A Pilot Randomized Controlled Trial Assessing Secondary Prevention of Traumatic Stress Integrated Into Pediatric Trauma Care

Details

• Alternative Title:
  J Trauma Stress
• Personal Author:
  Kassam-Adams, Nancy ; García-España, J. Felipe ; Marsac, Meghan L. ; Kohser, Kristen L. ; Baxt, Chiara ; Nance, Michael ; Winston, Flaura
• Description:
  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.
• Subjects:
  Adolescent Article Child Delivery Of Health Care, Integrated Female Humans Male New England Pilot Projects Secondary Prevention Stress Disorders, Post-Traumatic Trauma Centers Wounds And Injuries

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• Source:
  J Trauma Stress. 24(3):252-259
• Pubmed ID:
  21594900
• Pubmed Central ID:
  PMC8935905
• Document Type:
  Journal Article
• Funding:
  R49 CE000987/CE/NCIPC CDC HHSUnited States/ ; R49CE987/CE/NCIPC CDC HHSUnited States/
• Volume:
  24
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3920625b2c615fcf5720eb899e3033bd935a148e04eb8d9fe3586807676ac109
• Download URL:
  https://stacks.cdc.gov/view/cdc/115611/cdc_115611_DS1.pdf
• File Type:
  [PDF - 514.74 KB ]