Related Experiment Video
Updated: Feb 26, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Online Family Problem Solving for Pediatric Traumatic Brain Injury: Influences of Parental Marital Status and
Stacey P Raj1, Nanhua Zhang, Michael W Kirkwood
1Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Drs Raj, Zhang, and Wade); Children's Hospital Colorado and Colorado School of Medicine, Aurora, Colorado (Dr Kirkwood); Case Western Reserve University, Ohio (Drs Taylor and Stancin); University Hospitals of Cleveland, Ohio (Dr Taylor); MetroHealth Medical Center, Ohio (Dr Stancin) Mayo Clinic and Mayo Medical School, Rochester, Minnesota (Dr Brown); and College of Medicine, University of Cincinnati, Cincinnati, Ohio (Drs Zhang and Wade).
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.
More Related Videos
09:49Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Related Concept Videos
Influence of Parents and Peers on Identity
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Relationship with Other Adult Family Members and Siblings
Cognitive Development During Adolescence
Relationship with Parents: Attachment
Bullying
Oppositional Defiant Disorder
Diagnostic Criteria and...