Evidence map›Paper›PMID 26344717›Full record

SynthesisAcademic pediatrics

Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review.

Anna B Flynn, Kate E Fothergill, Holly C Wilcox, Elizabeth Coleclough, Russell Horwitz, Anne Ruble, Matthew D Burkey, Lawrence S Wissow

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
11.0field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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  19. Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population.Journal of health care for the poor and underserved · 2019
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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

8 authors at 2 institutions in 1 country.

Anna B FlynnDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Electronic address: aflynn3@jhu.edu.
Kate E FothergillDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Holly C WilcoxDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Elizabeth ColecloughDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Russell HorwitzDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Anne RubleDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Matthew D BurkeyDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Lawrence S WissowDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Md.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

NIDA Epidemiology Training Program: Johns Hopkins UniversityT32DA007292 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RENEE M. JOHNSON, Brion S Maher · 1993 to 2026
$17.7M
Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
Pediatric Integrated Care Collaborative (PICC)U79SM061259 · SU · JOHNS HOPKINS UNIVERSITY · PI WISSOW, LAWRENCE · 2012 to 2014
–
CMHS SAMHSA HHS U79SM061259NCATS NIH HHS KL2 TR001077NIDA NIH HHS T-32DA007292NIDA NIH HHS T32 DA007292
6 · The paper itself

Abstract

objectivesTo systematically assess the evidence base for prevention and treatment of child traumatic stress in primary care settings. DATA SOURCES: PubMed, Embase, PsycINFO, Scopus, Academic Search Complete, CINAHL, Web of Science, Cochrane Library, the National Registry of Evidence-based Programs and Practices, the National Child Traumatic Stress Network website, Google search. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND

interventionsStudies were eligible for inclusion if they described the results of intervention studies in a primary care setting addressing child traumatic stress. Study participants could include primary care providers, pediatric patients, and their parents or other caregivers. STUDY APPRAISAL AND SYNTHESIS

methodsEach study was assessed for inclusion, and each included study was assessed for risk of bias by 2 reviewers.

resultsWe found 12 articles describing 10 different studies that met the inclusion criteria. The intervention approaches taken in the studies were diverse and included the implementation of screening programs or tools, training clinicians to recognize and discuss psychosocial issues with patients and their families, and providing primary care professionals with community resource lists. Nine out of 10 studies included in the review reported favorable results. LIMITATIONS: Studies included in the review had relatively short follow-up periods, and the diversity of studies identified precluded the possibility of conducting a meta-analysis. CONCLUSIONS AND IMPLICATIONS OF KEY

findingsFindings suggest that interventions in pediatric primary care settings are feasible and can favorably affect clinical practices and families' outcomes.

Indexed as

Primary Health CareAdolescentChildChild, PreschoolHumansInfantPsychological TraumaStress Disorders, Post-TraumaticStress, Psychologicaladolescentadverse childhood experiences (ACEs)childchild, preschoolinfantinfant, newbornposttraumaticprimary health careprimary preventionsecondary preventionstress disorderstertiary prevention

Identifiers

PMID26344717
PMCPMC4578291
OpenAlexW1578814345

What OpenQuestion holds

Textmetadata
LicenceTDM
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.