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Table 1 Studies on the effectivity of (KID)NET with refugee children

From: Trauma-focused treatments for refugee children: study protocol for a randomized controlled trial of the effectiveness of KIDNET versus EMDR therapy versus a waitlist control group (KIEM)

Study

Studied population

N

Study design

Treatment

Number and duration of sessions

Instrument PTSD

Measure points

Results

Catani et al. (2009) [17]

Internally displaced children aged 8–14 in Sri Lanka

31

RCT

KIDNET vs MED-RELAX

6 sessions of 60–90 min

UPID

Pretreatment and 1-month and 6-month follow-up

Significant reduction of PTSD symptoms in both conditions, no significant differences between conditions were found. Effect sizes (Cohen’s d) for the KIDNET group were 1.76 at post-test and 1.96 at 6 months follow-up.

Ertl et al. (2011) [18]

Former child soldiers aged 12–25 in Uganda

85

RCT

(KID)NET vs academic catch-up program vs waitlist

8 sessions of 90–120 min

CAPS, revised version for DSM-IV

Pretreatment and 3-month, 6-month, and 12-month follow-up

Significant reduction of PTSD symptoms, superiority of (KID)NET (Cohen’s d = 1.80).

Onyut et al. (2005) [19]

Refugee children aged 13–17 from Somali in Uganda

6

Pre-post study

KIDNET

4–6 sessions of 1–2 h

CIDI (PDS + HSCL for screening)

Pre-treatment, 4 weeks and 9-month follow-up

After 9 months, four of the six participants no longer met the criteria for PTSD.

Peltonen et al. (2019) [20]

Refugee children and children with experiences of family violence aged 9–17 living in Finland

50

RCT

KIDNET vs TAU

7–10 sessions of 90 min

CRIES-13

pre-, mid-, and posttreatment and 3-month follow-up

No evidence was found for superior effects of NET versus TAU on reduction in PTSD symptoms. There was a decrease in PTSD symptoms regardless of treatment condition; however, this decrease was significant in the NET group only. The effect sizes (Cohen’s d) were large in NET (0.83), but small in TAU (0.37)

Ruf et al. (2010) [21]

Refugee children aged 7–16 in Germany

26

RCT

KIDNET vs waitlist

7–8 sessions of 90–120 min

UPID

Pretreatment, 4-weeks, 6-month, and 12-month follow-up

The KIDNET-group (ES=1.9), but not the waitlist (ES=0.3), showed clinically relevant and significant reduction in PTSD symptoms.

Said et al. (2020) [22]

UCM aged 16–17 from Sudan, Vietnam, and Albania in the UK

4

Pre-post study

KIDNET

9–20 sessions

CRIES-8 + CPSS-5

pre-, start-, mid-, and posttreatment

PTSD symptoms were below the clinical range after treatment. All three participants who completed KIDNET met the criteria for reliable improvement.

Schauer et al. (2004) [23]

Refugee child aged 13 from Somalia in Uganda

1

Case study

KID-NET

4 sessions of 60–90 min

PDS

Pretreatment and at 6-month follow-up

The post-test showed that the symptoms decreased to a degree below the diagnostic threshold for PTSD.

  1. Note: UPID UCLA PTSD index for DSM-IV, CIDI Composite International Diagnostic Interview, PDS The Posttraumatic Diagnostic Scale, HSCL the Hopkins Symptom Checklist-25, CRIES Child Revised Impact of Events Scale, CPSS-5 Child PTSD Symptom Scale