Original Investigation

Reducing Stress After Trauma in Physically Injured Children

JAMA Pediatrics 10.1001/jamapediatrics.2026.1143

April 27, 2026 at 11:00 AM EDT

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Is the brief online therapist-assisted health program, Reducing Stress After Trauma (ReSeT), effective in reducing the severity of posttraumatic stress symptoms (PTSS) in children hospitalized for physical injury?In a randomized clinical trial of 93 children experiencing elevated PTSS 1 month after injury based on parent and/or child report, those randomized to ReSeT, an 8-session program informed by trauma-focused cognitive behavioral therapy involving interactive online learning modules and virtual therapist sessions, had significantly fewer PTSS 10 weeks after enrollment than the control group. Effects were maintained at a 6-month follow-up.Findings show that the ReSeT program significantly reduced PTSS after pediatric injury.

Corresponding Author: Linda Ewing-Cobbs, PhD, Children’s Learning Institute and Department of Pediatrics, McGovern Medical School, University of Texas Health Science Center-Houston, 7000 Fannin St, Ste 2430, Houston, TX 77030 (linda.ewing-cobbs@uth.tmc.edu).

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