A pilot study of a brief and scalable psychosocial intervention for children and adolescents following disasters

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Sarah Strauven, Meg J. Dennison, Meaghan L. O'Donnell, Sean Cowlishaw, Kari Gibson, David J. Pedder, Jenelle Baur, Jane Nursey, Vanessa E. Cobham
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引用次数: 0

Abstract

Objectives

Following disaster exposure, a significant proportion of children/adolescents will develop levels of post-traumatic stress symptoms (PTSS) that do not meet diagnostic threshold for PTSD, but which cause ongoing distress. This paper describes the development and pilot testing of a brief, scalable, psychosocial intervention. SOLAR-Kids/Teens has been designed to be delivered by non-mental health professionals (‘coaches’) to children/adolescents experiencing moderate levels of PTSS following disasters.

Methods

An international collaboration of experts developed The Skills fOr Life Adjustment and Resilience (SOLAR) for Kids and Teens programs. The programs were piloted—using a pre-post mixed methods design—with 10 children and adolescents (8–18 years), with the aims of examining the feasibility of the program's delivery model as well as the program's potential usefulness.

Results

The pilot data indicated that after 1 day of training and with ongoing supervision, the SOLAR program was safe and feasible for coaches to deliver to children/adolescents experiencing PTSS. Coaches reported increased knowledge (p = .001), confidence (p = .001) and skills (p = .006). The programs were acceptable to coaches, children/adolescents and parents. Parents and children/adolescents reported reductions in trauma and anxiety symptoms from pre- to post-treatment, with moderate to large effect sizes.

Conclusions

The preliminary findings demonstrate that the SOLAR-Kids/Teens program is feasible, acceptable and safe to be delivered by trained non-mental health professionals to children and adolescents experiencing PTSS and anxiety following disaster exposure. Randomized controlled trials are required to evaluate the efficacy of the SOLAR-Kids/Teens programs.

针对灾后儿童和青少年的简短、可扩展的社会心理干预试点研究。
目标:在遭受灾难后,相当一部分儿童/青少年会出现创伤后应激症状(PTSS),这些症状虽未达到创伤后应激障碍的诊断标准,但会造成持续的困扰。本文介绍了一种简短、可扩展的社会心理干预措施的开发和试点测试。SOLAR-Kids/Teens 的设计目的是由非心理健康专业人员("教练")向在灾难后出现中度创伤后应激障碍的儿童/青少年提供干预:国际专家合作开发了儿童和青少年生活适应与复原技能(SOLAR)项目。该项目采用前-后混合方法设计,在 10 名儿童和青少年(8-18 岁)中进行试点,目的是检验项目实施模式的可行性以及项目的潜在实用性:试点数据表明,经过一天的培训和持续的监督,SOLAR 计划对于教练来说是安全可行的,可以向经历过创伤后应激障碍的儿童/青少年提供该计划。教练们表示,他们的知识(p = .001)、信心(p = .001)和技能(p = .006)都得到了提高。教练、儿童/青少年和家长都能接受这些计划。家长和儿童/青少年报告称,从治疗前到治疗后,创伤和焦虑症状有所减轻,效果中等到较大:初步研究结果表明,由训练有素的非心理健康专业人员为遭受灾难后出现创伤后应激障碍和焦虑的儿童和青少年提供 SOLAR-Kids/Teens 计划是可行的、可接受的和安全的。需要进行随机对照试验来评估 SOLAR-Kids/Teens 项目的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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