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Effects of a Web-Based Intervention on Family Functioning Following Pediatric Traumatic Brain Injury
Megan E Narad1, Nori Minich, H Gerry Taylor
1*Division of Physical Medicine & Rehabilitation and Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; †Division of Developmental and Behavioral Pediatrics and Pediatrics, Case Western Reserve University, Rainbow Babies & Children's Hospital, University Hospitals Case Medical Center, Cleveland, OH; ‡Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado and University Colorado School of Medicine, Aurora, CO; §Department of Psychology and Psychiatry, Mayo Clinic, Rochester, MN; ‖Division of Pediatric Psychology, Department of Pediatrics, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH; ¶Division of Physical Medicine & Rehabilitation and Pediatrics, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, OH.
Objective:
Investigate effectiveness of an online Counselor-Assisted Problem-Solving (CAPS) intervention on family functioning after traumatic brain injury.
Methods:
Participants were randomized to CAPS (n = 65) or Internet resource comparison (IRC; n = 67). CAPS is a counselor-assisted web-based program. IRC was given access to online resources. Outcomes were examined at 6, 12, and 18 months after baseline. Injury severity, age, and socioeconomic status were examined as moderators.
Results:
A main effect of time was noted for teen-reported conflict and parent-reported problem solving. CAPS had decreased parent-reported conflict and a reduction in parental effective communication. Effects were specific to subsets of the sample.
Conclusion:
CAPS, a family-based problem-solving intervention designed to address problem behaviors, had modest effects on some aspects of family functioning compared with IRC. Effects were generally limited to subsets of the families and were not evident across all follow-up assessments.
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