The Resource Child and adolescent exposure to trauma : comparative effectiveness of interventions addressing trauma other than maltreatment or family violence, prepared for Agency for Healthcare Research and Quality ; prepared by RTI International-University of North Carolina Evidence-based Practice Center ; investigators, Valerie Forman-Hoffman [and others], (electronic resource)

Child and adolescent exposure to trauma : comparative effectiveness of interventions addressing trauma other than maltreatment or family violence, prepared for Agency for Healthcare Research and Quality ; prepared by RTI International-University of North Carolina Evidence-based Practice Center ; investigators, Valerie Forman-Hoffman [and others], (electronic resource)

Label
Child and adolescent exposure to trauma : comparative effectiveness of interventions addressing trauma other than maltreatment or family violence
Title
Child and adolescent exposure to trauma
Title remainder
comparative effectiveness of interventions addressing trauma other than maltreatment or family violence
Statement of responsibility
prepared for Agency for Healthcare Research and Quality ; prepared by RTI International-University of North Carolina Evidence-based Practice Center ; investigators, Valerie Forman-Hoffman [and others]
Title variation
Effective health care program
Contributor
Subject
Genre
Language
eng
Summary
Objectives: To assess the effectiveness of interventions that target traumatic stress symptoms and syndromes among children exposed to trauma other than maltreatment or family violence (Key Question 1 [KQ 1]) , or children exposed to trauma other than maltreatment or family violence who already have symptoms (KQ 2); to identify subgroup char acteristics that m oderate the effect of an intervention on outcomes (KQ 3); and to assess harms associated with interventions (KQ 4). Data sources: MEDLINE , The Cochrane Library, Embase , PsycINFO , Cumulative Index to Nursing and Allied Health Literature, International Pharmaceutical Abstracts, and Web of Science. Additional studies were identified from reference lists and technical experts. Review methods: Two trained reviewers independently selected, extracted data from, and rated the risk of bias of relevant trials and systematic reviews. We did not quantitatively analyze our data because of statistical heterogeneity, insufficient numbers of similar studies, or variation in outcome reporting; thus, we synthesized the data qualitatively. KQ 1, KQ 2, and KQ 4 present outcomes categorized by intervention type. KQ 3 presents outcomes of interventions categorized by child characteristics. Results: We found a total of 21 trials and 1 cohort study (reported in 25 articles) of either medium or low risk of bias from our review of 6,647 unduplicated abstracts. We did not find studies that attempted to replicate findings of effective interventions; rather, studies tested unique interventions. No pharmacotherapy intervention demonstrated effectiveness. Studies demonstrating improvement in outcomes generally compared results of interventions with waitlist controls. With a single exception, studies comparing interventions with active controls did not show benefit. Some psychotherapy interventions targeting children exposed to trauma appear promising based on the magnitude and precision of effects found. These interventions were school-based treatments with elements of cognitive behavioral therapy (CBT). We found less compelling evidence regarding potentially promising interventions targeting already existing symptoms, each of which also had elements of CBT. Authors typically evaluated short-term outcomes. The body of evidence provides no insight into how interventions targeting children exposed to trauma, some of whom already have symptoms, might influence healthy long-term development. We found little evidence on how effectiveness might vary by child characteristics and no evidence on how effectiveness might vary by treatment characteristics or setting. We also found almost no evidence on harms associated with psychological treatments. Only pharmacological interventions attempted to assess harms in this vulnerable population
Member of
Cataloging source
MMU
Funding information
Conducted by RTI International-University of North Carolina Evidence-based Practice Center under contract to the Agency for Healthcare Research and Quality (AHRQ)
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WM 170
http://library.link/vocab/relatedWorkOrContributorName
  • Forman-Hoffman, Valerie
  • RTI International-University of North Carolina Evidence-based Practice Center
  • United States
  • Effective Health Care Program (U.S.)
Series statement
  • Comparative effectiveness review
  • AHRQ publication,
Series volume
  • no. 107
  • no. 13-EH054-EF
http://library.link/vocab/subjectName
  • Stress Disorders, Post-Traumatic
  • Adolescent
  • Child
  • Cognitive Behavioral Therapy
  • Comparative Effectiveness Research
  • United States
  • United States
http://bibfra.me/vocab/relation/supportingbody
RzTDSdffmEM
Label
Child and adolescent exposure to trauma : comparative effectiveness of interventions addressing trauma other than maltreatment or family violence, prepared for Agency for Healthcare Research and Quality ; prepared by RTI International-University of North Carolina Evidence-based Practice Center ; investigators, Valerie Forman-Hoffman [and others], (electronic resource)
Instantiates
Publication
Note
"February 2013."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
830410001
Extent
1 online resource (341 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)830410001
Label
Child and adolescent exposure to trauma : comparative effectiveness of interventions addressing trauma other than maltreatment or family violence, prepared for Agency for Healthcare Research and Quality ; prepared by RTI International-University of North Carolina Evidence-based Practice Center ; investigators, Valerie Forman-Hoffman [and others], (electronic resource)
Publication
Note
"February 2013."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
830410001
Extent
1 online resource (341 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)830410001

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