The Landslide Disaster in Gjerdrum Municipality: Early Intervention and Health Trajectories After Mass Trauma
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- PTSD
Study Overview
Brief Summary
This study has two aims. The first is to understand more of what may be typical health trajectories after mass trauma for children and adults and what predicts these trajectories. The second is to understand what may be effective early interventions to prevent long-term health and psychosocial problems for youth (6-19). Participants are recruited from an outreach program implemented after a landslide killed 11 persons and destroyed 33 houses in Gjerdrum in Norway. One third of the inhabitants were evacuated. All evacuated are contacted and screened for trauma related difficulties. Those who have significant post-trauma reactions are offered trauma focused interventions.
Detailed Description
Two short step-wise interventions are developed for this study as an early intervention after mass trauma based on components from TF-CBT to test the relative importance of dosage and the sequencing of components.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 6 Years to 19 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Exposed to the landslide
- •Between 6-19 years old
- •A score of 15 or more on the CATS
- •A score between 11 - 14 on the CATS and have additional problems that have started or worsened after the landslide.
Exclusion Criteria
- •Psychotic
Arms & Interventions
TF-CBT-Skills
Step 1: 4-5 sessions with stabilization/skill building Step 2: 4-5 sessions with narrative and cognitive processing
Intervention: TF-CBT-Short (Behavioral)
TF-CBT-Narr
Step 1: 4-5 sessions with narrative and cognitive processing Step 2: 4-5 sessions with stabilization/skill building
Intervention: TF-CBT-Short (Behavioral)
Outcomes
Primary Outcomes
PTSD
Time Frame: After 57 weeks
Measured with the CATS
PTSD
Time Frame: Pre-treatment
Measured with the Child and adolescent trauma screen (CATS). Range 0-60. Higher score means worse outcome.
PTSD
Time Frame: After 5 weeks
Measured with the CATS (after 4-5 sessions)
PTSD
Time Frame: After 9 weeks
Measured with the CATS (for those who continue to Step two)
PTSD
Time Frame: After 21 weeks
Measured with the CATS
PTSD
Time Frame: After 33 weeks
Measured with the CATS
PTSD
Time Frame: After 45 weeks
Measured with the CATS
Secondary Outcomes
- Depression(After 57 weeks)
- Depression(After 5 weeks)
- Depression(After 9 weeks)
- Depression(Pre-treatment)
- Depression(After 21 weeks)
- Depression(After 33 weeks)
- Depression(After 45 weeks)