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

J Pediatr Psychol. 2015 Aug;40(7):680-8. doi: 10.1093/jpepsy/jsv001. Epub 2015
Feb 13.

Petranovich CL(1), Wade SL(2), Taylor HG(3), Cassedy A(4), Stancin T(5), Kirkwood
MW(6), Maines Brown T(7).

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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