Psychiatric Disorder Clinical Trial
Official title:
Pilot Study of the Vermont Family Based Approach in Primary Care Pediatrics at the University of Vermont Medical Center
This pilot randomized controlled trial of the Vermont Family Based Approach (VFBA) tested the feasibility of the VFBA in primary care pediatrics and its effects on children's and parents' emotional and behavioral problems and health-related quality of life. The VFBA is a public health framework for evidence-based health promotion, prevention, and treatment that is delivered from the family perspective and emphasizes emotional and behavioral health. The VFBA group received the VFBA intervention, while the Control group received pediatric primary care as usual.
To enhance the health of our communities, we need approaches to healthcare delivery that
focus on the entire family, recognize the central role of emotional and behavioral health in
relation to all health, use evidence-based health promotion in addition to evidence based
treatment of existing problems, and intervene early in children's life.
The VFBA is a public health framework for evidence-based health promotion, prevention, and
treatment that is delivered from the family perspective and emphasizes emotional and
behavioral health.
The study was a pilot RCT of the VFBA in a primary care pediatrics clinic. The goals of the
study were to test whether the VFBA would (1) be feasible in primary care pediatrics and (2)
would lead to improved emotional and behavioral health and health-related quality of life or
children and parents. Families were recruited at the pediatric clinic and randomized to the
VFBA or Control conditions.
The VFBA group received family-based assessment of emotional and behavioral health and family
functioning, family wellness coaching, and a menu of cost-free wellness activities, such as
parent and child violin instruction, yoga and mindfulness training, and nutrition counseling.
Where indicated by results of family-based assessment, families in the VFBA group also
received family-based, evidence-based psychotherapy and psychiatric care. Families in the
Control group received pediatric primary care, as usual.
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