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GLOBAL REACH OF NATIONAL CHILD TRAUMATIC STRESS NETWORK RESOURCES AND PRODUCTS

Cathryn Chiesa, MLS, National Center for Child Traumatic Stress, Duke University, Nathalie Reid, MA, MLIS, National Center for Child

Traumatic Stress, UCLA, Lisa Richardson, MS, RD National Center for Child Traumatic Stress, Duke University

BACKGROUND

Established by Congress in 2000 the NCTSN

seeks to improve the quality, effectiveness,

and availability of care and services for

children and families who are exposed to a

wide range of traumatic experiences.

As the national resource for public and

professional education, NCTSN offers a wide

range of on-line materials for multiple

audiences. The NCTSN website contains

over 500 pages where visitors can download

more than 200 products.

EVALUATION QUESTIONS

What is the global reach of the electronic

dissemination of products, services, and

information via the www.nctsn.org website?

How and to what degree do foreign visits

differ from domestic visits?

METHODS

Authors used web analytics to track and map

material access from outside the United

States between October 1, 2011 to

September 30, 2012 (a federal fiscal year).

Content reports for website visitors by

country, landing pages, keywords searched,

and referral traffic were compared and

contrasted.

CONCLUSIONS

To the best of our knowledge, no other single

website contains this amount of material

concerning one of the most pervasive and

treatable public health problems affecting not

only our nation’s children and families, but

also those around the world. Despite its

exclusive design for an American audience,

the site appears to have global reach and

value. Also, noteworthy is the recognition of

the NCTSN name as well as the reach of the

Measures Review Database. Together these

results underscore the value of utilizing

NCTSN resources and products in achieving

the mission of raising the standard of care

and access to services for traumatized

children and their families.

Who visits www.nctsn.org?

When it can be determined, where do visitors land?

Rank Country

1 United States

1 Australia

1 Colombia

2 Hong Kong

1 Germany

1 India

1 Japan

1 Netherlands

4 Philippines

1 South Africa

2 New Zealand

1 Italy

1 Canada

1 United Kingdom

Rank Country

3 United States

3 Australia

3 India

10 Netherlands

2 Philippines

2 South Africa

1 New Zealand

8 Italy

3 Canada

2 United Kingdom

www.nctsn.org//resources/audiences/parents-

caregivers/understanding-child-traumatic-stress www.NCTSN.org

Rank Country

7 United States

4 Australia

8 India

1 Philippines

4 South Africa

8 New Zealand

7 Canada

7 United Kingdom

http://www.nctsn.org/trauma-types

When keywords can be determined, most visitors find the website by using key word permutations of the NCTSN name. This includes visits from outside the

United States. Approximately 30% of visits from large English speaking countries appear to result from key word searches for specific clinical screening or

assessment tools, such as the Beck Depression Inventory and the Difficulties in Emotion Regulation Scale, found in the Measures Review Database.

Between October 1, 2011 and September 30, 2012, 17% of website visitors were from outside the US with English speaking countries making up 60% of

that total. New visitors exceeded return visitors for all countries except Columbia. For counties with at least 1,00 visitors, the average time spent by return

visitors and the number of pages visited was greater than new visitors.

Canada Columbia

Return visitors stay on average 9

minutes, exceeding US visitors by 4

minutes.

7 of the top 10 landing pages are on

topics of clinical assessment.. In

contrast US landing pages focus on

more general topical issues and public

awareness.

Most referral traffic comes from the

NCTSN Facebook page and

represents the most frequent referral

source for visits from outside the

United States.

In addition to significant similarities in visitor flow, Canada and the United States

have seven out of the top ten landing pages.