预防儿童创伤后应激：一项针对父母的基于网络的心理教育干预的随机对照试验。
Preventing posttraumatic stress following pediatric injury: a randomized controlled trial of a web-based psycho-educational intervention for parents.
机构信息
PhD, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, 3535 Market St., Suite 1150, Philadelphia, PA 19104, USA.
出版信息
J Pediatr Psychol. 2013 Nov;38(10):1101-11. doi: 10.1093/jpepsy/jst053. Epub 2013 Aug 2.
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.
摘要
目的
本研究旨在评估针对父母的基于网络的干预措施（AfterTheInjury.org [ATI]）在促进儿童受伤后情绪恢复方面的可行性和效果。
方法
100 名受伤需要医疗关注的儿童及其父母被随机分配到干预组或常规护理组。疗效结果包括父母的知识水平以及儿童和父母的创伤后应激症状（PTSS）。
结果
干预组的所有父母都在医院完成了干预（直接使用 ATI）。56%的父母在出院后在线使用 ATI，并且 100%的父母认为这很有帮助。父母的知识水平在干预后立即提高，但在 6 周随访时，父母的知识水平或 PTSS 没有显著的干预效果。知识和 PTSS 之间存在关系。
结论
在儿童住院期间引入简短的基于网络的干预措施是一种可行的策略，可以在儿童受伤后接触到许多父母。预防心理症状可能需要的不仅仅是父母教育。
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