Maternal Child Health Bureau Adolescent Trauma Recovery and Stress Disorders Collaborative Care (ATRSCC) Model Program Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Number of Patients With High Levels of Adolescent PTSD Symptoms
研究概览
简要总结
Recent needs assessments suggest that difficulties exist in care coordination between emergency medical services (EMS) systems and primary care for injured adolescents with alcohol problems and post-traumatic stress disorder (PTSD). This project will implement, evaluate, and disseminate the adolescent trauma support service model program that aims to enhance coordination between EMS systems and primary care/community services.
详细描述
Goal 1: To coordinate care from EMS systems to primary care for injured adolescents.
Objective 1: To increase rates of connection to primary care providers to 55% for model program adolescents, compared to an anticipated connection rate of 25% in adolescents assigned to standard care, by 2010.
Goal 2: To reduce alcohol consumption over the course of the year after injury.
Objective 2: To reduce rates of alcohol consumption by 25% in adolescents assigned to the model program, compared to adolescents assigned to the standard care, by 2010.
Goal 3: To reduce adolescent PTSD symptoms over the course of the year after injury.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The investigators will screen all English speaking female and male adolescents ages 12-18, who present to Harborview Medical Center with injuries so severe that they require inpatient admission and/or > 24 hour observation in the emergency department.
- •All dyads where both parents consent and adolescents assent to the study will be enrolled in the study and randomized.
排除标准
- •Adolescents who have suffered head, spinal cord, or other severe injuries that prevent participation in the baseline interview will be excluded from the protocol.
- •Patients who require immediate intervention (e.g., self-inflicted injury, active psychosis, mania, and victims of family abuse) will be excluded and referred to the Harborview Inpatient Psychiatric Consult Service.
- •Patients who are currently incarcerated or are likely to face criminal charges will be excluded.
研究组 & 干预措施
Intervention
Adolescent Trauma Support Program
干预措施: Adolescent Trauma Support Program (Behavioral)
Control
Usual Care Control Condition
结局指标
主要结局
Number of Patients With High Levels of Adolescent PTSD Symptoms
时间窗: Baseline (injury), then 2, 5, and 12 months post-injury
Patients with symptoms consistent with a diagnosis of PTSD on the UCLA PTSD Reaction Index were counted. The UCLA PTSD-RI can be used to create an algorithm consistent with a diagnosis of PTSD by rating 1 intrusive, 3 avoidant, and 2 arousal symptoms with a rating of moderate severity. The PTSD-RI is scored on a scale from 0 (none of the time) - 4 (most of the time) with a \> = 2 "some of the time" denoting this cutoff for moderate severity. This algorithm was used to identify patients with high PTSD symptom levels consistent with a diagnosis of PTSD.
次要结局
- Number of Patients Experiencing High-Level Depressive Symptoms(Baseline (injury), then 2, 5, and 12 months post-injury)
- Percentage of Asolescents Linked to Primary Care During the Study(Up to12 months post-injury)
- Number of Patients Who Self-reported Alcohol Consumption or Drug Use(Baseline (injury), and 2, 5, and 12 months post-injury)
- Percentage of Adolescents Who Self-reported Weapon Carriage(Baseline (injury), then 2, 5, and 12 months post-injury)
研究者
Douglas Zatzick
Professor
University of Washington