Nancy Kassam-Adams1, Meghan L Marsac2, Kristen L Kohser3, Justin Kenardy4, Sonja March5, Flaura K Winston2. 1. Children's Hospital of Philadelphia, University of Pennsylvania, nlkaphd@mail.med.upenn.edu. 2. Children's Hospital of Philadelphia, University of Pennsylvania. 3. Children's Hospital of Philadelphia. 4. University of Queensland, and. 5. University of Southern Queensland.
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.
RCT Entities:
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.
Authors: Lee M Ritterband; Frances P Thorndike; Holly R Lord; Stephen Borowitz; Lynn S Walker; Karen S Ingersoll; James Sutphen; Daniel J Cox Journal: Clin Pract Pediatr Psychol Date: 2013-03
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Authors: Leigh E Ridings; Tatiana M Davidson; Jesse Walker; Jennifer Winkelmann; Margaret T Anton; Hannah C Espeleta; Lynne S Nemeth; Christian J Streck; Kenneth J Ruggiero Journal: Clin Pediatr (Phila) Date: 2022-05-17 Impact factor: 1.701
Authors: Aimee K Hildenbrand; Nancy Kassam-Adams; Lamia P Barakat; Kristen L Kohser; Jeffrey A Ciesla; Douglas L Delahanty; Joel A Fein; Lindsay B Ragsdale; Meghan L Marsac Journal: Pediatr Emerg Care Date: 2020-10 Impact factor: 1.602