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A school based psychosocial intervention was effective in children with persistent post-disaster trauma symptoms
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QUESTION: In children with persistent disaster related trauma symptoms, what is the effectiveness of a school based psychosocial intervention?

Design

Randomised (unclear allocation concealment*), blinded (outcome assessors)*, controlled trial with 1 year of follow up.

Setting

10 public elementary schools in Kauai, Hawaii, USA.

Participants

248 children in grades 2–6 (mean age 8 y, age range 6–12 y, 61% girls) with persistent disaster related trauma symptoms 2 years after experiencing a major hurricane disaster. Follow up was 93%.

Intervention

Children were allocated to 1 of 3 consecutively treated cohorts (n=65, 101, and 82 in each cohort, respectively). Children in the cohorts awaiting treatment served as controls. Within each cohort, children were further allocated …

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