Online training for evidence-based child trauma treatment: evaluation of the German language TF-CBT-Web

Figures & data

Table 1. Modules of the German language TF-CBT Web.

Number	Name of the Module
1	Foundations
2	Diagnostic
3	Psychoeducation
4	Parenting skills
5	Relaxation techniques
6	Affect expression and modulation
7	Cognitive coping strategies
8	Trauma narrative
9	Cognitive processing
10	In vivo exposition
11	Conjoint parent-child sessions
12	Improving future safety and development

Table 2. Characteristics of users of the German language TF-CBT Web.

Characteristics	User n	User in %
Profession
Psychology	2630	65.4
Psychiatry	677	16.8
Social work	560	13.9
Family counselling	68	1.7
Counselling	54	1.3
Nursing staff	30	.7
Highest qualification
Diploma*	1177	29.3
Master’s degree	1065	26.5
Bachelor’s degree	468	11.6
Licence to practice medicine	341	8.5
Abitur/ High school diploma	322	8.0
PhD	308	7.7
Licence to become a professor	11	.3
No degree	6	.1
Other	321	7.9
Work experience
< 5 years	2601	64.7
5–10 years	706	17.6
10–20 years	465	11.6
> 20 years	248	6.2

*Academic degree, comparable to a Master’s degree

Figure 1. Completers per module.

Table 3. Results of logistic regression: user characteristics associated with training completion.

Characteristics	95% CI for Odds Ratio
	b	SE b	p	Lower	Odds Ratio	Upper
Profession (reference category: Psychologists)
(1) Social work	−.51	.14	.00*	.46	.60	.80
(2) Psychiatry	−.07	.15	.63	.69	.93	1.25
(3) Nursing staff	−.50	.14	.00*	.46	.61	.79
(4) Family counselling	−.86	1.10	.44	.05	.42	3.67
(5) Counselling	.06	.09	.00*	1.5	1.82	2.16
Highest qualification (reference category: Diploma & Master’s degree)
(1) PhD & licence to become a professor	−.12	.10	.23	.72	.88	1.08
(2) State examination	.16	.09	.09	.98	1.18	1.42
(3) Licence to practice medicine	−.54	.40	.17	.27	.58	1.27
(4) No degree	−.20	.27	.45	.48	.82	1.39
(5) Other	−.51	.32	.11	.32	.60	1.12
Work experience (reference category: < 5 years)
(1) 5–10 years	−.16	.09	.09	.71	.85	1.02
(2) 10–20 years	−.27	.11	.02*	.61	.76	.95
(3) > 20 years	−.30	.15	.04*	.55	.73	.99
Constant	−.60	.06	.00		.55

Note. R² = 0.03 (Cox & Snell), 0.04 (Nagelkerke), Model χ² (13) = 123.23, *<.05

Table 4. Knowledge gain per module in percent.

Module	Mean	SD
(1) Foundations	29.4	28.2
(2) Diagnostics	7.8	22.9
(3) Psychoeducation	4.4	23.1
(4) Parenting	10.7	27.2
(5) Relaxation	14.6	21.2
(6) Affect expression and modulation	8.8	24.3
(7) Cognitive coping	5.2	20.3
(8) The Trauma Narrative	23.4	28.8
(9) Cognitive processing	12.2	24.3
(10) In vivo mastery	15.4	23.8
(11) Conjoint sessions	11.2	21.5
(12) Improve future safety and development	4.6	25.9

Table 5. Pre-test and post-test outcomes of all users in each of the 12 modules.

Module	pre-test Mean (SD)	post-test Mean (SD)	t	df	p Value	Cohen’s d
(1) Foundations	1.86 (.97)	3.04 (.78)	54.14	2701	< .001	1.04
(2) Diagnostics	2.76 (.83)	3.07 (.82)	16.10	2220	< .001	.34
(3) Psychoeducation	2.90 (.87)	3.08 (.90)	8.69	2108	< .001	.19
(4) Parenting	2.60 (1.06)	3.02 (.91)	17.47	1959	< .001	.39
(5) Relaxation	3.06 (.94)	3.64 (.76)	29.99	1899	< .001	.69
(6) Affect expression and modulation	2.95 (.94)	3.30 (.81)	15.45	1818	< .001	.36
(7) Cognitive coping	3.12 (.88)	3.33 (.73)	10.71	1749	< .001	.26
(8) The Trauma Narrative	2.06 (1.10)	3.00 (1.03)	33.43	1693	< .001	.81
(9) Cognitive processing	2.22 (.96)	2.71 (.75)	20.20	1618	< .001	.50
(10) In vivo mastery	2.22 (.80)	2.84 (.82)	25.59	1555	< .001	.65
(11) Conjoint sessions	3.13 (1.01)	3.57 (.75)	20.54	1564	< .001	.52
(12) Improve future safety and development	2.65 (1.08)	2.83 (.78)	6.49	1360	< .001	.18

Table 6. Pre-test and post-test outcomes of completers in each of the 12 modules.

Module	pre-test Mean (SD)	post-test Mean (SD)	t	df	p Value	Cohen’s d
(1) Foundations	1.84 (.97)	3.01 (.74)	41.82	1393	< .001	1.12
(2) Diagnostics	2.72 (.83)	3.08 (.81)	14.69	1369	< .001	.40
(3) Psychoeducation	2.92 (.86)	3.15 (.79)	10.69	1391	< .001	.29
(4) Parenting	2.60 (1.06)	3.07 (.83)	16.73	1389	< .001	.45
(5) Relaxation	3.10 (.86)	3.71 (.60)	26.80	1388	< .001	.72
(6) Affect expression and modulation	2.94 (.92)	3.31 (.79)	14.60	1388	< .001	.39
(7) Cognitive coping	3.11 (.87)	3.33 (.73)	10.21	1399	< .001	.27
(8) The Trauma Narrative	2.06 (1.08)	3.04 (.99)	32.51	1387	< .001	.87
(9) Cognitive processing	2.21 (.95)	2.73 (.73)	20.63	1387	< .001	.55
(10) In vivo mastery	2.23 (.78)	2.85 (.82)	25.23	1371	< .001	.68
(11) Conjoint sessions	3.16 (.97)	3.61 (.67)	19.57	1387	< .001	.53
(12) Improve future safety and development	2.67 (1.08)	2.84 (.75)	6.08	1239	< .001	.17

Data availability statement

For privacy reasons, the participants in this study did not agree to their data being shared publicly, so no support data are available.