Evidence map›Paper›PMID 27382968›Full record

Trial reportPloS one2016

The Primary Prevention of PTSD in Firefighters: Preliminary Results of an RCT with 12-Month Follow-Up.

Petra M Skeffington, Clare S Rees, Trevor G Mazzucchelli, Robert T Kane

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 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.

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

21 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Resilience enhancement interventions for disaster rescue workers: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Pooled it
  2. Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Coping among public safety personnel: A systematic review and meta-analysis.Stress and health : journal of the International Society for the Investigation of Stress · 2021
    Pooled it
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  16. Review
  17. A review of workplace mental health interventions and their implementation in public safety organizations.International archives of occupational and environmental health · 2022
    Review
  18. Article
  19. Article
  20. Prophylactic Ketamine Attenuates Learned Fear.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    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

4 authors.

Petra M SkeffingtonSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia.ORCID http://orcid.org/0000-0002-4830-1131
Clare S ReesSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia.
Trevor G MazzucchelliSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia.
Robert T KaneSchool of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo develop and evaluate an evidence-based and theory driven program for the primary prevention of Post-traumatic Stress Disorder (PTSD).

designA pre-intervention / post-intervention / follow up control group design with clustered random allocation of participants to groups was used. The "control" group received "Training as Usual" (TAU).

methodParticipants were 45 career recruits within the recruit school at the Department of Fire and Emergency Services (DFES) in Western Australia. The intervention group received a four-hour resilience training intervention (Mental Agility and Psychological Strength training) as part of their recruit training school curriculum. Data was collected at baseline and at 6- and 12-months post intervention.

resultsWe found no evidence that the intervention was effective in the primary prevention of mental health issues, nor did we find any significant impact of MAPS training on social support or coping strategies. A significant difference across conditions in trauma knowledge is indicative of some impact of the MAPS program.

conclusionWhile the key hypotheses were not supported, this study is the first randomised control trial investigating the primary prevention of PTSD. Practical barriers around the implementation of this program, including constraints within the recruit school, may inform the design and implementation of similar programs in the future.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12615001362583.

Indexed as

FirefightersPrimary PreventionAdultCluster AnalysisEvidence-Based MedicineFemaleFollow-Up StudiesHumansMaleResearch DesignSocial SupportStress Disorders, Post-TraumaticWestern Australia

Identifiers

PMID27382968
PMCPMC4934826

What OpenQuestion holds

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LicenceCC BY
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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.