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Effects of Web-Based Parent Training on Caregiver Functioning Following Pediatric Traumatic Brain Injury: A

Stacey P Raj1, Emily L Shultz, Huaiyu Zang

  • 1Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Drs Raj, Zhang, and Wade, Ms Shultz, and Mr Zang); Xavier University, Cincinnati, Ohio (Dr Raj); University of Cincinnati, Cincinnati, Ohio (Ms Shultz, Mr Zang, and Dr Wade); Children's Hospital Colorado and University of Colorado School of Medicine, Aurora (Dr Kirkwood); Case Western Reserve University, Cleveland, Ohio (Drs Taylor and Stancin); Biobehavioral Health Center, Nationwide Children's Hospital Research Institute and Department of Pediatrics, The Ohio State University, Columbus, Ohio (Dr Taylor); and MetroHealth Medical Center, Cleveland, Ohio (Dr Stancin); and University of Calgary, Calgary, Alberta, Canada (Dr Yeates).

The Journal of Head Trauma Rehabilitation
|March 31, 2018
PubMed

Insights

The I-InTERACT web-based intervention effectively reduced depression in caregivers of children with traumatic brain injury (TBI). However, it did not significantly improve other psychological outcomes, suggesting potential need for treatment modifications.

Area of Science:

  • Neuroscience
  • Psychology
  • Public Health

Background:

  • Pediatric traumatic brain injury (TBI) significantly impacts caregivers' mental health.
  • Web-based interventions offer accessible support for caregivers of children with TBI.
  • Existing interventions require evaluation for their effectiveness in improving caregiver well-being.

Purpose of the Study:

  • To assess the impact of a web-based parenting intervention (I-InTERACT) and its abbreviated version (Express) on caregiver depression, psychological distress, parenting stress, and efficacy.
  • To determine if these interventions offer benefits following pediatric TBI.

Main Methods:

  • A multicenter randomized controlled trial involving 148 caregivers of 113 children (aged 3-9 years) with moderate to severe TBI.
  • Participants were assigned to I-InTERACT, Express, or an active control group.
  • Caregiver outcomes were measured at baseline and 6 months post-intervention using standardized scales.

Main Results:

  • The I-InTERACT intervention demonstrated a significant reduction in caregiver depression (CES-D scores) compared to the active control group.
  • No significant main effects were found for the interventions on overall caregiver distress (GSI), parenting stress (PSI), or parenting efficacy (CSES).
  • Caregivers with higher baseline depression showed greater improvements in depression scores with I-InTERACT.

Conclusions:

  • The I-InTERACT intervention shows promise in reducing depression among caregivers of children with TBI.
  • Further modifications to the intervention may be needed to effectively address parenting stress and enhance caregiver self-efficacy.
  • Web-based interventions can be a valuable tool, but tailoring content is crucial for comprehensive caregiver support.
Abstract

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