title: A pilot randomized controlled trial assessing secondary prevention of traumatic stress integrated into pediatric trauma care.
abstract: Medical settings provide opportunities for secondary prevention of traumatic stress and other sequelae of pediatric injury. This pilot randomized trial evaluated the delivery and effectiveness of a targeted preventive intervention based on best practice recommendations and integrated within acute medical care. Hospitalized injured children were screened for risk of developing posttraumatic stress disorder (PTSD). Those at risk (N = 85) were randomized to the intervention (n = 46) or usual care (n = 39). The preventive intervention did not reduce PTSD or depression severity or increase health-related quality of life, compared to usual care. Both groups improved over time, but 6 months postinjury approximately 10% of each group still met criteria for PTSD, suggesting room for improvement in comprehensive pediatric injury care.
authors: Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. nlkaphd@mail.med.upenn.edu
authors: Nancy
authors: N
authors: Kassam-Adams
authors: J Felipe
authors: JF
authors: García-España
authors: Meghan L
authors: ML
authors: Marsac
authors: Kristen L
authors: KL
authors: Kohser
authors: Chiara
authors: C
authors: Baxt
authors: Michael
authors: M
authors: Nance
authors: Flaura
authors: F
authors: Winston
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