A simple cognitive task intervention to prevent intrusive memories after trauma in patients in the Emergency Department: A randomized controlled trial terminated due to COVID-19

A simple cognitive task intervention to prevent intrusive memories after trauma in patients in the Emergency Department : A randomized controlled trial terminated due to COVID-19

Marie Kanstrup and Laura Singh co-shared first authorship
ObjectiveThis randomised controlled trial (RCT) aimed to investigate the effects of a simple cognitive task intervention on intrusive memories ("flashbacks") and associated symptoms following a traumatic event. Patients presenting to a Swedish emergency department (ED) soon after a traumatic event were randomly allocated (1:1) to the simple cognitive task intervention (memory cue + mental rotation instructions + computer game "Tetris" for at least 20 min) or control (podcast, similar time). We planned follow-ups at one-week, 1-month, and where possible, 3- and 6-months post-trauma. Anticipated enrolment was N = 148.ResultsThe RCT was terminated prematurely after recruiting N = 16 participants. The COVID-19 pandemic prevented recruitment/testing in the ED because: (i) the study required face-to-face contact between participants, psychology researchers, ED staff, and patients, incurring risk of virus transmission; (ii) the host ED site received COVID-19 patients; and (iii) reduced flow of patients otherwise presenting to the ED in non-pandemic conditions (e.g. after trauma). We report on delivery of study procedures, recruitment, treatment adherence, outcome completion (primary outcome: number of intrusive memories during week 5), attrition, and limitations. The information presented and limitations may enable our group and others to learn from this terminated study.

Singh, LauraUppsala universitet,Institutionen för psykologi,Kollegiet för avancerade studier (SCAS)(Swepub:uu)laukr353 (författare)
Göransson, Katarina,1974-Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden(Swepub:du)kga (författare)
Gamble, BeauUppsala universitet,Institutionen för psykologi(Swepub:uu)beaga687 (författare)
Taylor, Rod S. (författare)
Iyadurai, Lalitha (författare)
Moulds, Michelle L. (författare)
Holmes, Emily A.Uppsala universitet,Institutionen för psykologi,Karolinska Institutet(Swepub:uu)emiho252 (författare)
Karolinska InstitutetInstitutionen för psykologi (creator_code:org_t)

Av författaren/redakt...: Kanstrup, Marie; Singh, Laura; Göransson, Katar ...; Gamble, Beau; Taylor, Rod S.; Iyadurai, Lalith ...; visa fler...; Moulds, Michelle ...; Holmes, Emily A.; visa färre...

Om ämnet

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

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