Pediatric medical traumatic stress Medical trauma in children
Conditions
Interventions
Children with signs of PMTS
such as excessive fear for a medical procedure, who are referred to the Nurse Practitioner (NP) in OLVG will be approached for consideration of participating in the study during their appointment or b
 
Participants in the study will participate in one interview with the coordinating investigator (approx. 60 minutes) on their prior experiences in health care. Interviews can be held in the hospital or
Firstly the parent will be interviewed separate from the child. The purpose thereof is to make sure the child will tell his/her own story and is not influenced by the parents’ interview. Secondly the
To help children express their thoughts and experiences, we use a method from contextual therapy that incorporates Playmobil®. This approach is based on the Marleen Diekmann method. It offers children
Sponsors
OLVG
Eligibility
Age
2 Years to 64 Years
Inclusion criteria
Inclusion criteria: Children aged 6–18 years, accompanied by a parent or legal guardian.Eligible participants are those exhibiting symptoms consistent with PMTS, such as behavioral changes, anxiety, avoidance of healthcare, re-experiencing symptoms, or heightened stress in medical settings, and for whom undergoing medical procedures is not feasible without the occurrence of these complaints.Children have a vivid memory of the event, because the interview questions will focus on the moment the event took place. Also the parent interviewed, is the parent who was at the traumatic event.
Exclusion criteria
Exclusion criteria: Children and parents or legal guardians of children with PMTS, who do not have sufficient proficiency in the Dutch language at a B1 level (required for meaningful participation in in-depth interviews).Children not remembering the traumatic event.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For this qualitative study, in-dept interviews will be held according the CMO topic list. From there, narratives and topic’s will be formed to answer the research question. Context (C)Codes focus on the setting of the event: location, people involved, timing, previous experiences, expectations.Mechanism (M)Codes focus on the internal processes that explain the behavior: emotional responses, interpretations, neurobiological responses, coping.Outcome (O)Codes focus on the consequences: behavioral change, avoidance of care, emotional impact, meaning-making, recovery. | — |
Secondary
| Measure | Time frame |
|---|---|
| VariabableDataOutcomeSourceSex childInterview question0 = male1 = female999 = missingInterviewSex parentInterview question0 = male1 = female999 = missingInterviewAge childInterview question6 – 18999 = missingInterviewAge parentInterview question6-99999 = missingInterviewAge child during traumatic medical experienceInterview question0-18999 = missingInterviewProcedure of traumatic medical experienceInterview questionOpen textInterviewTheme’s from interviewsInterview questionTheme’s with citationsInterview | — |
Countries
Netherlands
Contacts
Public ContactS Berg
OLVG
Outcome results
None listed