Chinese My Trauma Recovery, A Web-Based Intervention for Traumatized Persons in Two Parallel Samples: Randomized Controlled Trial
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BACKGROUND: Guided self-help interventions for PTSD (post-traumatic stress disorder) are a promising tool for the dissemination of contemporary psychological treatment. OBJECTIVE: This study investigated the efficacy of the Chinese version of the My Trauma Recovery (CMTR) website. METHODS: In an urban context, 90 survivors of different trauma types were recruited via Internet advertisements and allocated to a randomized controlled trial (RCT) with a waiting list control condition. In addition, in a rural context, 93 survivors mainly of the 2008 Sichuan earthquake were recruited in-person for a parallel RCT in which the website intervention was conducted in a counseling center and guided by volunteers. Assessment was completed online on a professional Chinese survey website. The primary outcome measure was the Post-traumatic Diagnostic Scale (PDS); secondary outcome measures were Symptom Checklist 90-Depression (SCL-D), Trauma Coping Self-Efficacy Scale (CSE), Post-traumatic Cognitive Changes (PCC), and Social Functioning Impairment (SFI) questionnaires adopted from the My Trauma Recovery website. RESULTS: For the urban sample, findings indicated a significant group×time interaction in post-traumatic symptom severity (F₁,₈₈=7.65, P=.007). CMTR reduced post-traumatic symptoms significantly with high effect size after one month of treatment (F₁,₄₅=15.13, Cohen's d=0.81, P<.001) and the reduction was sustained over a 3-month follow-up (F₁,₄₅=17.29, Cohen's d=0.87, P<.001). In the rural sample, the group×time interaction was also significant in post-traumatic symptom severity (F₁,₉₁=5.35, P=.02). Post-traumatic symptoms decreased significantly after treatment (F₁,₄₈=43.97, Cohen's d=1.34, P<.001) and during the follow-up period (F₁,₄₈=24.22, Cohen's d=0.99, P<.001). Additional outcome measures (post-traumatic cognitive changes, depression) indicated a range of positive effects, in particular in the urban sample (group×time interactions: F₁,₈₈=5.32-8.37, all Ps<.03), contributing to the positive evidence for self-help interventions. Differences in the effects in the two RCTs are exploratorily explained by sociodemographic, motivational, and setting feature differences between the two samples. CONCLUSIONS: These findings give support for the short-term efficacy of CMTR in the two Chinese populations and contribute to the literature that self-help Web-based programs can be used to provide mental health help for traumatized persons. TRIAL REGISTRATION: Australia New Zealand Clinical Trials Registry (ANZCTR): ACTRN12611000951954; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12611000951954 (Archived by WebCite at http://www.webcitation.org/6G7WyNODk).
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In Wang et al's study, participants in the rural group did not have easy internet access and were supported with web use throughout the process, resulting in positive adherence to the program.
“The participants in their study those who belonged to the rural group did not have easy internet access and were supported with web use throughout the process. This resulted in a positive adherence to the program.”
From Evaluation and Future Challenges in a Self-Guided Web-Based Intervention With and Without Chat Support for Depression and Anxiety Symptoms During the COVID-19 Pandemic: Randomized Controlled Trial (2024) · cites this paper as [95]
Methods (Participants and Procedure) says rural participants lacked home Internet access and received volunteer help using the website. Results (Demographic Statistics and Traumatic Experiences) reports high completion of study measurements in the rural sample, and Discussion (Principal Findings) says face-to-face contact influenced dropout rates. The paper does not establish that web-use support caused adherence to the program; it also notes that participation rewards may have affected whether participants followed instructions. (LLM, conf=0.82)
Experimental — accuracy not yet measuredWang et al found that self-help web-based programs can aid people who have experienced traumatic events.
“For instance, Wang et al [95] found that self-help web-based programs can aid people who have experienced traumatic events.”
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- Authors
- Wang, Z., Wang, J., & Maercker, A.
- Affiliations
- University of Zurich (CH)
- Beijing Normal University (CN)
- Corresponding author
- Wang, Jianping
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2013-09-30
- Volume
- 15
- Issue
- 9
- Pages
- e213
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC3815433
- OpenAlex
- W1979434026
- Cited by
- 84
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 2 · 2022: 5 · 2021: 8 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 9 · 2016: 10 · 2015: 8 · 2014: 1
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Eidgenössische Technische Hochschule Zürich
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- online intervention, guided self-help, post-traumatic stress disorder, trauma recovery, Chinese version, post-traumatic symptoms, depression, social functioning, treatment dissemination
- MeSH terms
- Adolescent, Adult, Aged, China, Diagnosis, Computer-Assisted, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Rural Population, Self Care, Social Support, Stress Disorders, Post-Traumatic, Therapy, Computer-Assisted, Urban Population, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Internet, Young Adult
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