Journal article
Comparative Effectiveness of Parent-Based Interventions to Support Injured Children
Pediatrics (Evanston), Vol.148(4), p.1
10/2021
DOI: 10.1542/peds.2020-046920
PMID: 34556547
Abstract
A comparative effectiveness trial tested 2 parent-based interventions in improving the psychosocial recovery of hospitalized injured children: (1) Link for Injured Kids (Link), a program of psychological first aid in which parents are taught motivational interviewing and stress-screening skills, and (2) Trauma Education, based on an informational booklet about trauma and its impacts and resources.
A randomized controlled trial was conducted in 4 children's hospitals in the Midwestern United States. Children aged 10 to 17 years admitted for an unintentional injury and a parent were recruited and randomly assigned to Link or Trauma Education. Parents and children completed questionnaires at baseline, 6 weeks, 3 months, and 6 months posthospitalization. Using an intent-to-treat analysis, changes in child-reported posttraumatic stress symptoms, depression, quality of life, and child behaviors were compared between intervention groups.
Of 795 injured children, 314 children and their parents were enrolled into the study (40%). Link and Trauma Education was associated with improved symptoms of posttraumatic stress, depression, and pediatric quality of life at similar rates over time. However, unlike those in Trauma Education, children in the Link group had notable improvement of child emotional behaviors and mild improvement of conduct and peer behaviors. Compared with Trauma Education, Link was also associated with improved peer behaviors in rural children.
Although children in both programs had reduced posttrauma symptoms over time, Link children, whose parents were trained in communication and referral skills, exhibited a greater reduction in problem behaviors.
Details
- Title: Subtitle
- Comparative Effectiveness of Parent-Based Interventions to Support Injured Children
- Creators
- Marizen R Ramirez - University of Iowa, Iowa City, IowaJavier E Flores - University of Iowa, Iowa City, IowaBriana Woods-Jaeger - Emory University, Atlanta, GeorgiaJoseph E Cavanaugh - University of Iowa, Iowa City, IowaCorinne Peek-Asa - University of Iowa, Iowa City, IowaCassidy Branch - University of Iowa, Iowa City, IowaMallory Bolenbaugh - University of Iowa, Iowa City, IowaVidya Chande - Blank Children's Hospital, Des Moines, IowaGraeme Pitcher - University of Iowa, Iowa City, IowaHenry W Ortega - Children's Hospitals and Clinics of Minnesota, Minneapolis, MinnesotaKimberly A Randell - Mercy Children's Hospital, Kansas City, MissouriKristel Wetjen - University of Iowa, Iowa City, IowaLisa Roth - University of Iowa, Iowa City, IowaJustin Kenardy - The University of Queensland, Queensland, Australia
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.148(4), p.1
- DOI
- 10.1542/peds.2020-046920
- PMID
- 34556547
- NLM abbreviation
- Pediatrics
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- Publisher
- American Academy of Pediatrics
- Language
- English
- Date published
- 10/2021
- Academic Unit
- Statistics and Actuarial Science; Occupational and Environmental Health; Stead Family Department of Pediatrics; Epidemiology; Biostatistics; Surgery; Nursing; Center for Social Science Innovation; Injury Prevention Research Center; Public Policy Center (Archive); Psychological and Quantitative Foundations; Community and Behavioral Health
- Record Identifier
- 9984215145902771
Metrics
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