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Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review
Anna B Flynn1, Kate E Fothergill2, Holly C Wilcox3
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Insights
Interventions for child traumatic stress in primary care are feasible and show positive results. These approaches can improve clinical practices and family well-being.
Area of Science:
- Pediatric primary care
- Child traumatic stress
- Evidence-based interventions
Background:
- Child traumatic stress is a significant public health concern.
- Primary care settings offer a unique opportunity for early intervention.
- Evidence for effective interventions in this setting is crucial.
Purpose of the Study:
- To systematically review evidence on prevention and treatment of child traumatic stress.
- Focus on interventions implemented within primary care settings.
- Assess the feasibility and impact of these interventions.
Main Methods:
- Conducted a systematic search across multiple databases (PubMed, Embase, PsycINFO, etc.).
- Included intervention studies in primary care addressing child traumatic stress.
- Two reviewers assessed study eligibility and risk of bias.
Main Results:
- Identified 10 studies describing 12 articles meeting inclusion criteria.
- Interventions included screening, clinician training, and resource provision.
- Nine out of 10 studies reported favorable outcomes.
Conclusions:
- Interventions for child traumatic stress in pediatric primary care are feasible.
- These interventions can positively impact clinical practices and family outcomes.
- Further research with longer follow-up periods is warranted.
Objectives:
To systematically assess the evidence base for prevention and treatment of child traumatic stress in primary care settings.
Data Sources:
PubMed, Embase, PsycINFO, Scopus, Academic Search Complete, CINAHL, Web of Science, Cochrane Library, the National Registry of Evidence-based Programs and Practices, the National Child Traumatic Stress Network website, Google search.
Study Eligibility Criteria, Participants, And Interventions:
Studies were eligible for inclusion if they described the results of intervention studies in a primary care setting addressing child traumatic stress. Study participants could include primary care providers, pediatric patients, and their parents or other caregivers.
Study Appraisal And Synthesis Methods:
Each study was assessed for inclusion, and each included study was assessed for risk of bias by 2 reviewers.
Results:
We found 12 articles describing 10 different studies that met the inclusion criteria. The intervention approaches taken in the studies were diverse and included the implementation of screening programs or tools, training clinicians to recognize and discuss psychosocial issues with patients and their families, and providing primary care professionals with community resource lists. Nine out of 10 studies included in the review reported favorable results.
Limitations:
Studies included in the review had relatively short follow-up periods, and the diversity of studies identified precluded the possibility of conducting a meta-analysis.
Conclusions And Implications Of Key Findings:
Findings suggest that interventions in pediatric primary care settings are feasible and can favorably affect clinical practices and families' outcomes.
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