292 Participants Needed

Trauma-Focused Cognitive Behavioral Therapy for Psychological Trauma

CD
IM
JC
Overseen ByJessica Coifman
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of Washington
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in schools to determine its effectiveness for students who have experienced traumatic events, such as exposure to violence, and exhibit stress symptoms. The study also explores methods to facilitate the implementation and sustainability of this therapy in schools. Participants include students aged 8 to 19 with significant post-traumatic stress symptoms and trauma exposure. As an unphased trial, it provides students with access to potentially beneficial therapy while contributing to research that could enhance mental health support in schools.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a well-accepted treatment for children and teens who have experienced trauma. Studies have found that TF-CBT significantly reduces trauma-related symptoms, such as post-traumatic stress, depression, and anxiety. In one study, children who received TF-CBT experienced an 81.9% decrease in their trauma symptoms, a much greater improvement compared to other treatments.

Overall, TF-CBT is considered a safe and effective option for young people dealing with trauma. These studies report no major negative effects, suggesting it is a safe choice for those considering joining a trial.12345

Why are researchers excited about this trial?

Researchers are excited about Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for addressing psychological trauma because it offers a structured approach that specifically targets trauma-related symptoms. Unlike standard treatments like medication or general talk therapy, TF-CBT combines trauma-sensitive techniques with cognitive-behavioral strategies to help patients process and reframe traumatic memories. This method not only helps in reducing trauma symptoms but also equips individuals, especially young people, with skills to manage stress and emotions more effectively. Additionally, the BASIS with TF-CBT arm explores how beliefs and attitudes can aid successful implementation in schools, potentially broadening access and impact. Overall, researchers are hopeful that these approaches could provide more effective and accessible care for those dealing with trauma.

What evidence suggests that this trial's treatments could be effective for psychological trauma?

Research has shown that Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), which participants in this trial may receive, effectively helps young people with psychological trauma. Studies have found that TF-CBT significantly reduces trauma symptoms. One study reported an 81.9% drop in trauma scores among participants, a much greater improvement than in groups not receiving TF-CBT. The therapy is manageable for participants and can be successfully delivered in various settings, such as schools. Additionally, many participants continue to experience benefits long after the therapy ends, making TF-CBT a strong choice for addressing trauma-related issues.14678

Who Is on the Research Team?

AL

Aaron Lyon, PhD

Principal Investigator

University of Washington

Are You a Good Fit for This Trial?

This trial is for school-based clinicians without prior TF-CBT training and students in grades 3-12 who have experienced trauma, like exposure to violence, and show significant stress symptoms. Clinicians already supporting another trauma-focused intervention or students outside the specified grade range cannot participate.

Inclusion Criteria

You are not currently receiving help for another type of therapy to treat trauma.
You have severe symptoms related to a traumatic event that may affect your ability to participate in the study.
I have never been formally trained in TF-CBT.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in schools to test its effectiveness and impact

6 months

Implementation Strategy

Implementation of the Beliefs and Attitudes for Successful Implementation in Schools (BASIS) strategy to increase adoption and sustainment of TF-CBT

18 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Attention Control
  • Beliefs and Attitudes for Successful Implementation in Schools (BASIS)
  • Trauma-Focused Cognitive-Behavioral Therapy
  • Treatment as Usual
Trial Overview The study tests Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) effectiveness in schools and evaluates a strategy called BASIS aimed at helping clinicians adopt and stick with evidence-based treatments. It involves 120 clinicians, 480 students, and looks into cost-effectiveness as well as long-term success.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Enhanced Treatment as UsualExperimental Treatment1 Intervention
Group II: BASIS with TF-CBTExperimental Treatment2 Interventions
Group III: Attention Control (AC) with TF-CBTExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials
1,858
Recruited
2,023,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

University of Minnesota

Collaborator

Trials
1,459
Recruited
1,623,000+

Published Research Related to This Trial

A mobile phone-delivered serious game designed to enhance trauma-focused cognitive behavioral therapy (TF-CBT) for PTSD was found to be acceptable to both patients and clinicians, indicating potential for improved treatment engagement.
Both service users and clinicians suggested that the game should be therapist-guided and acknowledged that it may not be suitable for all patients, emphasizing the need for careful prescription by clinicians.
Acceptability of a Plasticity-Focused Serious Game Intervention for Posttraumatic Stress Disorder: User Requirements Analysis.Jones, M., Denisova, A., Mitchell, S., et al.[2020]
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a highly effective treatment for reducing posttraumatic stress symptoms in children, supported by high-level evidence from ten randomized controlled trials (RCTs).
While TF-CBT shows promise in addressing trauma-related symptoms, its effectiveness in reducing behavioral problems and depression symptoms remains less certain, highlighting the need for further research to optimize its application across diverse populations.
Trauma-focused cognitive-behavioral therapy for children and adolescents: assessing the evidence.de Arellano, MA., Lyman, DR., Jobe-Shields, L., et al.[2022]
Trauma-focused cognitive behavioral therapy (Tf-CBT) is an effective treatment for children and adolescents aged 3-17 with posttraumatic stress disorder (PTSD), supported by 13 randomized controlled trials and recognized as a first-line treatment in international guidelines.
Tf-CBT includes eight key components that help children process trauma and develop coping skills, making it a comprehensive approach that involves both the child and a supportive caregiver in the therapeutic process.
[Trauma-focused Cognitive-behavioral Therapy with children and adolescents: Practice, evidence base, and future directions].Sachser, C., Rassenhofer, M., Goldbeck, L.[2018]

Citations

Trauma-Focused Cognitive Behavioral Therapy: Assessing ...Effectiveness of the service. TF-CBT has been associated with improved outcomes over time and in comparison with control groups, although findings are somewhat ...
Effectiveness in routine care: trauma-focused treatment for ...Conclusions: Tf-CBT is well-tolerated and it can be effectively delivered in routine clinical care. Its large treatment effects underline the ...
The efficacy and acceptability of group trauma-focused ...Group trauma-focused CBT significantly alleviates post-traumatic stress disorder symptoms in youth, demonstrating efficacy post-treatment and during follow-up.
Effectiveness of Trauma-Focused Cognitive Behavioral ...Results: Trauma symptom score decreased by 81.9% among those who received TF-CBT, a statistically significantly greater reduction than the 21.1% reduction in ...
Efficacy of cognitive behavioral therapies with a trauma focus ...This individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for ...
Trauma-Focused Cognitive Behavioral TherapyTrauma-focused Cognitive Behavioral Therapy (TF-CBT) was specifically developed to help children and adolescents after a traumatic experience.
A systematic review and meta-analysis of trauma-focused ...TF-CBT is an effective treatment for pediatric PTSS as well as for depressive, anxiety, and grief symptoms. It is superior to control conditions.
A Pilot Study of Trauma-Focused Cognitive–Behavioral ...The present study is proof-of-concept pilot of trauma-focused cognitive– behavioral therapy (TF-CBT) delivered to underserved trauma-exposed youth (N = 15) via ...
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