Reducing Stress after Trauma (ReSeT): study protocol for a randomized, controlled trial of an online psychoeducational program and video therapy sessions for children hospitalized after trauma.

Reducing Stress after Trauma (ReSeT): study protocol for a randomized, controlled trial of an online psychoeducational program and video therapy sessions for children hospitalized after trauma.
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DOI:
10.1186/s13063-023-07806-y
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发表时间:
2023-11-28
期刊:
影响因子:
2.5
通讯作者:
--
中科院分区:
医学4区
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--
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四分之一至一半的受伤儿童会出现创伤后压力症状,影响他们的长期心理和身体健康。创伤后应激障碍有循证护理,但在一些社区并不容易获得。我们已经开发了一个电子健康计划,包括在线,互动教育模块和远程保健治疗师支持基于创伤为重点的认知行为疗法,创伤后减压(ReSeT)计划。我们假设,与常规护理对照组相比,参加ReSeT的创伤后应激障碍儿童的症状较少。这是一项随机对照试验,旨在测试与常规护理对照组相比,ReSeT干预在减轻创伤后应激症状方面的有效性。将从四个参与的创伤中心招募并随机分配106名8-17岁的儿童,这些儿童在受伤后入院,在受伤后4周时有创伤后应激症状。各组之间比较的结局将是10周时的创伤后应激症状(主要结局),控制基线症状和随机化后6个月时的创伤后应激症状(次要结局)。ReSeT是一项循证计划,旨在使用电子健康平台减少受伤儿童的创伤后应激症状。目前,美国外科医生学会的标准建议,创伤程序识别和治疗患者在创伤系统中的心理健康需求的高风险。如果有效性得到证明,ReSeT可以帮助增加创伤系统中创伤后应激儿童获得循证护理的机会。ClinicalTrials.gov NCT 04838977。二零二一年四月八日。
Post-traumatic stress symptoms develop in a quarter to half of injured children affecting their longer-term psychologic and physical health. Evidence-based care exists for post-traumatic stress; however, it is not readily available in some communities. We have developed an eHealth program consisting of online, interactive educational modules and telehealth therapist support based in trauma-focused cognitive behavioral therapy, the Reducing Stress after Trauma (ReSeT) program. We hypothesize that children with post-traumatic stress who participate in ReSeT will have fewer symptoms compared to the usual care control group. This is a randomized controlled trial to test the effectiveness of the ReSeT intervention in reducing symptoms of post-traumatic stress compared to a usual care control group. One hundred and six children ages 8–17 years, who were admitted to hospital following an injury, with post-traumatic stress symptoms at 4 weeks post-injury, will be recruited and randomized from the four participating trauma centers. The outcomes compared across groups will be post-traumatic stress symptoms at 10 weeks (primary outcome) controlling for baseline symptoms and at 6 months post-randomization (secondary outcome). ReSeT is an evidence-based program designed to reduce post-traumatic stress symptoms among injured children using an eHealth platform. Currently, the American College of Surgeons standards suggest that trauma programs identify and treat patients at high risk for mental health needs in the trauma system. If effectiveness is demonstrated, ReSeT could help increase access to evidence-based care for children with post-traumatic stress within the trauma system. ClinicalTrials.gov NCT04838977. 8 April 2021.
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