Trauma Treatment in Norwegian Child Advocacy Centers

NCT05314829 | Unknown DMC

• 1 other identifier: Child advocacy centers
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Norwegian child and advocacy centers´ core activities include both forensic services (e.g., forensic interviews) and follow-up services (e.g., treatment), aiming to coordinate the different services involved in each case to prevent additional burdens for youth in already vulnerable situations. However, a recent study indicates that very few receive follow-up after the forensic interview and that the follow-up in most cases includes one-time or occasional support and only in rare cases treatment. In the same study, youth receiving follow-up in the CAC in Oslo revealed significantly higher levels of common mental health problems than a comparable community sample, yet lower than clinical samples, indicating that many youths in CACs may be falling between different services within the health care system, not necessarily receiving the help they need elsewhere. The current project will investigate four issues related to these knowledge needs;

1. 1.How do children and parents experience receiving trauma treatment at child advocacy centers?
2. 2.What predicts treatment effects?
3. 3.What is the prevalence of symptoms of burnout and secondary traumatic stress among employees working in child advocacy centers, and can training in evidence-based treatment prevent burnout and secondary traumatic stress?

Conditions

Post Traumatic Stress Disorder

Keywords

PTSD; Child advocacy center; Childhood trauma

Outcome Measures

Primary Outcomes (1)

• The Child and Adolescent Trauma Screen (CATS)

  CATS is a screening instrument for PTSD based on the DSM-5 criterias.Total score range is between 0-60. A higher score indicates more symptoms, with a cut-off ≥ 21 as indication of a clinically relevant level of symptoms.

  2021-2023

Secondary Outcomes (6)

• Child Post-Traumatic Cognitions Inventory (cPTCI)

  2021-2023

• Short Moods and Feelings Questionnaire (SMFQ)

  2021-2023

• Duke-UNC Functional Social Support Questionnaire (FSSQ)

  2021-2023

• Project specific questionnaire, inspired by the Working Alliance Inventory (WAI)

  2021-2023

• Client Satisfaction Questionnaire (to the caregiver)

  2021-2023

Study Arms (1)

Study group

Data will be collected from 2 child advocacy centers

Other: Trauma-focused cognitive behavioral therapy (TF-CBT)

Interventions

Trauma-focused cognitive behavioral therapy (TF-CBT) OTHER

TF-CBT is a phase-based evidence-based treatment method for children and adolescents between 6-18 years who experience posttraumatic stress symptoms following trauma exposure. Parents or other close caregivers receive parallel sessions. It is normally provided through 12-16 sessions.

Study group

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Children and adolescents who receive services at Norwegian child and adolescent advocacy centers. They are screened for posttraumatic reactions to the potential traumatising events that they have experienced, and are offered trauma-focused cognitive behavioral therapy if scoring above the clinical cut-off for PTS:

You may qualify if:

• Trauma exposure
• Post-traumatic stress symptoms above clinical cut-off

You may not qualify if:

• Clinical assessment concludes that the child should receive services in the child and adolescent specialist services

Sponsors & Collaborators

• Norwegian Center for Violence and Traumatic Stress Studies: lead

Study Sites (1)

Nowegian Center for Violence and Traumatic Stress Studies

Oslo, 0655, Norway

RECRUITING

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Study Officials

• Ane-Marthe Solheim Skar

  Norwegian Center for Violence and Traumatic Stress Studies

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ane-Marthe S Skar, PhD

CONTACT

+4797661591; a.m.s.skar@nkvts.no

Karina M Egeland, PhD

CONTACT

+4790602326; karina.egeland@nkvts.no

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, project leader

Study Record Dates

• First Submitted: March 24, 2022
• First Posted: April 6, 2022
• Study Start: August 1, 2020
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2024
• Last Updated: September 30, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)