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Lessons learned: the effect of prior technology use on Web-based interventions.

Joanne C Carey1, Shari L Wade, Christopher R Wolfe

  • 1Department of Pediatric Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.

Cyberpsychology & Behavior : the Impact of the Internet, Multimedia and Virtual Reality on Behavior and Society
|April 22, 2008
PubMed
Summary
This summary is machine-generated.

Prior technology use significantly impacts online intervention effectiveness for families of children with traumatic brain injury (TBI). Those comfortable with technology showed better outcomes in online problem-solving interventions.

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Area of Science:

  • Neuroscience
  • Psychology
  • Health Informatics

Background:

  • Pediatric traumatic brain injury (TBI) presents unique challenges for families.
  • Online interventions offer accessible support but may be limited by technological barriers.

Purpose of the Study:

  • To investigate how prior technology use influences treatment response to online interventions for pediatric TBI.
  • To compare the effectiveness of an online family problem-solving (OFPS) intervention versus an Internet resource intervention (IRI).

Main Methods:

  • 150 individuals from 40 families with pediatric TBI were randomized to OFPS or IRI.
  • Families received computers and internet access; OFPS families engaged in web-based sessions and videoconferences.
  • Measures included depression, anxiety, computer usage, satisfaction, and technology comfort.

Main Results:

  • OFPS intervention led to greater improvements in depression and anxiety among parents with prior technology experience.
  • Increased technology comfort over time predicted reduced depression at follow-up in the OFPS group.
  • The Internet resource intervention (IRI) was not broadly effective, though home technology experience showed a positive effect on depression.

Conclusions:

  • Prior technology experience is a crucial factor for successful engagement and outcomes in online interventions for pediatric TBI.
  • Families with limited computer experience may experience reduced benefits and adherence in online TBI support programs.
  • Future online interventions should consider technology accessibility and training to maximize effectiveness for all users.