CClinicalTrials.gg
Status unknownNCT05314829Updated Sep 30, 2022

Trauma Treatment in Norwegian Child Advocacy Centers

An observational study in Post Traumatic Stress Disorder, sponsored by Norwegian Center for Violence and Traumatic Stress Studies. Status unknown at 1 site in Norway. Open to participants aged 6 Years to 18 Years. Per ClinicalTrials.gov, last updated 2022-09-30.

Sponsored by Norwegian Center for Violence and Traumatic Stress Studies · Observational

The sponsor has not verified this record recently (last verified Sep 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Ecologic or community
Time perspective
Retrospective
Enrollment
100
Ages
6 Years to 18 Years
Sex
All
01

Study summary

Norwegian child and advocacy centers´ core activities include both forensic services (e.g., forensic interviews) and follow-up services (e.g., treatment), aiming to coordinate the different services involved in each case to prevent additional burdens for youth in already vulnerable situations. However, a recent study indicates that very few receive follow-up after the forensic interview and that the follow-up in most cases includes one-time or occasional support and only in rare cases treatment. In the same study, youth receiving follow-up in the CAC in Oslo revealed significantly higher levels of common mental health problems than a comparable community sample, yet lower than clinical samples, indicating that many youths in CACs may be falling between different services within the health care system, not necessarily receiving the help they need elsewhere.

The current project will investigate four issues related to these knowledge needs;

  1. How do children and parents experience receiving trauma treatment at child advocacy centers?
  2. What predicts treatment effects?
  3. What is the prevalence of symptoms of burnout and secondary traumatic stress among employees working in child advocacy centers, and can training in evidence-based treatment prevent burnout and secondary traumatic stress?
Read the detailed description

Employees in the child advocacy centers (CAC) received training in trauma screening and a sub-sample received training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

To address the knowledge gaps, this project will answer the following research questions, corresponding to four Work Packages (WP):

  1. Youth's and caregiver´s experiences with trauma treatment in CACs: How do youth and caregivers experience receiving trauma treatment in Norwegian CACs, and how are their experiences affected by CACs dual role as both a forensic institution and a treatment institution?
  2. Response, non-response and dropout in trauma treatment in CACs: What predicts treatment outcomes for youth receiving TF-CBT in Norwegian CACs?
  3. Therapists' experiences with trauma treatment in CACs: How do therapists in Norwegian CACs experience job demands and job resources, including burnout and secondary traumatic stress, and how can working with TF-CBT influence this?
  4. Descriptive study of leadership, turnover, and secondary traumatic stress among staff in Norwegian Child Advocacy Centers.

To answer research question 1, qualitative interviews with children and caregivers will be conducted following their participation in TF-CBT.

For research question 2, quantitative data will be collected during the TF-CBT sessions. The child advocacy centers identify eligible TF-CBT clients through systematic trauma screening and establish routines for how TF-CBT is offered and delivered.

Research question 3 is qualitative, with semi-structured interviews with therapists.

Lastly, both questionnaire data and interviews will be used to answer research question 4.

02

Conditions studied

  • Post Traumatic Stress Disorder

Keywords

  • PTSD
  • Child advocacy center
  • Childhood trauma
03

In context

Stress Disorders, Traumatic

1,147 studies on the registry are indexed under Stress Disorders, Traumatic; 108 are open to participants now.

This study's planned enrollment of 100 is below the median of 140 across 177 observational studies indexed under Stress Disorders, Traumatic.

Browse Stress Disorders, Traumatic studies →

Lead sponsor

Norwegian Center for Violence and Traumatic Stress Studies is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 18 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Children and adolescents who receive services at Norwegian child and adolescent advocacy centers. They are screened for posttraumatic reactions to the potential traumatising events that they have experienced, and are offered trauma-focused cognitive behavioral therapy if scoring above the clinical cut-off for PTS:

Inclusion criteria

  • Trauma exposure
  • Post-traumatic stress symptoms above clinical cut-off

Exclusion criteria

Exclusion Criteria:

  • Clinical assessment concludes that the child should receive services in the child and adolescent specialist services
05

Study design

Observational model
Ecologic or community
Time perspective
Retrospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Study group

    Data will be collected from 2 child advocacy centers

    Other: Trauma-focused cognitive behavioral therapy (TF-CBT)

Interventions

  • OtherTrauma-focused cognitive behavioral therapy (TF-CBT)

    TF-CBT is a phase-based evidence-based treatment method for children and adolescents between 6-18 years who experience posttraumatic stress symptoms following trauma exposure. Parents or other close caregivers receive parallel sessions. It is normally provided through 12-16 sessions.

06

What researchers measure

Primary outcomes

  1. The Child and Adolescent Trauma Screen (CATS)

    CATS is a screening instrument for PTSD based on the DSM-5 criterias.Total score range is between 0-60. A higher score indicates more symptoms, with a cut-off ≥ 21 as indication of a clinically relevant level of symptoms.

    Time frame: 2021-2023

Secondary outcomes

  1. Child Post-Traumatic Cognitions Inventory (cPTCI)

    Measures maladaptive cognitions in children and young people following trauma exposure. Total score range is between 0-60. A higher score indicates more symptoms.

    Time frame: 2021-2023

  2. Short Moods and Feelings Questionnaire (SMFQ)

    Measures moods and feelings. Total score range is between 0-26. A higher score indicates more symptoms.

    Time frame: 2021-2023

  3. Duke-UNC Functional Social Support Questionnaire (FSSQ)

    Measures social support. Total score range is between 8-40. The higher the average score, the greater the perceived social support.

    Time frame: 2021-2023

  4. Project specific questionnaire, inspired by the Working Alliance Inventory (WAI)

    Measures trust. Total score range is between 12-48. The higher the average score, the greater the perceived alliance.

    Time frame: 2021-2023

  5. Client Satisfaction Questionnaire (to the caregiver)

    Measures cilients satisfaction with TF-CBT. Total score range is between 0-32.The higher the average score, the greater client satisfaction.

    Time frame: 2021-2023

  6. Child Satisfaction Questionnaire (developed by NKVTS)

    3 items (children) developed by NKVTS, to measure child satisfaction with the treatment. Total score range from 3-12. The higher the average score, the higher child satisfaction.

    Time frame: 2021-2023

07

Study locations

1 of 1 sites recruiting
  • Nowegian Center for Violence and Traumatic Stress Studies
    Oslo, 0655, Norway
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — This is not included in the consent letter to the participants.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 30, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05314829
Lead sponsor
Norwegian Center for Violence and Traumatic Stress Studies
Responsible party
Ane-Marthe Solheim Skar (PhD, project leader, Norwegian Center for Violence and Traumatic Stress Studies) — Principal investigator
First posted
Apr 6, 2022
Start date
Aug 1, 2020
Primary completion
Dec 31, 2023 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
Sep 30, 2022

Study contacts

Ane-Marthe S Skar, PhD
Contact
a.m.s.skar@nkvts.no
+4797661591
Karina M Egeland, PhD
Contact
karina.egeland@nkvts.no
+4790602326
Ane-Marthe Solheim Skar
principal investigator · Norwegian Center for Violence and Traumatic Stress Studies

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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