Addressing Elevated PTSD Symptoms in Young People in Care: A Randomised Feasibility Trial Across Social-care and Mental Health Services.
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Child and Adolescent Trauma Screen (CATS)
研究概览
简要总结
Most children who have been removed from their family home and placed under the care of a Local Authority have been exposed to many frightening experiences, including witnessing violence, not being fed or cared for, or being abused. These experiences can lead to significant emotional difficulties. One such difficulty is posttraumatic stress disorder (PTSD), which can involve symptoms like having constant "flashbacks" of scary experiences, and a constant feeling of being in danger. This can have a big effect on children's lives. Yet, it is still not clear how to help young people in care who are experiencing high PTSD symptoms.
One idea the researchers have is to use a group-based online programme which has successfully helped other young people who have been exposed to different kinds of stressful experiences (for example, war). To test whether this programme could help children in care too, the researchers first need to see whether social workers have the time to check in with a child about PTSD symptoms; whether young people and their carers are willing to be involved in a research project which will test out the treatment programme; and whether mental health workers might face any problems when delivering the programme. This project aims to answer these questions.
The researchers will train social workers to complete an 8-question interview with 10-17 year olds in care, which will measure symptoms of PTSD. If the young person is experiencing high symptoms, they will be invited to take part in a research project. If they would like to join the project, children will be randomly selected to take part in the online group programme, or be given care-as-usual. The group programme involves the young person taking part in five weekly meetings held online, where they will learn skills to reduce their distress, and be supported to work through their difficult memories. Their carers will also take part in two online meetings which will teach them how to support their young person.
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
- None
入排标准
- 年龄范围
- 10 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Experiencing elevated PTSS (using a standard cut-off score of =/> 17 on the 8-item Child Revised Impact of Events Scale; CRIES-8).
- •Living in any care residence (with the exception of those living with a biological parent).
- •Access to appropriate technology to engage in the online sessions and can do so in a quiet and private space.
排除标准
- •A diagnosis of psychosis.
- •Current and active serious suicidal ideations.
- •A moderate to severe learning disability.
- •Currently receiving direct therapeutic mental health support.
结局指标
主要结局
Child and Adolescent Trauma Screen (CATS)
时间窗: 6 months
Self-report DSM-5 post-traumatic stress disorder (PTSD) symptom measure. Scores range from 0-60, with greater scores indicating greater symptom severity.
次要结局
- Short Mood and Feelings Questionnaire (SMFQ)(6 months)
- Child Health Utility 9D (CHU9D)(6 months)
- Child and Adolescent Trauma Screen (carer report)(6 months)
- Child PTSD Symptom Scale (CPSS-5) Interview Schedule(6 months)
- Inventory of Parent and Peer Attachment (IPPA)(6 months)
- Strengths and Difficulties Questionnaire (SDQ)(6 months)
- Parent Trauma Response Questionnaire - support style subscale (PTRQ)(6 months)
- Child Revised Impact of Events Scale (CRIES-8)(6 months)
研究者
Sarah Halligan
Professor of Child and Family Mental Health
University of Bath