#Trauma focused cbt registration#
#Trauma focused cbt trial#

#Trauma focused cbt trial#

11 - 15 These studies culminated in the randomized clinical trial reported in this article, which tests the effectiveness of trauma-focused cognitive behavioral therapy (TF-CBT ) 16 for OVC compared with treatment as usual (TAU) provided by lay counselors without previous mental health care training. We have conducted studies in Zambia to understand local mental and behavioral health problems, validate mental and behavioral assessment instruments, and examine the cross-cultural feasibility of evidence-based treatment. However, little evidence exists about what types of programs enhance the well-being of OVC. 3 - 5 Given the association of childhood trauma with skill deficits and unhealthy decision making, 6 - 8 as well as with long-term negative health outcomes, 9 early and effective mental health intervention is critical to the care of OVC. 1, 2 Orphans and vulnerable children (OVC) (groups of children that experience negative outcomes, such as the loss of their education, morbidity, and malnutrition, at higher rates than do their peers) experience multiple traumatic experiences, including abuse and exploitation, premature parental death, human immunodeficiency virus (HIV) infection and stigma, poor health care, poverty, reduced social support, and abbreviated childhood and education. There are 15.1 million youth orphaned by AIDS in sub-Saharan Africa, with numbers predicted to increase.

#Trauma focused cbt registration#

Trial Registration Identifier: NCT01624298 Lay counselors participated in supervision and assessed whether the intervention was provided with fidelity in all 5 community settings.Ĭonclusions and Relevance The TF-CBT adapted for Zambia substantially decreased trauma and stress-related symptoms and produced a smaller improvement in functional impairment among OVC having experienced high levels of trauma.

The effect size (Cohen d) was 2.39 for trauma symptoms and 0.34 for functioning. The difference in change between groups was statistically significant for both outcomes ( P < .001). The mean item change for functioning was −0.76 (95% CI, −0.98 to −0.54), a reduction of 89.4%, and −0.54 (95% CI, −0.80 to −0.29), a reduction of 68.3%, for the TF-CBT and TAU groups, respectively. Results At follow-up, the mean item change in trauma symptom score was −1.54 (95% CI, −1.81 to −1.27), a reduction of 81.9%, for the TF-CBT group and −0.37 (95% CI, −0.57 to −0.17), a reduction of 21.1%, for the TAU group. Outcomes were measured at baseline and within 1 month after treatment completion or after a waiting period of approximately 4.5 months after baseline for TAU. Main Outcomes and Measures The primary outcome was mean item change in trauma and stress-related symptoms using a locally validated version of the UCLA Posttraumatic Stress Disorder Reaction Index (range, 0-4) and functional impairment using a locally developed measure (range, 0-4). The TAU group (n = 126) received usual community services offered to OVC. Interventions The intervention group received 10 to 16 sessions of TF-CBT (n = 131). Children were aged 5 through 18 years and had experienced at least one traumatic event and reported significant trauma-related symptoms. Objective To evaluate the effectiveness of lay counselor–provided trauma-focused cognitive behavioral therapy (TF-CBT) to address trauma and stress-related symptoms among OVC in Lusaka, Zambia.ĭesign, Setting, and Participants This randomized clinical trial compared TF-CBT and treatment as usual (TAU) (varying by site) for children recruited from August 1, 2012, through July 31, 2013, and treated until December 31, 2013, for trauma-related symptoms from 5 community sites within Lusaka, Zambia. Despite this, no randomized clinical trials have studied evidence-based treatments for OVC in low-resource settings. Importance Orphans and vulnerable children (OVC) are at high risk for experiencing trauma and related psychosocial problems. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.

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