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A pilot randomised trial to determine the efficacy of early cognitive behaviour therapy (CBT) versus delayed treatment for children with significant post-traumatic reactions.
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN05595708
Date ISRCTN assigned28/09/2007
Local reference number(s)N0038183431
Public titleA pilot randomised trial to determine the efficacy of early cognitive behaviour therapy (CBT) versus delayed treatment for children with significant post-traumatic reactions.
Scientific title
AcronymN/A
Disease/condition/study domainMental and Behavioural Disorders: Post-traumatic disorder
Study hypothesisWhat is the efficacy of early, brief trauma-focused CBT for the treatment of significant acute posttraumatic reactions in child RTA victims?
Design/methodologyPilot randomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - 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.
Participants - 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)
Patient information material
Anticipated start date27/04/2006
Anticipated end date31/05/2007
Status of trialCompleted
Target number of participants20
InterventionsRCT - A [immediate course of psychotherapeutic sessions] B - [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.
Primary outcome measure(s)1. 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 measure(s)Not provided at time of registration
Sources of fundingAvon and Wiltshire Mental Health Partnership NHS Trust
AWP Partnership Mental Health NHS Trust R&D Project grant
NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2007 Update - Department of Health
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor fax+44
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameProf Stallard Paul
Contact detailsDepartment of Child & Family Therapy
RUH
Combe Park

Bath
United Kingdom
BA1 3NG
Contact telephone+44 01225 825075
Contact fax+44 01225 825076
Contact emailpaul.stallard@awp.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN05595708
Date last extracted from ISRCTN register17/04/2008
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