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

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.