Dealing with Sporting Dental Trauma in Paediatric Patients

Ashley, Paul

doi:10.1002/9781119332619.ch3

Sports Dentistry 2018

DOI: 10.1002/9781119332619.ch3

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Dealing with Sporting Dental Trauma in Paediatric Patients

Paul Ashley¹

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2023

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“…The Screening and Tool for Awareness and Relief of Trauma (START) is a targeted behavioral mental health intervention developed for patients who come from communities of color with sustained and persistent trauma. It was developed with input from focus groups, surveys, and in-depth interviews with victims of violence and, in particular, boys and young men of color and includes an intervention consisting of educational and practical tools to assist those who have symptoms but may not meet full PTSD criteria 11 . There is also a screening component of the intervention that consists of six screening questions adapted from the validated Primary Care PTSD Screen 12 …”

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confidence: 99%

A pilot clinical trial of the Screening and Tool for Awareness and Relief of Trauma for survivors of gun violence

O'Neill,

Schenck,

Vega

et al. 2023

J Trauma Acute Care Surg

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Background Survivors of gun violence have significant sequelae including re-injury with a firearm and mental health disorders that often go undiagnosed and untreated. The Screening and Tool for Awareness and Relief of Trauma (START) is a targeted behavioral mental health intervention developed for patients that come from communities of color with sustained and persistent trauma. Methods In this pilot study, we evaluate the feasibility of completing a randomized controlled trial to test the START intervention. Using a mixed methods study design, we used both quantitative and qualitative data collection to assess the START intervention as well as the feasibility of completing a randomized controlled trial. The purpose of this study was to estimate important study parameters that would enable a future randomized controlled trial. Results We were able to make conclusions about several crucial domains of a behavioral intervention trial. (1) Recruitment and retention: We had a high follow up rate, but our recruitment was low (34% of eligible participants). (2) Acceptability of the intervention: The addition of audiovisual resources would make the tools more accessible. (3) Feasibility of the control: More appropriate for a stepped wedge cluster randomized controlled trial design. (4) Intervention fidelity: There was an 81% concordance rate between the fidelity survey results and the audio recordings. (5) Approximate effect size: There was a 0.4-point decrease in the PCL-C in the control compared with a 10.7-point decrease in the treatment group for the first month. Conclusions While it was feasible to conduct a randomized controlled trial, our findings suggest that a stepped wedge cluster randomized controlled trial design may be the most successful trial design for the START intervention. In addition, the inclusion of a “credible messenger” to recruit participants into the study, and the development of audiovisual resources for START would improve recruitment and effectiveness. Level of Evidence Level II Study Type: Original research

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confidence: 99%

A pilot clinical trial of the Screening and Tool for Awareness and Relief of Trauma for survivors of gun violence

O'Neill,

Schenck,

Vega

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

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Dealing with Sporting Dental Trauma in Paediatric Patients

Cited by 1 publication

References 6 publications

A pilot clinical trial of the Screening and Tool for Awareness and Relief of Trauma for survivors of gun violence

A pilot clinical trial of the Screening and Tool for Awareness and Relief of Trauma for survivors of gun violence

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