Pilot randomized controlled trial of a novel web-based intervention to prevent posttraumatic stress in children following medical events
Article
Article Title | Pilot randomized controlled trial of a novel web-based intervention to prevent posttraumatic stress in children following medical events |
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ERA Journal ID | 39618 |
Article Category | Article |
Authors | Kassam-Adams, Nancy (Author), Marsac, Meghan L. (Author), Kohser, Kristen L. (Author), Kenardy, Justin (Author), March, Sonja (Author) and Winston, Flaura K. (Author) |
Journal Title | Journal of Pediatric Psychology |
Journal Citation | 41 (1), pp. 138-148 |
Number of Pages | 11 |
Year | 2016 |
Place of Publication | United Kingdom |
ISSN | 0146-8693 |
1465-735X | |
Digital Object Identifier (DOI) | https://doi.org/10.1093/jpepsy/jsv057 |
Web Address (URL) | http://jpepsy.oxfordjournals.org/content/early/2015/06/18/jpepsy.jsv057.abstract |
Abstract | Objective: To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma. Methods: Children aged 8–12 years with a recent acute medical event were randomized to the intervention (N = 36) or a 12-week wait list (N = 36). Posttraumatic stress, health-related quality of life, appraisals, and coping were assessed at baseline, 6, 12, and 18 weeks. Results: Most children used the intervention; half completed it. Medium between-group effect sizes were observed for change in posttraumatic stress severity from baseline to 6 weeks (d = −.68) or 12 weeks (d = −.55). Exploratory analyses suggest greatest impact for at-risk children, and a small effect for intervention initiated after 12 weeks. Analysis of covariance did not indicate statistically significant group differences in 12-week outcomes. Conclusions: This pilot randomized controlled trial provides preliminary evidence that a self-directed online preventive intervention is feasible to deliver, and could have an effect in preventing persistent posttraumatic stress. |
Keywords | adjustment; posttraumatic stress; randomized controlled trial |
ANZSRC Field of Research 2020 | 320221. Psychiatry (incl. psychotherapy) |
321399. Paediatrics not elsewhere classified | |
520399. Clinical and health psychology not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Pennsylvania, United States |
Children's Hospital of Philadelphia, United States | |
University of Queensland | |
School of Psychology, Counselling and Community | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q3486/pilot-randomized-controlled-trial-of-a-novel-web-based-intervention-to-prevent-posttraumatic-stress-in-children-following-medical-events
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