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| Name | Class |
|---|---|
| University of Zurich | OTHER |
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The study aims to investigate how the inclusion of an animal into a trauma-focused group therapy program (TF-CBT) affects therapy motivation of children and adolescents suffering from post-traumatic stress. 80 children and adolescents aged 9 to 17 years are recruited for the study. Participants must have experienced at least one traumatic event leading to post-traumatic stress symptoms. Participants are randomly allocated to one of two groups: animal-assisted trauma-focused therapy (AA TF-CBT) or standard trauma-focused therapy (TF-CBT). Parallel to the groups the parents/guardians of the participating children and adolescents take part in three parent meetings.
The results of the study help to gain insights into how the inclusion of animals in trauma-focused psychotherapy can contribute to children and adolescents attending therapy, being more motivated in therapy, and can successfully complete therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AA TF-CBT | Experimental | Participants receive a 10-week animal-assisted trauma-focused group therapy. |
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| TF-CBT | Active Comparator | Participants receive a 10-week standard trauma-focused group therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Animal-assisted trauma-focused therapy | Behavioral | Animal-assisted trauma-focused therapy (AA TF-CBT) is a specific form of trauma treatment, in which one or more animals are integrated into the therapy. AA TF-CBT follows a structured, standardized therapy manual. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Therapy Motivation of children and adolescents from baseline to four weeks after treatment. | Therapy motivation is assessed using the validated Situational Motivation Scale for Children (SMS-15, Skalski, 2019). The SMS-15 consists of 15 items answered with a 7 point likert scale. The total score equals the ratings of the 15 items on the scale. Higher scores mean a better outcome (increased motivation), lower scores mean a worse outcome (decreased motivation). The questionnaire assesses the motivation from the perception of the child. | before treatment (baseline), after 10 weeks of treatment (post-measurement), four weeks after treatment (follow-up) |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Therapeutic alliance of children and adolescents from baseline to four weeks after treatment. | Therapeutic alliance is assessed using the german adaptation of the "Therapeutic Alliance Scales for Children" (TASC)". The TASC consists of 12 items, answered with a 4 point likert scale. The total score equals the ratings of the 12 items on the scale. Higher scores mean a better outcome (increased alliance), lower scores mean a worse outcome (decreased alliance). The questionnaire assesses the therapeutic alliance from the perception of the child. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karin Hediger, Prof. Dr. | Contact | (+41) 061 207 65 80 | karin.hediger@unibas.ch | |
| Wanda Arnskötter, MSc. | Contact | (+41) 61 207 65 83 | wanda.arnskoetter@unibas.ch |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Basel | Recruiting | Basel | Switzerland |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| Standard trauma-focused therapy | Behavioral | Standard trauma-focused therapy (AA TF-CBT) is a standardized trauma therapy following a structured manual. |
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| before treatment (baseline), after ten weeks of treatment (post-measurement), four weeks after treatment (follow-up) |
| Change of PTSD symptoms of children and adolescents from baseline to four weeks after treatment. | PTSD symptoms are assessed using the validated Child and Adolescent Trauma Screen 2 (CATS 7-17, Version 2.0; Sachser et al., 2022). The questionnaire consists of 20 items, answered on a 4 point likert scale. The total score equals the ratings of the 20 items on the scale. Higher scores mean a worse outcome (increased PTSD symptoms), lower scores mean a better outcome (decreased PTSD symptoms). The questionnaire assesses the PTSD symptoms from the perception of the child as well as from the caregivers perception. | before treatment (baseline), after ten weeks of treatment (post-measurement), four weeks after treatment (follow-up) |
| Change of Self-efficacy of children and adolescents from baseline to four weeks after treatment. | Self-efficacy will be assessed via the validated Questionnaire on Resources in Child-/and Adulthood (FRKJ 8-16, Lohaus, Nussbeck, 2016). The questionnaire consists of 60 items answered on a 4 point likert scale. Higher scores mean a better outcome (increased self-efficacy), lower scores mean a worse outcome (decreased self-efficacy). The questionnaire assesses self-efficacy from the perception of the child. | before treatment (baseline), after ten weeks of treatment (post-measurement), four weeks after treatment (follow-up) |
| Change of Quality of Life of children and adolescents from baseline to four weeks after treatment. | Quality of Life is assessed using the validated Inventory for the Assessment of Quality of Life for Children and Adolescents (ILK, Mattejat & Remschmidt, 2006). The questionnaire consists of 9 items answered on a 5 point likert scale. Lower scores mean a better outcome (increased quality of life), higher scores mean a worse outcome (decreased quality of life). The questionnaire assesses quality of life from the perception of the child. | before treatment (baseline), after ten weeks of treatment (post-measurement), four weeks after treatment (follow-up) |
| Qualitative assessment of participants' perception of the group therapy at follow-up. | Participants perception is assessed at follow-up using a semi-structured interview. | four weeks after treatment at follow-up |
| Psychiatrische Universitätsklinik Zürich | Recruiting | Zurich | Switzerland |
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