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
Abstract Background 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 eHealt...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-023-07806-y |
| _version_ | 1797414099153321984 |
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| author | Heather T. Keenan Shari L. Wade Devi Miron Angela P. Presson Amy E. Clark Linda Ewing-Cobbs |
| author_facet | Heather T. Keenan Shari L. Wade Devi Miron Angela P. Presson Amy E. Clark Linda Ewing-Cobbs |
| author_sort | Heather T. Keenan |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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). Discussion 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. Trial registration ClinicalTrials.gov NCT04838977. 8 April 2021. |
| first_indexed | 2024-03-09T05:28:13Z |
| format | Article |
| id | doaj.art-4d1f55aa81d14064966505955ea46e70 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-03-09T05:28:13Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-4d1f55aa81d14064966505955ea46e702023-12-03T12:35:13ZengBMCTrials1745-62152023-11-0124111210.1186/s13063-023-07806-yReducing Stress after Trauma (ReSeT): study protocol for a randomized, controlled trial of an online psychoeducational program and video therapy sessions for children hospitalized after traumaHeather T. Keenan0Shari L. Wade1Devi Miron2Angela P. Presson3Amy E. Clark4Linda Ewing-Cobbs5Department of Pediatrics, University of Utah School of MedicineCincinnati Children’s Hospital Medical Center Division of Pediatric Rehabilitation, Department of Pediatrics, University of Cincinnati College of MedicineDepartment of Psychiatry and Behavioral Sciences, Tulane University School of MedicineDepartment of Internal Medicine, University of Utah School of MedicineDepartment of Pediatrics, University of Utah School of MedicineChildren’s Learning Institute, McGovern Medical School at UTHealthAbstract Background 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. Methods 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). Discussion 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. Trial registration ClinicalTrials.gov NCT04838977. 8 April 2021.https://doi.org/10.1186/s13063-023-07806-yPediatric injuryPost-traumatic stressTrauma-focused cognitive behavioral therapyRandomized controlled trial |
| spellingShingle | Heather T. Keenan Shari L. Wade Devi Miron Angela P. Presson Amy E. Clark Linda Ewing-Cobbs 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 Trials Pediatric injury Post-traumatic stress Trauma-focused cognitive behavioral therapy Randomized controlled trial |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Pediatric injury Post-traumatic stress Trauma-focused cognitive behavioral therapy Randomized controlled trial |
| url | https://doi.org/10.1186/s13063-023-07806-y |
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