Evidence map›Paper›PMID 26089554›Full record

Trial reportJournal of pediatric psychology

Pilot Randomized Controlled Trial of a Novel Web-Based Intervention to Prevent Posttraumatic Stress in Children Following Medical Events.

Nancy Kassam-Adams, Meghan L Marsac, Kristen L Kohser, Justin Kenardy, Sonja March, Flaura K Winston

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric psychology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Psychological therapies for children and adolescents exposed to trauma.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Annual Research Review: Interventions for young children exposed to trauma.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. E-health applications in the field of traumatic stress.European journal of psychotraumatology · 2020
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Nancy Kassam-AdamsChildren's Hospital of Philadelphia, University of Pennsylvania, nlkaphd@mail.med.upenn.edu.
Meghan L MarsacChildren's Hospital of Philadelphia, University of Pennsylvania.
Kristen L KohserChildren's Hospital of Philadelphia.
Justin KenardyUniversity of Queensland, and.
Sonja MarchUniversity of Southern Queensland.
Flaura K WinstonChildren's Hospital of Philadelphia, University of Pennsylvania.
Children's Hospital of Philadelphia · USCalifornia University of Pennsylvania · USUniversity of Pennsylvania · USUniversity of Queensland · AUUniversity of Southern Queensland · AU

Funding

Understanding predictors of post-traumatic stress after pediatric medical eventsK23MH093618 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI MARSAC, MEGHAN L. · 2012 to 2015
$554k
Promoting positive adjustment to medical events in childrenR21HD069832 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI KASSAM-ADAMS, NANCY · 2012 to 2013
$452k
NICHD NIH HHS R21 HD069832NICHD NIH HHS R21HD069832NIMH NIH HHS K23 MH093618NIMH NIH HHS K23MH093618
6 · The paper itself

Abstract

objectiveTo assess feasibility and estimate effect size of a self-directed online intervention designed to prevent persistent posttraumatic stress after acute trauma.

methodsChildren aged 8-12 years with a recent acute medical event were randomized to the intervention (N = 36) or a 12-week wait list (N = 36). Posttraumatic stress, health-related quality of life, appraisals, and coping were assessed at baseline, 6, 12, and 18 weeks.

resultsMost children used the intervention; half completed it. Medium between-group effect sizes were observed for change in posttraumatic stress severity from baseline to 6 weeks (d = -.68) or 12 weeks (d = -.55). Exploratory analyses suggest greatest impact for at-risk children, and a small effect for intervention initiated after 12 weeks. Analysis of covariance did not indicate statistically significant group differences in 12-week outcomes.

conclusionsThis pilot randomized controlled trial provides preliminary evidence that a self-directed online preventive intervention is feasible to deliver, and could have an effect in preventing persistent posttraumatic stress.

Indexed as

InternetAdaptation, PsychologicalChildFeasibility StudiesFemaleFollow-Up StudiesHumansMalePilot ProjectsPreventive Health ServicesQuality of LifeSingle-Blind MethodStress Disorders, Post-TraumaticTreatment OutcomeWounds and Injuriesadjustmentposttraumatic stressrandomized controlled trial

Identifiers

PMID26089554
PMCPMC4723670
OpenAlexW2290798395

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.