Online narrative exposure therapy for parents of children with neurodevelopmental disabilities suffering from posttraumatic stress symptoms : study protocol of a randomized controlled trial

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2021
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Chisholm, Michelle
Xiong, Ting
Thomson, Donna
McGrath, Patrick J.
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Terapia de exposición narrativa en línea para padres de niños con discapacidades del neurodesarrollo que padecen de síntomas de estrés postraumático : Protocolo de estudio de un ensayo clínico aleatorizado
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European Journal of Psychotraumatology. Taylor & Francis. 2021, 12(1), 1991650. ISSN 2000-8198. eISSN 2000-8066. Available under: doi: 10.1080/20008198.2021.1991650
Zusammenfassung

Background
Parents of children with intellectual and neurodevelopmental disorders (IDD) often experience traumatic events in the care of their children. This leads to comparatively high numbers of mental health problems such as posttraumatic stress disorder (PTSD) in those parents. Intervention approaches for parents of children with IDD are scarce and many parents remain without support.

Objective
This study aims to test the feasibility and efficacy of online Narrative Exposure Therapy (eNET) with parents of children with IDD.

Methods
The study follows a randomized waitlist-control design. eNET is an exposure-based PTSD intervention and includes 8–12 90-minute sessions. All sessions will be conducted via video calls with trained paraprofessionals. We aim to include 50 parents, approximately 25 in the immediate intervention group and 25 in the waitlist group. Waitlist participants will receive the same intervention after a three-month wait period. All participants need to either fulfill full or subclinical PTSD symptoms according to DSM-5. Feasibility and efficacy of the intervention will be measured with pre, post, and 2 and 6 months follow-up surveys focusing on PTSD symptoms. Secondary outcomes include other health-related outcomes such as physical symptoms, depression symptoms, anxiety symptoms and functionality.

Conclusions
The proposed study allows us to test the feasibility and efficacy of eNET in a sample of parents of children with IDD. There are so far no published studies on the evidence of eNET; this study is one of the first randomized controlled trials investigating the feasibility and efficacy of eNET and therefore will have implications on further research and practice.

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ISO 690KALTENBACH, Elisa, Michelle CHISHOLM, Ting XIONG, Donna THOMSON, Anselm CROMBACH, Patrick J. MCGRATH, 2021. Online narrative exposure therapy for parents of children with neurodevelopmental disabilities suffering from posttraumatic stress symptoms : study protocol of a randomized controlled trial. In: European Journal of Psychotraumatology. Taylor & Francis. 2021, 12(1), 1991650. ISSN 2000-8198. eISSN 2000-8066. Available under: doi: 10.1080/20008198.2021.1991650
BibTex
@article{Kaltenbach2021Onlin-55829,
  year={2021},
  doi={10.1080/20008198.2021.1991650},
  title={Online narrative exposure therapy for parents of children with neurodevelopmental disabilities suffering from posttraumatic stress symptoms : study protocol of a randomized controlled trial},
  number={1},
  volume={12},
  issn={2000-8198},
  journal={European Journal of Psychotraumatology},
  author={Kaltenbach, Elisa and Chisholm, Michelle and Xiong, Ting and Thomson, Donna and Crombach, Anselm and McGrath, Patrick J.},
  note={Article Number: 1991650}
}
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    <dcterms:abstract xml:lang="eng">Background&lt;br /&gt;Parents of children with intellectual and neurodevelopmental disorders (IDD) often experience traumatic events in the care of their children. This leads to comparatively high numbers of mental health problems such as posttraumatic stress disorder (PTSD) in those parents. Intervention approaches for parents of children with IDD are scarce and many parents remain without support.&lt;br /&gt;&lt;br /&gt;Objective&lt;br /&gt;This study aims to test the feasibility and efficacy of online Narrative Exposure Therapy (eNET) with parents of children with IDD.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;The study follows a randomized waitlist-control design. eNET is an exposure-based PTSD intervention and includes 8–12 90-minute sessions. All sessions will be conducted via video calls with trained paraprofessionals. We aim to include 50 parents, approximately 25 in the immediate intervention group and 25 in the waitlist group. Waitlist participants will receive the same intervention after a three-month wait period. All participants need to either fulfill full or subclinical PTSD symptoms according to DSM-5. Feasibility and efficacy of the intervention will be measured with pre, post, and 2 and 6 months follow-up surveys focusing on PTSD symptoms. Secondary outcomes include other health-related outcomes such as physical symptoms, depression symptoms, anxiety symptoms and functionality.&lt;br /&gt;&lt;br /&gt;Conclusions&lt;br /&gt;The proposed study allows us to test the feasibility and efficacy of eNET in a sample of parents of children with IDD. There are so far no published studies on the evidence of eNET; this study is one of the first randomized controlled trials investigating the feasibility and efficacy of eNET and therefore will have implications on further research and practice.</dcterms:abstract>
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