Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events
To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma. 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). Postt...
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| Veröffentlicht in: | Journal of pediatric psychology 2016-01, Vol.41 (1), p.138-148 |
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| container_end_page | 148 |
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| container_title | Journal of pediatric psychology |
| container_volume | 41 |
| creator | Kassam-Adams, Nancy Marsac, Meghan L Kohser, Kristen L Kenardy, Justin March, Sonja Winston, Flaura K |
| description | To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma.
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.
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.
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. |
| doi_str_mv | 10.1093/jpepsy/jsv057 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsv057</identifier><identifier>PMID: 26089554</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adaptation, Psychological ; Child ; Coping and Treatment Issues ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Internet ; Male ; Pilot Projects ; Preventive Health Services - methods ; Quality of Life ; Single-Blind Method ; Stress Disorders, Post-Traumatic - prevention & control ; Treatment Outcome ; Wounds and Injuries - psychology</subject><ispartof>Journal of pediatric psychology, 2016-01, Vol.41 (1), p.138-148</ispartof><rights>The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-3cbbd7c7d1ddb22c73b9292cd3f80de6288d3c666dc019e7d0971ba68357aaa3</citedby><cites>FETCH-LOGICAL-c387t-3cbbd7c7d1ddb22c73b9292cd3f80de6288d3c666dc019e7d0971ba68357aaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26089554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kassam-Adams, Nancy</creatorcontrib><creatorcontrib>Marsac, Meghan L</creatorcontrib><creatorcontrib>Kohser, Kristen L</creatorcontrib><creatorcontrib>Kenardy, Justin</creatorcontrib><creatorcontrib>March, Sonja</creatorcontrib><creatorcontrib>Winston, Flaura K</creatorcontrib><title>Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma.
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.
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.
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.</description><subject>Adaptation, Psychological</subject><subject>Child</subject><subject>Coping and Treatment Issues</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Pilot Projects</subject><subject>Preventive Health Services - methods</subject><subject>Quality of Life</subject><subject>Single-Blind Method</subject><subject>Stress Disorders, Post-Traumatic - prevention & control</subject><subject>Treatment Outcome</subject><subject>Wounds and Injuries - psychology</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkcFOGzEQhq0KVFLaI1fkI5ct9nrX3r0g0QgoEpSojdTeLK89AUdeO9hOEH2CPnYdhaJymhnNP9-M5kfoiJLPlPTsdLmCVXo-XaYNacU7NKENbyvB2l97aEJKUXW8ZwfoQ0pLQkjTMP4eHdScdH3bNhP0Z2ZdyPi78iaM9jcYPA0-x-BcSefRKofDAiv8LWzA4Z8wVF9UKq1rnyFuwGcbPM4BzyJsKzwLKeeo1qPKVuMfOUJK2Ho8fbDORPD4sqDDk_X3-BaM1YV_sR1MH9H-QrkEn17iIZpfXsynX6ubu6vr6flNpVkncsX0MBihhaHGDHWtBRv6uq-1YYuOGOB11xmmOedGE9qDMKQXdFC8Y61QSrFDdLbDrtbDCEaX1VE5uYp2VPFZBmXl2463D_I-bGQjasYFKYCTF0AMj2tIWY42aXBOeQjrJKkov21bSlmRVjupjiGlCIvXNZTIrXlyZ57cmVf0x__f9qr-5xb7C-ytnHE</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kassam-Adams, Nancy</creator><creator>Marsac, Meghan L</creator><creator>Kohser, Kristen L</creator><creator>Kenardy, Justin</creator><creator>March, Sonja</creator><creator>Winston, Flaura K</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160101</creationdate><title>Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events</title><author>Kassam-Adams, Nancy ; Marsac, Meghan L ; Kohser, Kristen L ; Kenardy, Justin ; March, Sonja ; Winston, Flaura K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-3cbbd7c7d1ddb22c73b9292cd3f80de6288d3c666dc019e7d0971ba68357aaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adaptation, Psychological</topic><topic>Child</topic><topic>Coping and Treatment Issues</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Pilot Projects</topic><topic>Preventive Health Services - methods</topic><topic>Quality of Life</topic><topic>Single-Blind Method</topic><topic>Stress Disorders, Post-Traumatic - prevention & control</topic><topic>Treatment Outcome</topic><topic>Wounds and Injuries - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kassam-Adams, Nancy</creatorcontrib><creatorcontrib>Marsac, Meghan L</creatorcontrib><creatorcontrib>Kohser, Kristen L</creatorcontrib><creatorcontrib>Kenardy, Justin</creatorcontrib><creatorcontrib>March, Sonja</creatorcontrib><creatorcontrib>Winston, Flaura K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kassam-Adams, Nancy</au><au>Marsac, Meghan L</au><au>Kohser, Kristen L</au><au>Kenardy, Justin</au><au>March, Sonja</au><au>Winston, Flaura K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>41</volume><issue>1</issue><spage>138</spage><epage>148</epage><pages>138-148</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><abstract>To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma.
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.
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.
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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26089554</pmid><doi>10.1093/jpepsy/jsv057</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of pediatric psychology, 2016-01, Vol.41 (1), p.138-148 |
| issn | 0146-8693 1465-735X |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Education Source; Alma/SFX Local Collection |
| subjects | Adaptation, Psychological Child Coping and Treatment Issues Feasibility Studies Female Follow-Up Studies Humans Internet Male Pilot Projects Preventive Health Services - methods Quality of Life Single-Blind Method Stress Disorders, Post-Traumatic - prevention & control Treatment Outcome Wounds and Injuries - psychology |
| title | Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events |
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