Psychological Interventions in Children After Road Traffic Accidents or Burns

Not Applicable

Completed

• Conditions: Acute Stress Disorder
• Interventions: Other: Early psychological intervention

• Registration Number: NCT01085370
• Lead Sponsor: University Children's Hospital, Zurich

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2010-03-10
• Study First Submitted QC: 2010-03-10
• Study First Posted: 2010-03-11
• Study Start: 2010-04
• Primary Completion: 2013-03
• Study Completion: 2013-08
• Status Verified: 2014-03
• Last Update Submitted: 2014-03-17
• Last Update Posted: 2014-03-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 108

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Early psychological intervention	2 sessions with early psychological interventions

Primary Outcome Measures

Name	Time	Method
Clinician administered PTSD Scale for Children/Adolescents (CAPS-CA) and Child Posttraumatic Stress Disorder Semistructured Interview and Observational Scale (PTSDSSI)	Baseline, 3 months, 6 months post intervention

Secondary Outcome Measures

Name	Time	Method
KIDSCREEN-Questionnaire / TAPQOL-Questionnaire (health-related quality of life)	Baseline, 3 months, 6 months post intervention
Child behavior Child Behavior Checklist (CBCL)	Baseline, 3 months, 6 months post intervention
Child Depression Inventory (CDI)	Baseline, 3 months, 6 months post intervention

Trial Locations

Locations (1)

Unviersity Children's Hospital, Psychosomatic and Psychiatry; 🇨🇭 Zurich, Switzerland