A Simple Cognitive Task to Reduce the Build-Up of Flashbacks After a Road Traffic Accident: A Randomised Controlled Study in an Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 71
- 试验地点
- 1
- 主要终点
- Number of flashbacks recorded by participants in a Flashback Record in the week after the accident
研究概览
简要总结
This research study is designed to investigate the effects of a simple cognitive task (a memory reactivation cue following by playing the computer game "Tetris") on flashbacks and other post-traumatic stress symptoms after a road traffic accident. Patients presenting to a hospital emergency department soon after a road traffic accident will be randomly allocated to either the simple cognitive task intervention or usual care. Participants will be followed up at one week and one month. It is predicted that participants given the simple cognitive task intervention will develop fewer flashbacks and less severe clinical symptoms than those who are not. This will inform the potential future development of a simple technique to prevent distressing psychological symptoms after a traumatic event.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 or over
- •Experienced or witnessed a road traffic accident (as a driver, passenger, motorcyclist, cyclist or pedestrian)
- •Met the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criterion A1 for Post-Traumatic Stress Disorder (PTSD) ("experienced, witnessed, or confronted with actual or threatened death or serious injury)
- •Can be seen in the emergency department within 6 hours of leaving the scene of the accident
- •Report memory of the accident
- •Fluent in written and spoken English
- •Alert and orientated, Glasgow Coma Scale score (GCS) = 15
- •Have sufficient physical mobility to play a computer game on the intervention platform (a Nintendo DS) at the point of taking informed consent
- •Willing and able to provide informed consent and complete study procedures
- •Willing and able to be contacted following discharge to complete follow-up assessments
排除标准
- •Loss of consciousness of > 5 minutes
- •Current intoxication
- •Report a history of severe mental illness
- •Current substance abuse or neurological condition
- •Currently suicidal
研究组 & 干预措施
Simple cognitive task
A memory reactivation cue followed by playing the computer game "Tetris"
干预措施: Simple cognitive task (Behavioral)
Usual care
Usual care in the emergency department
结局指标
主要结局
Number of flashbacks recorded by participants in a Flashback Record in the week after the accident
时间窗: Within one week after the accident (Flashback Record will be returned to a researcher at one week follow-up)
次要结局
- Impact of Event Scale - Revised (IES-R)(One week and one month follow-up)
- Post-traumatic Stress Diagnostic Scale (PDS)(One week and one month follow-up)
- Hospital Anxiety and Depression Scale (HADS)(One week and one month follow-up)