ArticleJMIR formative research2026
App-Based Stabilization Phase Within Blended Trauma-Focused Cognitive Behavioral Therapy With Compassion for Adolescents With Posttraumatic Stress Disorder: Formative Qualitative Study.
Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Digital tools may support early phases of trauma therapy for adolescents, yet little is known about how an app-based stabilization phase functions in routine child and adolescent psychiatry clinics. To our knowledge, no previous study has qualitatively examined a compassion-integrated, app-based stabilization phase delivered before trauma processing within trauma-focused cognitive behavioral therapy (TF-CBT) for adolescents. Objective: This formative qualitative pretrial study explored the acceptability, feasibility, and contextual fit of an app-based stabilization phase within blended TF-CBT with compassion (bTF-CBT-C) for adolescents with posttraumatic stress disorder (PTSD). The aim was to inform the refinement of intervention content, caregiver support, and clinical workflow prior to a planned pilot randomized controlled trial (RCT). Methods: Four adolescent girls with PTSD (aged 14-16 years) completed a 5-week app-based stabilization program integrating TF-CBT coping skills and compassion-focused practices, while 5 caregivers received parallel content in a nonapp format. Three adolescents and 4 caregivers participated in postintervention semistructured interviews, and 4 clinicians completed a brief open-ended survey. Data were analyzed using reflexive thematic analysis. Results: One overarching theme, Conclusions: The findings suggest that app-based stabilization within bTF-CBT-C may be acceptable and potentially feasible for adolescents with PTSD, their caregivers, and clinicians. Feasibility appears to depend on flexible pacing, cognitive accessibility, caregiver guidance, and technical reliability. The study identifies candidate refinements to be evaluated in the pilot RCT and provides preliminary insight into how compassion-integrated digital stabilization may support preparation for trauma-focused therapy.
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