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BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual

Many children referred to mental health services have neurodevelopmental problems, which are not always recognized because the resulting emotional and behavioral problems dominate diagnosis and treatment. BOAM (Basic needs, Order, Autonomy and Meaning) is a new diagnostic system consisting of imagin...

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Autores principales: Potharst, Eva S., Truijens, Damiët, Seegers, Isabelle C. M., Spaargaren, Julia F., van Steensel, Francisca J. A., Bögels, Susan M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691191/
https://www.ncbi.nlm.nih.gov/pubmed/36429410
http://dx.doi.org/10.3390/ijerph192214693
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author Potharst, Eva S.
Truijens, Damiët
Seegers, Isabelle C. M.
Spaargaren, Julia F.
van Steensel, Francisca J. A.
Bögels, Susan M.
author_facet Potharst, Eva S.
Truijens, Damiët
Seegers, Isabelle C. M.
Spaargaren, Julia F.
van Steensel, Francisca J. A.
Bögels, Susan M.
author_sort Potharst, Eva S.
collection PubMed
description Many children referred to mental health services have neurodevelopmental problems, which are not always recognized because the resulting emotional and behavioral problems dominate diagnosis and treatment. BOAM (Basic needs, Order, Autonomy and Meaning) is a new diagnostic system consisting of imaginative models that explain the complexity of symptoms and underlying neuropsychological problems in a simple way. It is designed to be used in a transparent, collaborative process with families, so that family members can better understand the nature of mental health problems, thus increasing self-knowledge and mutual understanding. In this study, the feasibility of the BOAM diagnostic trajectory and subsequent treatment informed by this trajectory are evaluated clinically in 34 children who have not responded to or relapsed after treatment as usual (TAU). Parents completed questionnaires pre-test, post-test and at a 3-month follow-up. The treatment drop-out rate was 2.9%. Post-test, parents rated the BOAM trajectory positively. The questionnaires (measuring child psychopathology, attention, executive functioning, family functioning, partner relationships and parenting stress) demonstrated sensitivity to change, and therefore, seems appropriate for a future effectiveness study. A limitation was the high percentage of missing measurements both post-test (41%) and at the follow-up (41%). The BOAM diagnostic trajectory and subsequent treatment may be a feasible alternative for children who do not respond to or relapse after TAU.
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spelling pubmed-96911912022-11-25 BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual Potharst, Eva S. Truijens, Damiët Seegers, Isabelle C. M. Spaargaren, Julia F. van Steensel, Francisca J. A. Bögels, Susan M. Int J Environ Res Public Health Article Many children referred to mental health services have neurodevelopmental problems, which are not always recognized because the resulting emotional and behavioral problems dominate diagnosis and treatment. BOAM (Basic needs, Order, Autonomy and Meaning) is a new diagnostic system consisting of imaginative models that explain the complexity of symptoms and underlying neuropsychological problems in a simple way. It is designed to be used in a transparent, collaborative process with families, so that family members can better understand the nature of mental health problems, thus increasing self-knowledge and mutual understanding. In this study, the feasibility of the BOAM diagnostic trajectory and subsequent treatment informed by this trajectory are evaluated clinically in 34 children who have not responded to or relapsed after treatment as usual (TAU). Parents completed questionnaires pre-test, post-test and at a 3-month follow-up. The treatment drop-out rate was 2.9%. Post-test, parents rated the BOAM trajectory positively. The questionnaires (measuring child psychopathology, attention, executive functioning, family functioning, partner relationships and parenting stress) demonstrated sensitivity to change, and therefore, seems appropriate for a future effectiveness study. A limitation was the high percentage of missing measurements both post-test (41%) and at the follow-up (41%). The BOAM diagnostic trajectory and subsequent treatment may be a feasible alternative for children who do not respond to or relapse after TAU. MDPI 2022-11-09 /pmc/articles/PMC9691191/ /pubmed/36429410 http://dx.doi.org/10.3390/ijerph192214693 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Potharst, Eva S.
Truijens, Damiët
Seegers, Isabelle C. M.
Spaargaren, Julia F.
van Steensel, Francisca J. A.
Bögels, Susan M.
BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title_full BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title_fullStr BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title_full_unstemmed BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title_short BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families—Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual
title_sort boam: a visual, explanatory diagnostic and psychoeducation system used in collaboration with families—feasibility and acceptability for children who are non-responsive to treatment as usual
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691191/
https://www.ncbi.nlm.nih.gov/pubmed/36429410
http://dx.doi.org/10.3390/ijerph192214693
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