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Psychological Interventions in Children After Road Traffic Accidents or Burns (PICARTA-B)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01085370
Recruitment Status : Completed
First Posted : March 11, 2010
Last Update Posted : March 18, 2014
Information provided by (Responsible Party):
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.

Condition or disease Intervention/treatment Phase
Acute Stress Disorder Other: Early psychological intervention Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 108 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Psychological Interventions in Children After Road Traffic Accidents or Burns: a Randomized Controlled Study
Study Start Date : April 2010
Actual Primary Completion Date : March 2013
Actual Study Completion Date : August 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Burns

Arm Intervention/treatment
No Intervention: Control Group
standard medical care only
Experimental: Intervention group
2 sessions with early psychological interventions
Other: Early psychological intervention
3 modules: psychoeducation, reconstruction of the trauma, coping skills

Primary Outcome Measures :
  1. Clinician administered PTSD Scale for Children/Adolescents (CAPS-CA) and Child Posttraumatic Stress Disorder Semistructured Interview and Observational Scale (PTSDSSI) [ Time Frame: Baseline, 3 months, 6 months post intervention ]

Secondary Outcome Measures :
  1. KIDSCREEN-Questionnaire / TAPQOL-Questionnaire (health-related quality of life) [ Time Frame: Baseline, 3 months, 6 months post intervention ]
  2. Child behavior Child Behavior Checklist (CBCL) [ Time Frame: Baseline, 3 months, 6 months post intervention ]
  3. Child Depression Inventory (CDI) [ Time Frame: Baseline, 3 months, 6 months post intervention ]

Information from the National Library of Medicine

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Ages Eligible for Study:   2 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01085370

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Unviersity Children's Hospital, Psychosomatic and Psychiatry
Zurich, Switzerland, CH-8032
Sponsors and Collaborators
University Children's Hospital, Zurich
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Principal Investigator: Markus A Landolt, PhD University Children's Hospital Zurich, Psychosomatic and Psychiatry

Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: University Children's Hospital, Zurich Identifier: NCT01085370     History of Changes
Other Study ID Numbers: PICARTA-B
First Posted: March 11, 2010    Key Record Dates
Last Update Posted: March 18, 2014
Last Verified: March 2014

Keywords provided by University Children's Hospital, Zurich:
posttraumatic stress
acute stress disorder due to burn injury or injuries associated with road traffic accidents

Additional relevant MeSH terms:
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Stress Disorders, Traumatic
Stress Disorders, Traumatic, Acute
Trauma and Stressor Related Disorders
Mental Disorders