Psychological First Aid (PFA): RCT Adults Non-intentional Trauma Emergency Room
PFA
Psychological First Aid: A Randomized-controlled Trial of Adults Affected by Non-intentional Trauma in the Emergency Room
2 other identifiers
interventional
220
1 country
5
Brief Summary
Psychological First Aid (PFA) is currently the most recommended early intervention for people affected by recent traumatic events, especially in the aftermath of natural disasters. Unfortunately, there is no evidence that PFA neither prevents Post-Traumatic Stress Disorder (PTSD) nor other post-traumatic disorders or symptoms of distress. This project aims to evaluate the efficacy and safety of Psychological First Aid for the prevention of PTSD and other post-traumatic disorders or symptoms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2015
Shorter than P25 for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
November 3, 2015
CompletedFirst Posted
Study publicly available on registry
November 18, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedMay 24, 2016
May 1, 2016
2 months
November 3, 2015
May 22, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PTSD Prevalence
PTSD prevalence according to Composite International Diagnostic Interview (CIDI)
1 month
Secondary Outcomes (1)
PTSD symptoms
1 month
Other Outcomes (6)
Self-reported depressive symptoms
1 month
Perceived Social Support
1 month
Satisfaction with Intervention
Once intervention has finished, an estimate time frame of 90 minutes for "active group" or 50 minutes for "control group"
- +3 more other outcomes
Study Arms (2)
Control
OTHERFlyer "What can I do facing a crisis?"
Psychological First Aid
EXPERIMENTALPsychological First Aid according to an adapted protocol based on the WHO PFA Operation Guide 2012 Brochure "Network and Services" Flyer "What can I do facing a crisis?".
Interventions
Participants in Control Group will be delivered a flyer named "What can I do facing a crisis?", containing information about normal reactions to crisis, what to do to return to normal life and which are the signals of an initial trauma.
Psychology students (PFA Providers) will intervene according to an adapted protocol based on the WHO PFA Operation Guide 2012. Protocol for this study contemplates 4 steps: 1. Active Listening 2. Relaxing and Breathing Techniques 3. Help in prioritizing needs 4. Help in contacting network and services. Moreover, participants in this group will receive a brochure with full contact information of public network, and a flyer named "What can I do facing a crisis?".
Eligibility Criteria
You may qualify if:
- Adults (≥ 18 years old) concurring to the emergency room, either as a patient himself or companion, who have been victims of a recent unintentional trauma (less than 72 hours ago), and meet one of the following criteria:
- Direct victim, as a family or as a witness, of a situation that was or is currently life threatening.
- Direct victim, as a family or as a witness, of a situation that affected or currently seriously endangers the physical integrity.
- For example, such situations include serious accidents, catastrophic illness, highly painful medical procedures, bad medical news, natural disasters, fires, witnessing another person violent death, explosions, among others.
You may not qualify if:
- Does not understand Spanish
- Child and adolescent (\< 18 years old)
- Can not remember traumatic experience recently experienced
- Psychosis (loss of reality testing)
- Relatives of people in imminent life-threatening or recently died in the emergency room where the offer to participate in the research can cause even greater discomfort.
- Impairment of consciousness (Glasgow \< 15)
- Intoxication
- Loss of consciousness for more than 5 minutes.
- Direct and indirect victims of intentional trauma (eg. assault, kidnapping, sexual abuse, terrorist attack, etc).
- Patients being treated for a psychiatric disorder diagnosed by a doctor (personality disorder is excluded) (eg. schizophrenia, mental retardation, autism, obsessive compulsive disorder, bipolar disorder, depression, Alzheimer's disease, panic disorder, etc.).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Hospital Barros Luco Trudeau
Santiago, Santiago Metropolitan, Chile
Hospital Clínico UC
Santiago, Santiago Metropolitan, Chile
Hospital del Trabajador
Santiago, Santiago Metropolitan, Chile
Hospital Dr. Sótero del Río
Santiago, Santiago Metropolitan, Chile
Hospital Padre Hurtado
Santiago, Santiago Metropolitan, Chile
Related Publications (24)
Breslau N. The epidemiology of posttraumatic stress disorder: what is the extent of the problem? J Clin Psychiatry. 2001;62 Suppl 17:16-22.
PMID: 11495091BACKGROUNDCarlson EB, Smith SR, Palmieri PA, Dalenberg C, Ruzek JI, Kimerling R, Burling TA, Spain DA. Development and validation of a brief self-report measure of trauma exposure: the Trauma History Screen. Psychol Assess. 2011 Jun;23(2):463-77. doi: 10.1037/a0022294.
PMID: 21517189BACKGROUNDEverly GS Jr, Mitchell JT. The debriefing "controversy" and crisis intervention: a review of lexical and substantive issues. Int J Emerg Ment Health. 2000 Fall;2(4):211-25.
PMID: 11217152BACKGROUNDFlannery RB Jr, Everly GS Jr. Crisis intervention: a review. Int J Emerg Ment Health. 2000 Spring;2(2):119-25.
PMID: 11232174BACKGROUNDFriedman MJ, Resick PA, Bryant RA, Brewin CR. Considering PTSD for DSM-5. Depress Anxiety. 2011 Sep;28(9):750-69. doi: 10.1002/da.20767. Epub 2010 Dec 13.
PMID: 21910184BACKGROUNDGreen BL, Lindy JD, Grace MC, Leonard AC. Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster sample. J Nerv Ment Dis. 1992 Dec;180(12):760-6. doi: 10.1097/00005053-199212000-00004.
PMID: 1469374BACKGROUNDHobfoll SE, Watson P, Bell CC, Bryant RA, Brymer MJ, Friedman MJ, Friedman M, Gersons BP, de Jong JT, Layne CM, Maguen S, Neria Y, Norwood AE, Pynoos RS, Reissman D, Ruzek JI, Shalev AY, Solomon Z, Steinberg AM, Ursano RJ. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry. 2007 Winter;70(4):283-315; discussion 316-69. doi: 10.1521/psyc.2007.70.4.283.
PMID: 18181708BACKGROUNDHoge EA, Worthington JJ, Nagurney JT, Chang Y, Kay EB, Feterowski CM, Katzman AR, Goetz JM, Rosasco ML, Lasko NB, Zusman RM, Pollack MH, Orr SP, Pitman RK. Effect of acute posttrauma propranolol on PTSD outcome and physiological responses during script-driven imagery. CNS Neurosci Ther. 2012 Jan;18(1):21-7. doi: 10.1111/j.1755-5949.2010.00227.x. Epub 2011 Jan 10.
PMID: 22070357BACKGROUNDKessler RC. Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry. 2000;61 Suppl 5:4-12; discussion 13-4.
PMID: 10761674BACKGROUNDKessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995 Dec;52(12):1048-60. doi: 10.1001/archpsyc.1995.03950240066012.
PMID: 7492257BACKGROUNDNorris FH, Murphy AD, Baker CK, Perilla JL, Rodriguez FG, Rodriguez Jde J. Epidemiology of trauma and posttraumatic stress disorder in Mexico. J Abnorm Psychol. 2003 Nov;112(4):646-56. doi: 10.1037/0021-843X.112.4.646.
PMID: 14674876BACKGROUNDOzer EJ, Best SR, Lipsey TL, Weiss DS. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull. 2003 Jan;129(1):52-73. doi: 10.1037/0033-2909.129.1.52.
PMID: 12555794BACKGROUNDPerkonigg A, Kessler RC, Storz S, Wittchen H -U. Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand. 2000 Jan;101(1):46-59. doi: 10.1034/j.1600-0447.2000.101001046.x.
PMID: 10674950BACKGROUNDRamos-Brieva JA, Cordero Villafafila A. [Validation of the Castillian version of the Hamilton Rating Scale for Depression]. Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1986 Jul-Aug;14(4):324-34. No abstract available. Spanish.
PMID: 3776732BACKGROUNDRose S, Bisson J, Churchill R, Wessely S. Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2002;(2):CD000560. doi: 10.1002/14651858.CD000560.
PMID: 12076399BACKGROUNDRothbaum BO, Kearns MC, Price M, Malcoun E, Davis M, Ressler KJ, Lang D, Houry D. Early intervention may prevent the development of posttraumatic stress disorder: a randomized pilot civilian study with modified prolonged exposure. Biol Psychiatry. 2012 Dec 1;72(11):957-63. doi: 10.1016/j.biopsych.2012.06.002. Epub 2012 Jul 4.
PMID: 22766415BACKGROUNDSchelling G, Roozendaal B, Krauseneck T, Schmoelz M, DE Quervain D, Briegel J. Efficacy of hydrocortisone in preventing posttraumatic stress disorder following critical illness and major surgery. Ann N Y Acad Sci. 2006 Jul;1071:46-53. doi: 10.1196/annals.1364.005.
PMID: 16891561BACKGROUNDStein MB, McQuaid JR, Pedrelli P, Lenox R, McCahill ME. Posttraumatic stress disorder in the primary care medical setting. Gen Hosp Psychiatry. 2000 Jul-Aug;22(4):261-9. doi: 10.1016/s0163-8343(00)00080-3.
PMID: 10936633BACKGROUNDTeasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81-4. doi: 10.1016/s0140-6736(74)91639-0. No abstract available.
PMID: 4136544BACKGROUNDVera-Villarroel P, Zych I, Celis-Atenas K, Cordova-Rubio N, Buela-Casal G. Chilean validation of the Posttraumatic Stress Disorder Checklist-Civilian version (PCL-C) after the earthquake on February 27, 2010. Psychol Rep. 2011 Aug;109(1):47-58. doi: 10.2466/02.13.15.17.PR0.109.4.47-58.
PMID: 22049647BACKGROUNDVicente B, Kohn R, Rioseco P, Saldivia S, Levav I, Torres S. Lifetime and 12-month prevalence of DSM-III-R disorders in the Chile psychiatric prevalence study. Am J Psychiatry. 2006 Aug;163(8):1362-70. doi: 10.1176/ajp.2006.163.8.1362.
PMID: 16877648BACKGROUNDWatson PJ, Brymer MJ, Bonanno GA. Postdisaster psychological intervention since 9/11. Am Psychol. 2011 Sep;66(6):482-94. doi: 10.1037/a0024806.
PMID: 21823776BACKGROUNDZlotnick C, Johnson J, Kohn R, Vicente B, Rioseco P, Saldivia S. Epidemiology of trauma, post-traumatic stress disorder (PTSD) and co-morbid disorders in Chile. Psychol Med. 2006 Nov;36(11):1523-33. doi: 10.1017/S0033291706008282. Epub 2006 Jul 20.
PMID: 16854253BACKGROUNDDieltjens T, Moonens I, Van Praet K, De Buck E, Vandekerckhove P. A systematic literature search on psychological first aid: lack of evidence to develop guidelines. PLoS One. 2014 Dec 12;9(12):e114714. doi: 10.1371/journal.pone.0114714. eCollection 2014.
PMID: 25503520BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rodrigo A. Figueroa, MD
CIGIDEN
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 3, 2015
First Posted
November 18, 2015
Study Start
November 1, 2015
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
May 24, 2016
Record last verified: 2016-05