Psychological Interventions in Children After Road Traffic Accidents or Burns (PICARTA-B)
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Purpose
Within a randomized controlled design the effects of a brief early psychological intervention (child, parents) after road traffic accidents or burns shall be examined in a sample of 120 children and adolescents (aged 2 to 16 years). During the first seven days after the accident a screening for the risk of developing a posttraumatic stress disorder is conducted to divide the participants into a "high risk" and a "low risk" group. Participants with a low risk are excluded from the intervention study but reassessed six months after their accident to validate the screening instrument. After a baseline assessment within 14 days after the accident participants of the high risk group are randomly assigned to an intervention group (n = 60) or a control group (n = 60). The latter receive standard medical care. Children of the intervention group are provided with a brief age appropriate two-session intervention that includes a detailed reconstruction of the accident, psychoeducation and discussion of helpful coping strategies. Both the control and the intervention group are reassessed by blind raters at 3 and 6 months after the accident. Assessment of outcome includes measures of posttraumatic stress symptoms, depression, anxiety, behavior, and health-related quality of life.
| Condition | Intervention |
|---|---|
|
Acute Stress Disorder |
Other: Early psychological intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Psychological Interventions in Children After Road Traffic Accidents or Burns: a Randomized Controlled Study |
- Clinician administered PTSD Scale for Children/Adolescents (CAPS-CA) and Child Posttraumatic Stress Disorder Semistructured Interview and Observational Scale (PTSDSSI) [ Time Frame: Baseline, 3 months, 6 months post intervention ] [ Designated as safety issue: No ]
- KIDSCREEN-Questionnaire / TAPQOL-Questionnaire (health-related quality of life) [ Time Frame: Baseline, 3 months, 6 months post intervention ] [ Designated as safety issue: No ]
- Child behavior Child Behavior Checklist (CBCL) [ Time Frame: Baseline, 3 months, 6 months post intervention ] [ Designated as safety issue: No ]
- Child Depression Inventory (CDI) [ Time Frame: Baseline, 3 months, 6 months post intervention ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | April 2013 |
| Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Control Group
standard medical care only
|
|
|
Experimental: Intervention group
2 sessions with early psychological interventions
|
Other: Early psychological intervention
3 modules: psychoeducation, reconstruction of the trauma, coping skills
|
Eligibility| Ages Eligible for Study: | 2 Years to 16 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 2-16 years
- Glasgow Coma Scale (GCS) > 8
- German speaking
- Burn accident or road traffic accident
Exclusion Criteria:
- Glasgow Coma Scale (GCS) < 9
- more than 2 weeks in the Pediatric Intensive Care Unit
- no command of German
- previous mental retardation
Contacts and Locations| Switzerland | |
| Unviersity Children's Hospital, Psychosomatic and Psychiatry | |
| Zurich, Switzerland, CH-8032 | |
| Principal Investigator: | Markus A Landolt, PhD | University Children's Hospital Zurich, Psychosomatic and Psychiatry |
More Information
No publications provided
| Responsible Party: | University Children's Hospital, Zurich |
| ClinicalTrials.gov Identifier: | NCT01085370 History of Changes |
| Other Study ID Numbers: | PICARTA-B |
| Study First Received: | March 10, 2010 |
| Last Updated: | February 13, 2013 |
| Health Authority: | Switzerland: Ethikkommission |
Keywords provided by University Children's Hospital, Zurich:
|
posttraumatic stress prevention children acute stress disorder due to burn injury or injuries associated with road traffic accidents |
Additional relevant MeSH terms:
|
Stress Disorders, Traumatic Stress Disorders, Traumatic, Acute Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 21, 2013