Related Experiment Video
Updated: Aug 9, 2025
07:31
A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
7.0K
Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons
Shari L Wade1, Kathleen Walsh2, Beth S Slomine3
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, United States.
Frontiers in Rehabilitation Sciences
|February 24, 2023
Summary
The Teen Online Problem Solving (TOPS) telehealth intervention was implemented across North America. This evidence-based program trained therapists to help pediatric patients with brain injuries improve problem-solving and communication skills.
Area of Science:
- Neuroscience
- Pediatric Rehabilitation
- Telehealth
Background:
- Pediatric neurorehabilitation programs require effective delivery methods.
- Telehealth offers a scalable solution for delivering interventions to children.
Purpose of the Study:
- To describe the clinical implementation of the Teen Online Problem Solving (TOPS) program.
- To assess the reach and adoption of a telehealth-based intervention for pediatric neurorehabilitation.
Main Methods:
- 10+ session, evidence-based telehealth intervention.
- Training therapists in problem-solving, emotion regulation, and communication skills.
- Implementation across 12 children's and 3 rehabilitation hospitals in North America.
Main Results:
- 381 patients enrolled over 26 months (199 with traumatic brain injuries).
- 101 patients completed the program.
- 307 therapists trained, with 58 delivering the program.
Conclusions:
- Implementation of complex pediatric neurorehabilitation programs presents challenges.
- Strategies to address institutional, provider, and patient barriers can improve program reach and adoption.
Related Concept Videos
01:30Community Based Intervention
68
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
68
01:24Treatment Strategies for Psychological Disorders
220
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
220
01:27Coping Strategies: Problem Focused
107
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
107
02:04Bullying
8.5K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.5K
01:18Cognitive Development During Adolescence
94
During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
94
01:29Problem-Solving
212
Effective problem-solving consists of two steps: 1. identifying the problem and 2. selecting the appropriate problem-solving strategy (i.e., a plan of action used to find a solution). Humans use four problem-solving strategies:
212