Abstract
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.
Keywords
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Article Info
Publication History
Accepted:
June 29,
2015
Received:
October 31,
2014
Footnotes
The authors declare that they have no conflict of interest. This article was prepared while KF was employed at Johns Hopkins Bloomberg School of Public Health. The opinions expressed in this article are the authors' own and do not reflect the view of the National Institutes of Health, the Department of Health and Human Services, or the United States government.
Identification
Copyright
© 2015 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
