A pilot randomized controlled trial assessing secondary prevention of traumatic stress integrated into pediatric trauma care

Nancy Kassam-Adams; J. Felipe García-España; Meghan L. Marsac; Kristen L. Kohser; Chiara Baxt; Michael Nance; Flaura Winston

doi:10.1002/jts.20640

A pilot randomized controlled trial assessing secondary prevention of traumatic stress integrated into pediatric trauma care

Nancy Kassam-Adams, J. Felipe García-España, Meghan L. Marsac, Kristen L. Kohser, Chiara Baxt, Michael Nance, Flaura Winston

Research output: Contribution to journal › Article › peer-review

48 Scopus citations

Abstract

Medical settings provide opportunities for secondary prevention of traumatic stress and other sequelae of pediatric injury. This pilot randomized trial evaluated the delivery and effectiveness of a targeted preventive intervention based on best practice recommendations and integrated within acute medical care. Hospitalized injured children were screened for risk of developing posttraumatic stress disorder (PTSD). Those at risk (N = 85) were randomized to the intervention (n = 46) or usual care (n = 39). The preventive intervention did not reduce PTSD or depression severity or increase health-related quality of life, compared to usual care. Both groups improved over time, but 6 months postinjury approximately 10% of each group still met criteria for PTSD, suggesting room for improvement in comprehensive pediatric injury care.

Original language	English
Pages (from-to)	252-259
Number of pages	8
Journal	Journal of Traumatic Stress
Volume	24
Issue number	3
DOIs	https://doi.org/10.1002/jts.20640
State	Published - Jun 2011

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1002/jts.20640

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AB - Medical settings provide opportunities for secondary prevention of traumatic stress and other sequelae of pediatric injury. This pilot randomized trial evaluated the delivery and effectiveness of a targeted preventive intervention based on best practice recommendations and integrated within acute medical care. Hospitalized injured children were screened for risk of developing posttraumatic stress disorder (PTSD). Those at risk (N = 85) were randomized to the intervention (n = 46) or usual care (n = 39). The preventive intervention did not reduce PTSD or depression severity or increase health-related quality of life, compared to usual care. Both groups improved over time, but 6 months postinjury approximately 10% of each group still met criteria for PTSD, suggesting room for improvement in comprehensive pediatric injury care.

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A pilot randomized controlled trial assessing secondary prevention of traumatic stress integrated into pediatric trauma care

Abstract

ASJC Scopus subject areas

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