Preventing posttraumatic stress following pediatric injury: A randomized controlled trial of a web-based psycho-educational intervention for parents

Meghan L. Marsac, Aimee K. Hildenbrand, Kristen L. Kohser, Flaura K. Winston, Yimei Li, Nancy Kassam-Adams

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Objective The study objective is to evaluate the feasibility and efficacy of a web-based intervention for parents (AfterTheInjury.org [ATI]) in promoting emotional recovery following pediatric injury. Methods 100 children with injuries requiring medical attention and their parents were randomly assigned to the intervention or usual care. Efficacy outcomes included parent knowledge and child and parent posttraumatic stress symptoms (PTSS). Results All parents in the intervention group completed the intervention (directed use of ATI) in the hospital. 56% reported using ATI online post-discharge, and 100% of these parents found it helpful. Parent knowledge increased immediately post-intervention, but there was no significant intervention impact on parent knowledge or PTSS at a 6-week follow-up. Relationships between knowledge and PTSS were identified. Conclusions Brief web-based interventions introduced during child hospitalization are a feasible strategy to reach many parents following pediatric injury. Preventing psychological symptoms may require more than parental education alone.

Original languageEnglish
Pages (from-to)1101-1111
Number of pages11
JournalJournal of Pediatric Psychology
Volume38
Issue number10
DOIs
StatePublished - Nov 1 2013

Bibliographical note

Funding Information:
Targeted Issues Grant from the Emergency Medical Services for Children (EMSC) Program [HRSA; H34MC04365], the Pennsylvania Department of Transportation, and a Mentored Career Award grant 1K23MH093618-01A1 from the National Institute of Mental Health.

Keywords

  • Child injury
  • Emotional recovery
  • PTSD
  • Parents
  • Posttraumatic stress

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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