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• W4384566612 abstract "<h3>Objectives</h3> Adverse childhood experiences (ACEs) are recognised as ‘highly stressful, and potentially traumatic, events or situations that occur during childhood and/or adolescence’.¹ ACEs are associated with a range of significantly poorer outcomes for those children affected.² The primary objective of this study was to identify high-quality randomised control trials (RCTs) that provided evidence on interventions to improve outcomes for children with previous ACE exposure. This study looked to identify RCTs that assessed interventions (acting as secondary prevention) to improve these poor outcomes. <h3>Methods</h3> A detailed literature search was conducted on 02/10/2022 with a priori selection criteria specified. Three databases were used to identify RCTs investigating an intervention’s impact on the outcomes of children with previous ACE exposure: PubMed (n=84), Scopus (n=81) and Web of Science (n=107). Studies were excluded upon review of the abstract based on the predetermined criteria. After the exclusion and removal of duplicates, eight studies remained. One additional study was included upon reviewing grey literature. These nine studies then underwent evaluation of validity to ensure meaningful conclusions could be drawn and also to assess the generalisability of results. <h3>Results</h3> The nine identified RCTs (shown in table 1) can be grouped based on the type of intervention: Group A (n=3) were activity-based interventions, Group B (n=1) were interventions aimed at the caregiver/family and Group C (n=5) were interventions providing education/helpful tools to the child. The majority of RCTs demonstrated statistically significant improvements in outcomes, indicating interventions are worthwhile for children who have experienced ACEs. Notably, none of the RCTs were conducted in the UK, indicating further research is needed. <h3>Conclusions</h3> These RCTs provide robust evidence of the benefit interventions can have on outcomes for children who have experienced ACEs. Group C RCTs had the greatest number of studies. The RCTs demonstrated many important and significant results. However, additional RCTs are needed including larger sample sizes, based in the UK also, and combining the different groups of interventions used together. Further studies are needed to evaluate diversity and socio-economic considerations to ensure intervention suitability for all cohorts within society. The high prevalence of ACEs in the UK and documented associated poor outcomes for those affected underlines the importance of this study.^{3 4} Identifying effective interventions would see significant beneficial impacts by reducing the social and medical burdens that arise from ACEs. <h3>References</h3> Young Minds. Addressing childhood adversity and trauma [Internet]. [cited 27 March 2022]. Available from: https://www.youngminds.org.uk/media/ojpon1ut/addressing-adversity-infographic-poster.pdf Felitti, <i>et al. American Journal of Preventive Medicine</i> 1998. Hughes, <i>et al. BMC Public Health</i> 2016. Bellis, <i>et al. BMC Medicine</i> 2014. Purohit, <i>et al. Journal of Traditional and Complementary Medicine</i> 2017. Ray, <i>et al. Journal of Counselling and Development</i> 2021. Pereira, <i>et al. Revista de Psicologia Clinica con Ninos y Adolescentes</i> 2020. Lanier, <i>et al. Journal of Developmental and Behavioral Pediatrics</i> 2018. Chesmore, <i>et al. American Journal of Community Psychology</i> 2017. Mishra, <i>et al. Translational Psychiatry</i> 2020. Sanders, <i>et al. School Psychology</i> 2020. Cohen, <i>et al. BMC Complementary Medicine and Therapies</i> 2021. Carrion, <i>et al. Journal of Traumatic Stress</i> 2013." @default.
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• W4384566612 date "2023-06-19" @default.
• W4384566612 modified "2023-10-16" @default.
• W4384566612 title "537 What interventions can be used to improve outcomes for children and young people who have experienced adverse childhood experiences?" @default.
• W4384566612 doi "https://doi.org/10.1136/archdischild-2023-rcpch.100" @default.
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