Study Results
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Basic Information
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COMPLETED
NA
5 participants
INTERVENTIONAL
2021-04-13
2022-04-11
Brief Summary
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This study aims to investigate whether Narrative Exposure Therapy (NET) delivered via videoconferencing can be effective, feasible, and acceptable for CYP who witnessed domestic violence. NET is a brief, evidence-based intervention for complex trauma which has been adapted for CYP. The study will use a 'single case study series' design and look at whether NET can impact on PTS, psychological distress, and functioning. It will also look at the processes of change within NET and participants' experience of the therapy. Young people aged 12-17 who are experiencing PTS after exposure to domestic violence will be recruited from the waiting lists of Child and Adolescent Mental Health Services in Lincolnshire Partnership NHS Foundation Trust and Nottinghamshire Healthcare NHS Foundation Trust.
Up to six participants will receive six to ten weekly video sessions and the changes in the outcomes will be explored before, during and after NET. Finally, participants will be interviewed about their experiences.
The study is part of a Doctorate in Clinical Psychology programme and funded by Health Education England. Potential benefits include investigating NET with a new group, contributing to the research on complex trauma interventions for CYP, and providing insights on the effectiveness and acceptability of therapies via video.
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Detailed Description
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The primary objective of the study is to evaluate whether video NET can reduce PTS in this group.
The secondary objectives of the study are:
* To determine whether video NET can also impact on general psychological distress and functioning;
* To examine the putative mechanisms of change within NET, i.e. habituation and integration of trauma memories;
* To explore the feasibility and acceptability of video NET.
Conditions
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Study Design
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NA
SINGLE_GROUP
SCDs are an idiographic method that allows for the analysis and interpretation of change at the level of the individual, rather the group. As such, SCDs typically aim to measure the change occurring in the individual's behaviour or symptoms by comparing the baseline, the intervention and the follow-up phases in terms of trends and variability (Parsonson \& Baer, 1986). Furthermore, SCDs lend themselves to an in-depth exploration of process and outcome of therapy in applied settings, and, particularly when experimental, allows for drawing causal inferences about effectiveness. This is in line with the objectives of this study, which aims to answer questions about both outcomes and processes of change within NET.
TREATMENT
NONE
Study Groups
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NET intervention
This study will follow a single case design and will involve delivering and evaluating the child-friendly protocol of NET. Therefore, there will only be one arm (NET intervention) and no comparators.
Narrative Exposure Therapy
NET is a trauma-focused psychological treatment for people who experienced multiple traumas (Schaeur et al., 2011).
An adaptation named KIDNET was developed for use with children and young people (Neuner et al., 2008; Schauer et al., 2011, 2017).
Participants will be offered 6-10 weekly sessions of NET lasting approximately 90 minutes each. The sessions will be delivered by a Trainee Clinical Psychologist via videoconferencing, in line with the UK's Government guidelines around reducing face-to-face contacts during the Covid-19 pandemic.
Interventions
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Narrative Exposure Therapy
NET is a trauma-focused psychological treatment for people who experienced multiple traumas (Schaeur et al., 2011).
An adaptation named KIDNET was developed for use with children and young people (Neuner et al., 2008; Schauer et al., 2011, 2017).
Participants will be offered 6-10 weekly sessions of NET lasting approximately 90 minutes each. The sessions will be delivered by a Trainee Clinical Psychologist via videoconferencing, in line with the UK's Government guidelines around reducing face-to-face contacts during the Covid-19 pandemic.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Have witnessed domestic violence in the past;
* Be experiencing clinical levels of post-traumatic stress, as assessed by a member of the CAMHS team;
* Be on the waiting list to receive trauma-focused treatment;
* If 16 or over, be able to consent to take part, as assessed by a member of the CAMHS team;
* If under 16, have at least one person with parental authority who can consent for them. These young people will also be asked to provide their assent;
* Be able to communicate verbally and speak English;
* Have access to a device with a webcam and Internet broadband to enable participation in video sessions;
* Have access to a mobile device, e.g. a smartphone or a tablet. Can be the same as the device above.
Exclusion Criteria
* They have a current high level of risk including of self-harm, suicide or current exposure to domestic violence, as assessed by a member of the CAMHS team;
* They are substance dependent.
12 Years
17 Years
ALL
No
Sponsors
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Nottinghamshire Healthcare NHS Trust
OTHER_GOV
Lincolnshire Partnership NHS Foundation Trust
UNKNOWN
University of Nottingham
OTHER
Responsible Party
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Principal Investigators
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Thomas Schröder, PhD
Role: STUDY_DIRECTOR
University of Nottingham
Sarah Wilde, DClinPsy
Role: STUDY_DIRECTOR
University of Lincoln
Fiammetta Rocca, Trainee Clinical Psychologist, MSc
Role: PRINCIPAL_INVESTIGATOR
University of Nottingham
Nima Moghaddam, PhD, DClinPsy
Role: STUDY_DIRECTOR
University of Lincoln
Locations
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Lincolnshire Partnership Foundation NHS Trust - Child and Adolescent Mental Health Services
Lincoln, Lincolnshire, United Kingdom
Nottinghmashire Healthcare NHS Foundation Trust - Community Child and Adolescent Mental Health Services
Nottingham, Nottinghamshire, United Kingdom
Countries
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References
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Neuner F, Catani C, Ruf M, Schauer E, Schauer M, Elbert T. Narrative exposure therapy for the treatment of traumatized children and adolescents (KidNET): from neurocognitive theory to field intervention. Child Adolesc Psychiatr Clin N Am. 2008 Jul;17(3):641-64, x. doi: 10.1016/j.chc.2008.03.001.
Schauer, M., Neuner, F., & Elbert, T. (2011). Narrative exposure therapy: A short-term treatment for traumatic stress disorders (2nd rev. and expanded ed.). Hogrefe Publishing.
Schauer, M., Neuner, F., & Elbert, T. (2017). Narrative Exposure Therapy for Children and Adolescents (KIDNET). In M. A. Landolt, M. Cloitre, & U. Schnyder (Eds.), Evidence-Based Treatments for Trauma Related Disorders in Children and Adolescents (pp. 227-250). Springer.
Parsonson, B. S., & Baer, D. M. (1986). The graphic analysis of data. In J. S. Bailey & M. R. Burch (Eds.), Research methods in applied behavior analysis (pp. 157-186). Springer.
Perrin, S., Meiser-Stedman, R., & Smith, P. (2005). The Children's Revised Impact of Event Scale (CRIES): Validity as a screening instrument for PTSD. Behavioural and Cognitive Psychotherapy, 33(4), 487-498.
Twigg, E., Barkham, M., Bewick, B. M., Mulhern, B., Connell, J., & Cooper, M. (2009). The Young Person's CORE: Development of a brief outcome measure for young people. Counselling and Psychotherapy Research, 9(3), 160-168.
Twigg E, Cooper M, Evans C, Freire E, Mellor-Clark J, McInnes B, Barkham M. Acceptability, reliability, referential distributions and sensitivity to change in the Young Person's Clinical Outcomes in Routine Evaluation (YP-CORE) outcome measure: replication and refinement. Child Adolesc Ment Health. 2016 May;21(2):115-123. doi: 10.1111/camh.12128. Epub 2015 Nov 3.
Schafer SK, Ihmig FR, Lara H KA, Neurohr F, Kiefer S, Staginnus M, Lass-Hennemann J, Michael T. Effects of heart rate variability biofeedback during exposure to fear-provoking stimuli within spider-fearful individuals: study protocol for a randomized controlled trial. Trials. 2018 Mar 16;19(1):184. doi: 10.1186/s13063-018-2554-2.
Meiser-Stedman R, Smith P, Yule W, Dalgleish T. The Trauma Memory Quality Questionnaire: preliminary development and validation of a measure of trauma memory characteristics for children and adolescents. Memory. 2007 Apr;15(3):271-9. doi: 10.1080/09658210701256498.
Peltonen K, Kangaslampi S. Treating children and adolescents with multiple traumas: a randomized clinical trial of narrative exposure therapy. Eur J Psychotraumatol. 2019 Jan 17;10(1):1558708. doi: 10.1080/20008198.2018.1558708. eCollection 2019.
Isoaho, P., Kangaslampi, S., & Peltonen, K. (2015). Narratiivisen altistusterapian (NET) vaikutus kognitiivisiin prosesseihin ja mielenterveyteen: Tapaustutkimus = The effect of Narrative Exposure Therapy (NET) on cognitive processes and mental health: A case study. Psykologia, 50(5), 355-372. https://proxy.library.lincoln.ac.uk/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2015-52491-003&site=ehost-live
Elliott, R., Slatick, E., & Urman, M. (2001). Qualitative Change Process Research on Psychotherapy: Alternative Strategies. Psychologische Beitrage, 43(3), 69-111.
Rocca F, Schroder T, Golijani-Moghaddam N, Wilde S. Video Narrative Exposure Therapy (NET) with Children and Young People who Witnessed Domestic Violence: A Naturalistic Single Case Study Series. J Child Adolesc Trauma. 2025 Jan 10;18(2):447-465. doi: 10.1007/s40653-024-00681-y. eCollection 2025 Jun.
Other Identifiers
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291108
Identifier Type: OTHER
Identifier Source: secondary_id
21003
Identifier Type: -
Identifier Source: org_study_id
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