A pilot randomised trial to determine the efficacy of early cognitive behaviour therapy (CBT) versus delayed treatment for children with significant post-traumatic reactions.

ISRCTN ISRCTN05595708
DOI https://doi.org/10.1186/ISRCTN05595708
Secondary identifying numbers N0038183431
Submission date
28/09/2007
Registration date
28/09/2007
Last edited
18/09/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Stallard Paul
Scientific

Department of Child & Family Therapy
RUH
Combe Park
Bath
BA1 3NG
United Kingdom

Phone +44 01225 825075
Email paul.stallard@awp.nhs.uk

Study information

Study designPilot randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleA pilot randomised trial to determine the efficacy of early cognitive behaviour therapy (CBT) versus delayed treatment for children with significant post-traumatic reactions.
Study objectivesWhat is the efficacy of early, brief trauma-focused CBT for the treatment of significant acute posttraumatic reactions in child road traffic accident (RTA) victims?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedMental and Behavioural Disorders: Post-traumatic disorder
Intervention1. Immediate course of psychotherapeutic sessions
2. Delayed course of psychotherapeutic sessions

Initial assessments for subjective distress, and diagnostic symptoms of PTSD. Children with high scores entered into study. Diary completed daily by child for 3 weeks, followed by assessments for PTSD, anxiety and depression. Those with significant enduring posttraumatic symptoms as determined by the CIES or the CPSS randomised into either the immediate or delayed treatment arms of the study.

Change in the severity of posttraumatic symptoms, determined by MANOVA. Changes in associated anxiety and depression. CIES, CPSS. Treatment effect size for changes in PTST symptoms analysed using Cohen's D statistic.
Intervention typeOther
Primary outcome measure1. Child PTSD Symptom Scale (CPSS)
2. Children's Impact of Events Scale (CIES)
3. Children's Revised Manifest Anxiety Scale (MAS)
4. Birleson Depression Inventory (BDI)
5. 10 point cognitive change scale
Secondary outcome measuresNot provided at time of registration
Overall study start date27/04/2006
Completion date31/05/2007

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit7 Years
Upper age limit18 Years
SexNot Specified
Target number of participants20
Key inclusion criteriaChildren aged 7 to 18 who attend the A&E departments at the Royal United Hospital Bath, and Frenchay Hospital Bristol, following an RTA.
Key exclusion criteria1. Experienced life threatening physical injuries (Triage rating 1)
2. Were unconscious for 15 minutes or more
3. Suffer significant learning difficulties
4. Live outside 30 mile radius of RUH in Bath (so cannot attend treatment sessions)
Date of first enrolment27/04/2006
Date of final enrolment31/05/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Department of Child & Family Therapy
Bath
BA1 3NG
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

Avon and Wiltshire Mental Health Partnership NHS Trust (UK), NHS R&D Support Funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2008 Yes No

Editorial Notes

18/09/2017: internal review.