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RECRUITINGINTERVENTIONAL

Improving Behavioral Health for Caregivers and Children After Pediatric Injury

Improving Quality of Life and Behavioral Health Service Access for Caregivers and Young Children After Pediatric Traumatic Injury

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

Pediatric traumatic injury (PTI) is a public health priority, with more than 125,000 children experiencing injuries that require hospitalization each year. These children, and their caregivers, are affected in many ways that may affect quality of life, emotional and behavioral health, physical recovery, family roles and routines, and academic functioning; yet US trauma centers do not adequately address these outcomes and a scalable national model of care for these families is needed. This proposal builds on prior research from the investigative team to test a technology-assisted, stepped care behavioral health intervention for children (\<12 years) and their caregivers after PTI, CAARE (Caregivers' Aid to Accelerate Recovery after pediatric Emergencies), via a hybrid type I effectiveness-implementation trial with 348 families randomly assigned to CAARE (n=174) vs. guideline-adherent enhanced usual care (EUC) (n=174).

Who May Be Eligible (Plain English)

Who May Qualify: - Caregivers (≥18 years old) of children hospitalized with pediatric injury - Children hospitalized with pediatric injury \<12 years old - Screen positive on the ASC-Kids (aged 8-11 years) or PDI Caregiver measure of acute distress. Who Should NOT Join This Trial: - A caregiver whose primary language is not English - A cognitive challenge (caregiver or child) that would impair ability to consent - Presence of a self-afflicted injury - Presence of injuries resulting from caregiver abuse or neglect (these patients will follow an alternative treatment path). Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Caregivers (≥18 years old) of children hospitalized with pediatric injury * Children hospitalized with pediatric injury \<12 years old * Screen positive on the ASC-Kids (aged 8-11 years) or PDI Caregiver measure of acute distress. Exclusion Criteria: * A caregiver whose primary language is not English * A cognitive challenge (caregiver or child) that would impair ability to consent * Presence of a self-afflicted injury * Presence of injuries resulting from caregiver abuse or neglect (these patients will follow an alternative treatment path).

Treatments Being Tested

BEHAVIORAL

Caregivers' Aid to Accelerate Recovery after pediatric Emergencies (CAARE)

CAARE is a technology-enhanced stepped model of care that is designed to deliver education at the bedside to caregivers of children under age 12 years hospitalized for pediatric injury about mental health recovery after pediatric injury as well as risk assessment and brief intervention for high-risk patients (Step 1), foster symptom self-monitoring and reinforcement of coping skills via mHealth tools (Step 2), screen for caregivers' and children's PTSD and depression 30 days post-injury (Step 3), and provide a referral and warm hand-off to mental health services if needed (Step 4).

Locations (4)

Children's Hospital Los Angeles
Los Angeles, California, United States
Kentucky Children's Hospital
Lexington, Kentucky, United States
C.S. Mott Children's Hospital
Ann Arbor, Michigan, United States
Children's Memorial Hermann Hospital
Houston, Texas, United States