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Background <p>Children and adolescents exposed to traumatic events (TEs) are at risk of developing post-traumatic stress disorder (PTSD), with long-term emotional, cognitive, and social consequences. Early interventions within the first months post-trauma are essential, yet structured, evidence-based approaches remain limited. The Child and Family Traumatic Stress Intervention (CFTSI) is a brief, family-centered approach that enhances parental support and reduces post-traumatic symptoms. While effective in the U.S., its implementation in European settings, particularly via telehealth, remains unexplored.</p> Objective <p>This study evaluates the effectiveness of telehealth-delivered CFTSI in reducing post-traumatic symptoms in children aged 7–17 after recent TEs, compared to non-specific psychological support. Secondary objectives include assessing symptom persistence at three months, parental PTSD symptoms, and predictors of treatment response.</p> Methods <p>This study is a multicenter, evaluator-blinded RCT comparing CFTSI to supportive counseling. Eligible children (aged 7–17) must have experienced a TE within the past 45 days and exhibit at least one posttraumatic stress symptom. Exclusion criteria include severe cognitive impairment, ongoing abuse, or acute psychiatric emergencies.The CFTSI group will receive 5–8 structured, family-focused telehealth sessions targeting parent-child communication and coping. The control group will receive supportive counseling. The primary outcome is post-traumatic symptom reduction, assessed using the Child Posttraumatic Stress Checklist 3 months after completion of the program. Secondary outcomes include three-month symptom persistence, parental PTSD symptoms, and predictors of response. Analyses will use ANCOVA and regression models adjusted for baseline characteristics.</p> Discussion <p>This is the first RCT in France evaluating telehealth-delivered CFTSI. Conducted across four sites, findings will inform trauma care integration at regional and national levels. By improving accessibility and supporting trauma-exposed families, this study aims to enhance clinical training and advance evidence-based early interventions.</p> Trial registration <p>Clinicaltrials.gov. Number NCT07031817. Registered on the 2nd of October, 2025.</p>

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Evaluating the effectiveness of telehealth-delivered Child and Family Traumatic Stress Intervention (CFTSI) for children and adolescents following recent trauma: a multi-site randomized controlled trial in France

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月12日

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  • Erica Fongaro,
  • Diane Purper-Ouakil,
  • Marie-Christine Picot,
  • Carrie Epstein,
  • Hala Kerbage

摘要

Background

Children and adolescents exposed to traumatic events (TEs) are at risk of developing post-traumatic stress disorder (PTSD), with long-term emotional, cognitive, and social consequences. Early interventions within the first months post-trauma are essential, yet structured, evidence-based approaches remain limited. The Child and Family Traumatic Stress Intervention (CFTSI) is a brief, family-centered approach that enhances parental support and reduces post-traumatic symptoms. While effective in the U.S., its implementation in European settings, particularly via telehealth, remains unexplored.

Objective

This study evaluates the effectiveness of telehealth-delivered CFTSI in reducing post-traumatic symptoms in children aged 7–17 after recent TEs, compared to non-specific psychological support. Secondary objectives include assessing symptom persistence at three months, parental PTSD symptoms, and predictors of treatment response.

Methods

This study is a multicenter, evaluator-blinded RCT comparing CFTSI to supportive counseling. Eligible children (aged 7–17) must have experienced a TE within the past 45 days and exhibit at least one posttraumatic stress symptom. Exclusion criteria include severe cognitive impairment, ongoing abuse, or acute psychiatric emergencies.The CFTSI group will receive 5–8 structured, family-focused telehealth sessions targeting parent-child communication and coping. The control group will receive supportive counseling. The primary outcome is post-traumatic symptom reduction, assessed using the Child Posttraumatic Stress Checklist 3 months after completion of the program. Secondary outcomes include three-month symptom persistence, parental PTSD symptoms, and predictors of response. Analyses will use ANCOVA and regression models adjusted for baseline characteristics.

Discussion

This is the first RCT in France evaluating telehealth-delivered CFTSI. Conducted across four sites, findings will inform trauma care integration at regional and national levels. By improving accessibility and supporting trauma-exposed families, this study aims to enhance clinical training and advance evidence-based early interventions.

Trial registration

Clinicaltrials.gov. Number NCT07031817. Registered on the 2nd of October, 2025.