No registrations found.
ID
Source
Brief title
Health condition
Posttraumatic Stress Disorder (PTSD), Anxiety and Depression
Sponsors and support
Department of Psychiatry,
Center for Psychological Trauma
Academic Medical Center (AMC)
Intervention
Outcome measures
Primary outcome
PTSD scores (Clinician-Administered PTSD Scale CAPS, Blake et al., 1995 and the revised Impact of Event Scale IES-R, Weiss et al., 1997).
Secondary outcome
Other psychopathology (MINI-PLUS clinical interview); anxiety and depression (HADS questionnaire); quality of life (WHOQOL).
Background summary
Previous research has shown that individual, single-session intervention interviews (psychological debriefing) in the aftermath of a traumatic event are not effective in preventing posttraumatic stress disorder (PTSD). Little research has been done so far on alternatives to debriefing. In this study, we propose to test a brief multimedia intervention (MM intervention) and to test its efficacy in a randomised controlled trial (RCT). The trial will involve adults who have sustained injuries in accidents or crime, to be recruited at the Trauma Units of the Academic Medical Centre (AMC) and the VU University Medical Centre (VUMC), both in Amsterdam. The subjects’ informed consent will be obtained 1 to 7 days after the critical incident. The MM intervention session, lasting a maximum of 30 minutes, is an internet-based programme containing interactive elements and visual and auditory materials. Its aim is to reduce acute psychological stress in trauma victims. The following core and elective modules will be included: information about procedures in trauma units, information about commonly experienced reactions to accident injuries, an audio clip providing relaxation techniques, and tips for dealing with the initial period after the traumatic experience.
Subjects will be assessed at pre-intervention (1 to 7 days after the trauma and immediately preceding the intervention) and at post-intervention (immediately following the intervention and at 1 month and 6 months posttrauma). The primary outcome measures will be symptoms of acute distress and PTSD scores. Secondary measures will be anxiety and depression and quality of life. If efficacy is demonstrated, the intervention can be made available to patients at all Dutch trauma centres.
Key words:
Randomised controlled trial
Stress disorders, posttraumatic
Anxiety
Depression
Preventive health services
Emergency medicine
Internet
Multimedia
Study objective
Our primary hypothesis is whether a brief early multimedia intervention is effective in preventing symptoms of posttraumatic stress, anxiety and depression in injured trauma patients.
Study design
N/A
Intervention
1. The multimedia (MM) intervention group (n = 90) and
2. The control / non-intervention group (n = 90).
Tafelbergweg 25
J. Mouthaan
Tafelbergweg 25
Amsterdam 1105 BC
The Netherlands
+31 (0)20 5667268
j.mouthaan@amc.uva.nl
Tafelbergweg 25
J. Mouthaan
Tafelbergweg 25
Amsterdam 1105 BC
The Netherlands
+31 (0)20 5667268
j.mouthaan@amc.uva.nl
Inclusion criteria
1. Injured patients who entered the shockrooms of the Academic Medical Center (AMC) or the Medical Center of the Free University (VUMC) in Amsterdam, the Netherlands;
2. Age 18 years and older;
3. Proficiency in Dutch.
Exclusion criteria
1. Mentally uncapable of participating in trial (i.e. Glasgow Coma Scale score < 13);
2. Physically uncapable of participating in trial;
3. Suicidality;
4. Fulfilling diagnostic criteria for a biplar disorder, depression with psychotic features, psychotic disorder or organic disorder according to DSM IV.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL280 |
| NTR-old | NTR318 |
| Other | : N/A |
| ISRCTN | ISRCTN57754429 |
Summary results
<br><br>
Mouthaan, J., Sijbrandij, M., Reitsma, Gersons, B.P.R., & Olff, M. (2011). Internet-based prevention of posttraumatic stress symptoms in injured trauma patients: design of a randomized controlled trial. European Journal of Psychotraumatology, 2: 8294 - DOI: 10.3402/ejpt.v2i0.8294.