TY  - JOUR
PY  - 2015//
TI  - Pilot randomized controlled trial of a novel web-based intervention to prevent posttraumatic stress in children following medical events
JO  - Journal of pediatric psychology
A1  - Kassam-Adams, Nancy
A1  - Marsac, Meghan L.
A1  - Kohser, Kristen L.
A1  - Kenardy, Justin
A1  - March, Sonja
A1  - Winston, Flaura Koplin
SP  - 138
EP  - 148
VL  - 41
IS  - 1
N2  - OBJECTIVE:  To assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma.  METHODS:  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.  RESULTS:  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.  CONCLUSIONS:  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.<p />  <p>Language: en</p>
LA  - en
SN  - 0146-8693
UR  - http://dx.doi.org/10.1093/jpepsy/jsv057
ID  - ref1
ER  -