Pilot study to examine the clinical utility of biofeedback in solid organ transplant.

Biofeedback-assisted relaxation training (BART) is a useful therapeutic tool for treating pain and anxiety, 2 common issues for patients waiting for and recovering from transplant. Most applications occur in outpatient settings and current research exploring this intervention with transplant patients is limited. The impact of BART on patient-reported mood and pain during hospitalizations is explored. Forty patients referred to transplant psychology for assistance in managing pain and/or anxiety during medical admissions participated in BART. Patients ranged in age from 9 to 23 years (M = 15.5, SD = 3.7) and completed an average of 2.1 sessions per admission (range: 1—6). BART was utilized by 20 patients prior to transplant, 24 patients posttransplant, and 4 patients both before and after transplant. Mood improvements were reported after BART, regardless of pain level (pre: M = 6.05, SD = 2.28, post: M = 7.45, SD = 1.92, p < .0001). Patients with self-reported pain at the start of the BART session endorsed lower pain at the end (M = 5.1, SD = 2.1; M = 3.4, SD = 2.4, respectively; p < .001). Average heart coherence differed between organ groups (range of group means: 22.9â€"42.3, p = .003), with heart and lung transplant patients having lower levels than liver and renal transplant patients. BART may be particularly helpful for pain and anxiety management during admissions prior to solid organ transplant. Preliminary data suggest that BART may be differentially effective for solid organ groups. Practical considerations regarding the implementation of a technology-based psychological intervention across transplant populations also are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)