Evidence map›Paper›PMID 26443493›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2016

Stepped care versus standard trauma-focused cognitive behavioral therapy for young children.

Alison Salloum, Wei Wang, John Robst, Tanya K Murphy, Michael S Scheeringa, Judith A Cohen, Eric A Storch

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01603563 (Stepped Care for Young Children After Trauma), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT01603563 phase1 / phase2completednot on this map

Stepped Care for Young Children After Trauma

TypeinterventionalSponsorUniversity of South FloridaRan2011 to 2014Enrolled63ConditionsPosttraumatic Stress DisorderArmsStepped Care TF-CBT, Standard TF-CBT
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Stepped Care Versus Standard Care for Children After Trauma: A Randomized Non-Inferiority Clinical Trial.Journal of the American Academy of Child and Adolescent Psychiatry · 2022
    Trial
  9. Trial
  10. Trial
  11. Article
  12. Annual Research Review: Interventions for young children exposed to trauma.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Alison SalloumSchool of Social Work, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.
Wei WangDepartment of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, USA.
John RobstDepartment of Mental Health Law and Policy and Department of Economics, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.
Tanya K MurphyDepartment of Pediatrics, College Of Medicine Pediatrics, University of South Florida, Tampa, FL, USA.
Michael S ScheeringaDepartment of Psychiatry and Behavioral Sciences, Tulane University School of Medicine, New Orleans, LA, USA.
Judith A CohenCenter for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Pittsburgh, PA, USA.
Eric A StorchDepartment of Pediatrics, College Of Medicine Pediatrics, University of South Florida, Tampa, FL, USA.

Funding

Stepped Care for Young Children After TraumaR34MH092373 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI SALLOUM, ALISON ANN · 2011 to 2013
$663k
NIMH NIH HHS R34 MH092373NIMH NIH HHS R34MH092373
6 · The paper itself

Abstract

backgroundTo compare the effectiveness and cost of stepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT), a new service delivery method designed to address treatment barriers, to standard TF-CBT among young children who were experiencing posttraumatic stress symptoms (PTSS).

methodsA total of 53 children (ages 3-7 years) who were experiencing PTSS were randomly assigned (2:1) to receive SC-TF-CBT or TF-CBT. Assessments by a blinded evaluator occurred at screening/baseline, after Step One for SC-TF-CBT, posttreatment, and 3-month follow-up.

trial registrationClinicalTrials.gov: https://www.clinicaltrials.gov/ct2/show/NCT01603563.

resultsThere were comparable improvements over time in PTSS and secondary outcomes in both conditions. Noninferiority of SC-TF-CBT compared to TF-CBT was supported for the primary outcome of PTSS, and the secondary outcomes of severity and internalizing symptoms, but not for externalizing symptoms. There were no statistical differences in comparisons of changes over time from pre- to posttreatment and pre- to 3-month follow-up for posttraumatic stress disorder diagnostic status, treatment response, or remission. Parent satisfaction was high for both conditions. Costs were 51.3% lower for children in SC-TF-CBT compared to TF-CBT.

conclusionsAlthough future research is needed, preliminary evidence suggests that SC-TF-CBT is comparable to TF-CBT, and delivery costs are significantly less than standard care. SC-TF-CBT may be a viable service delivery system to address treatment barriers.

Indexed as

Outcome Assessment, Health CareChildChild, PreschoolCognitive Behavioral TherapyFemaleHumansMaleStress Disorders, Post-Traumaticposttraumatic stress disorderStepped caretraumatrauma-focused cognitive behavioral therapyyoung children

Identifiers

PMID26443493
PMCPMC4824681

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.