Research Reports - Online family problem solving for pediatric traumatic brain injury

J Head Trauma Rehabil. 2017 Jul 20. doi: 10.1097/HTR.0000000000000331. [Epub
ahead of print]

Raj SP(1), Zhang N, Kirkwood MW, Taylor HG, Stancin T, Brown TM, Wade SL.

OBJECTIVE: To examine the moderating effects of parent marital status and
participation on efficacy of an online family problem-solving intervention for
pediatric traumatic brain injury (TBI).
METHODS: Participants were 132 adolescents (12-17 years) who had sustained a
recent (<6 months) TBI and their parents. Participants were randomly assigned to
the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet
resource comparison (IRC) condition. CAPS was designed to support families in the
initial phase following TBI, by teaching problem-solving skills and addressing
common challenges. To examine the moderating effect of parent marital status,
participants were divided into 4 groups (ie, CAPS married household, CAPS
unmarried household, IRC married household, and IRC unmarried household). Family
income and caregiver education were controlled in analyses.
RESULTS: Parent marital status moderated treatment effects on adolescent
externalizing behavior problems. Adolescents from married households in CAPS
displayed fewer behavior problems at 6 and 18 months postbaseline compared with
adolescents from unmarried households in CAPS. Among married CAPS families, there
were no differences in outcomes among families where 1 or 2 parents actively
participated.
CONCLUSIONS: Web-based interventions for pediatric TBI, such as CAPS, are a
viable option for some although not all families. Further research is needed to
investigate factors that influence efficacy to match families to the most
beneficial treatments. 

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