Research Reports - Teen online problem solving for teens with traumatic brain injury

Rehabil Psychol. 2017 Aug;62(3):290-299. doi: 10.1037/rep0000160.

Wade SL(1), Narad ME(1), Kingery KM(2), Taylor HG(3), Stancin T(4), Kirkwood
MW(5), Yeates KO(6).

PURPOSE/OBJECTIVE: To describe the Teen Online Problem Solving-Teen Only
(TOPS-TO) intervention relative to the original Teen Online Problem
Solving-Family (TOPS-F) intervention, to describe a randomized controlled trial
to assess intervention efficacy, and to report feasibility and acceptability of
the TOPS-TO intervention. Research method and design: This is a multisite
randomized controlled trial, including 152 teens (49 TOPS-F, 51 TOPS-TO, 52 IRC)
between the ages of 11-18 who were hospitalized for a moderate to severe
traumatic brain injury in the previous 18 months. Assessments were completed at
baseline, 6-months post baseline, and 12-months post baseline. Data discussed
include adherence and satisfaction data collected at the 6-month assessment
(treatment completion) for TOPS-F and TOPS-TO.
RESULTS: Adherence measures (sessions completed, dropout rates, duration of
treatment engagement, and rates of program completion) were similar across
treatment groups. Overall, teen and parent reported satisfaction was high and
similar across groups. Teens spent a similar amount of time on the TOPS website
across groups, and parents in the TOPS-F spent more time on the TOPS website than
those in the TOPS-TO group (p = .002). Parents in the TOPS-F group rated the TOPS
website as more helpful than those in the TOPS-TO group (p = .05).
CONCLUSIONS/IMPLICATIONS: TOPS-TO intervention is a feasible and acceptable
intervention approach. Parents may perceive greater benefit from the family based
intervention. Further examination is required to understand the comparative
efficacy in improving child and family outcomes, and who is likely to benefit
from each approach. 

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