Cochrane, Embase, PsycINFO, Scopus, CINAHL) were systematically searched for English language studies including families of children aged 0–17 years with complex chronic illness. Eligible studies reported on psychology or neuropsychology screening, assessment, intervention, or services provided within a pediatric hospital setting. Fifteen studies were identified for review; nine assessed a psychological service, five examined psychosocial screening, and one examined a neuropsychology service. Three studies demonstrated the effectiveness of integrated psychological services in improving child or parent physical, psychological, or behavioral health outcomes. Uptake of psychosocial screening was high (84–96%), but only 25–37% of children or families identified as 'at-risk' engaged with on-site psychology services. Integrated psychological services offering consultations at the same time and location as the child's medical visit reported the highest rates of uptake (77–100%). The available evidence supports co-location of child medical and psychological services. A more consistent and comprehensive approach to the assessment of patient- and caregiver-reported outcomes and implementation effectiveness is recommended.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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