Randomized Controlled Trial of a Psychoeducational Video Intervention for Traumatic Injury Survivors

Published in: Journal of Traumatic Stress Disorders & Treatment, 2013

Posted on RAND.org on January 01, 2013

by Eunice C. Wong, Grant N. Marshall, Jeremy N. V. Miles

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OBJECTIVE: This randomized controlled trial evaluated the impact of a psychoeducational video on posttraumatic distress and factors related to the mental health treatment seeking process among trauma care center patients receiving care following hospitalization for a serious physical injury. METHOD: Ninety-nine, predominantly Hispanic American (59%) and male (84%), participants were randomized to view either a psychoeducation intervention or a wound care control video. Participants were assessed at pre-intervention, post-intervention, and at 1-month follow-up on posttraumatic stress reactions, attitudes toward mental health service utilization, and knowledge and self-recognition of posttraumatic stress symptoms. RESULTS: Immediately after viewing the psychoeducational video, participants exhibited greater knowledge of PTSD symptoms and more positive beliefs about mental health treatment than those in the wound care condition. At 1-month follow-up, however, these differences were no longer maintained. Further, no significant differences in PTSD were found between the intervention and control groups. Differences in self-recognition of PTSD nearly reached significance with psychoeducation intervention participants being more likely to recognize their symptoms as mental health problems than control condition participants. CONCLUSION: Brief psychoeducation interventions for traumatic injury survivors may have had immediate modest effects on mental health literacy, beliefs about mental health treatment, and self-recognition of PTSD, but were not maintained at 1-month follow-up. More comprehensive and targeted interventions may be needed to facilitate more potent and long-lasting change.

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