Research Reports - Long-term caregiver mental health outcomes following online intervention for adolescents with traumatic brain injury

J Pediatr Psychol. 2015 Feb 13

Petranovich CL(1), Wade SL(2), Taylor HG(3), Cassedy A(3), Stancin T(3), Kirkwood
MW(3), Maines Brown T(3)

OBJECTIVE:  To examine the efficacy of counselor-assisted problem solving (CAPS)
in improving long-term caregiver psychological functioning following traumatic
brain injury (TBI) in adolescents.  METHODS:  This randomized clinical trial
compared CAPS (n = 65), a predominantly online problem-solving intervention, with
an Internet resource comparison (n = 67) program. Families of adolescents with
TBI completed a baseline assessment and follow-up assessments 6, 12, and 18
months later. General linear mixed models were used to examine longitudinal
changes in caregiver global psychological distress, depressive symptoms, and
caregiving self-efficacy. Family income and injury severity were examined as
moderators of treatment efficacy.  RESULTS:  Family income moderated long-term
changes in caregiver psychological distress. For lower-income caregivers, the
CAPS intervention was associated with lower levels of psychological distress at
6, 12, and 18 months post baseline.  CONCLUSIONS:  These findings support the
utility of Web-based interventions in improving long-term caregiver psychological
distress, particularly for lower-income families.

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