Prolonged exposure therapy and supportive counselling for posttraumatic stress disorder in adolescents in a community-based sample, including experiences of stakeholders : study protocol for a comparative randomized controlled trial using task-shifting

dc.contributor.authorRossouw, Jacoen_ZA
dc.contributor.authorYadin, Elnaen_ZA
dc.contributor.authorAlexander, Debraen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.date.accessioned2018-09-10T06:37:20Z
dc.date.available2018-09-10T06:37:20Z
dc.date.issued2018-09-06
dc.date.updated2018-09-09T03:21:14Z
dc.descriptionCITATION: Rossouw, J., et al. 2018. Prolonged exposure therapy and supportive counselling for posttraumatic stress disorder in adolescents in a community-based sample, including experiences of stakeholders : study protocol for a comparative randomized controlled trial using task-shifting. BMC Psychiatry, 18:288, doi:10.1186/s12888-018-1873-x.
dc.descriptionThe original publication is available at https://bmcpsychiatry.biomedcentral.com
dc.description.abstractBackground: There is a dearth of empirical evidence on the effectiveness of pharmacological and non-pharmacological treatments for adolescents with posttraumatic stress disorder (PTSD) in developing countries. The primary aim of the study is to examine the effects of prolonged exposure therapy compared with supportive counseling for adolescents with PTSD delivered by nurses trained as counselors. Methods/design: A single-blind randomized clinical trial comprising 90 adolescents with PTSD using a permuted block design will be utilized. Nurses previously naïve to prolonged exposure and supportive counselling will be trained to provide these treatments at the adolescents’ high schools. Data collection will last from March 2014 to December 2017 and annually thereafter, dependent on the availability of funding. Participants will receive seven to fourteen 60 min sessions of prolonged exposure treatment (n = 45) or supportive counselling (n = 45). All assessments will be conducted before treatment, at mid-treatment, immediately after treatment completion, at 3-, 6-, and 12-month follow-up, and annually thereafter. It is hypothesized that PE-A will be superior to SC in reducing PTSD symptoms at post-treatment as measured by the CPSS-I administered by an independent evaluator. It is further hypothesized that PE-A treatment gains will be maintained at 3-, 6- and 12-month follow-ups and annually thereafter. Discussion: While early indications are that PE-A is an effective treatment for PTSD in adolescents, this study will help determine the effectiveness of PE-A in a South African, community setting (school-based) when task-shifted to nurses, as compared to SC.
dc.description.urihttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1873-x
dc.description.versionPublisher's version
dc.format.extent16 pages
dc.identifier.citationRossouw, J., et al. 2018. Prolonged exposure therapy and supportive counselling for posttraumatic stress disorder in adolescents in a community-based sample, including experiences of stakeholders : study protocol for a comparative randomized controlled trial using task-shifting. BMC Psychiatry, 18:288, doi:10.1186/s12888-018-1873-x
dc.identifier.issn1471-244X (online)
dc.identifier.otherdoi:10.1186/s12888-018-1873-x
dc.identifier.urihttp://hdl.handle.net/10019.1/104413
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectPost-traumatic stress disorder
dc.titleProlonged exposure therapy and supportive counselling for posttraumatic stress disorder in adolescents in a community-based sample, including experiences of stakeholders : study protocol for a comparative randomized controlled trial using task-shiftingen_ZA
dc.typeArticleen_ZA
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