title: Preventing posttraumatic stress following pediatric injury: a randomized controlled trial of a web-based psycho-educational intervention for parents.
abstract: OBJECTIVE
  The study objective is to evaluate the feasibility and efficacy of a web-based intervention for parents (AfterTheInjury.org [ATI]) in promoting emotional recovery following pediatric injury.
  
  
  METHODS
  100 children with injuries requiring medical attention and their parents were randomly assigned to the intervention or usual care. Efficacy outcomes included parent knowledge and child and parent posttraumatic stress symptoms (PTSS).
  
  
  RESULTS
  All parents in the intervention group completed the intervention (directed use of ATI) in the hospital. 56% reported using ATI online post-discharge, and 100% of these parents found it helpful. Parent knowledge increased immediately post-intervention, but there was no significant intervention impact on parent knowledge or PTSS at a 6-week follow-up. Relationships between knowledge and PTSS were identified.
  
  
  CONCLUSIONS
  Brief web-based interventions introduced during child hospitalization are a feasible strategy to reach many parents following pediatric injury. Preventing psychological symptoms may require more than parental education alone.
authors.affiliation: PhD, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, 3535 Market St., Suite 1150, Philadelphia, PA 19104, USA. marsac@email.chop.edu.
authors.forename: Meghan L
authors.initials: ML
authors.lastname: Marsac
authors.forename: Aimee K
authors.initials: AK
authors.lastname: Hildenbrand
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Kohser
authors.forename: Flaura K
authors.initials: FK
authors.lastname: Winston
authors.forename: Yimei
authors.initials: Y
authors.lastname: Li
authors.forename: Nancy
authors.initials: N
authors.lastname: Kassam-Adams
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002673:Child, Hospitalized; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000193:education*; D011613:Psychotherapy / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000517:prevention & control*; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000523:psychology*; D055815:Young Adult
keywords: PTSD; child injury; emotional recovery; parents; posttraumatic stress
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