Stacey P Raj1, Nanhua Zhang, Michael W Kirkwood, H Gerry Taylor, Terry Stancin, Tanya M Brown, Shari L Wade. 1. Cincinnati 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).
Abstract
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 inCAPS 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.
RCT Entities:
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.
Authors: Stephen R McCauley; Elisabeth A Wilde; Vicki A Anderson; Gary Bedell; Sue R Beers; Thomas F Campbell; Sandra B Chapman; Linda Ewing-Cobbs; Joan P Gerring; Gerard A Gioia; Harvey S Levin; Linda J Michaud; Mary R Prasad; Bonnie R Swaine; Lyn S Turkstra; Shari L Wade; Keith O Yeates Journal: J Neurotrauma Date: 2011-08-24 Impact factor: 5.269
Authors: Beth S Slomine; Melissa L McCarthy; Ru Ding; Ellen J MacKenzie; Kenneth M Jaffe; Mary E Aitken; Dennis R Durbin; James R Christensen; Andrea M Dorsch; Charles N Paidas Journal: Pediatrics Date: 2006-03-13 Impact factor: 7.124
Authors: Tanya N Antonini; Stacey P Raj; Karen S Oberjohn; Amy Cassedy; Kathi L Makoroff; Maryam Fouladi; Shari L Wade Journal: Behav Ther Date: 2014-02-13
Authors: Nanhua Zhang; Eloise E Kaizar; Megan E Narad; Brad G Kurowski; Keith Owen Yeates; H Gerry Taylor; Shari L Wade Journal: J Neurotrauma Date: 2018-11-17 Impact factor: 5.269
Authors: Allison P Fisher; Jessica M Aguilar; Nanhua Zhang; Keith Owen Yeates; H Gerry Taylor; Brad G Kurowski; Megan E Narad; Shari L Wade Journal: Res Child Adolesc Psychopathol Date: 2021-01-06
Authors: Brad G Kurowski; H Gerry Taylor; Kelly A McNally; Michael W Kirkwood; Amy Cassedy; Paul S Horn; Terry Stancin; Shari L Wade Journal: J Head Trauma Rehabil Date: 2020 May/Jun Impact factor: 3.117
Authors: Emily L Dennis; Karen Caeyenberghs; Robert F Asarnow; Talin Babikian; Brenda Bartnik-Olson; Erin D Bigler; Anthony Figaji; Christopher C Giza; Naomi J Goodrich-Hunsaker; Cooper B Hodges; Kristen R Hoskinson; Marsh Königs; Harvey S Levin; Hannah M Lindsey; Abigail Livny; Jeffrey E Max; Tricia L Merkley; Mary R Newsome; Alexander Olsen; Nicholas P Ryan; Matthew S Spruiell; Stacy J Suskauer; Sophia I Thomopoulos; Ashley L Ware; Christopher G Watson; Anne L Wheeler; Keith Owen Yeates; Brandon A Zielinski; Paul M Thompson; David F Tate; Elisabeth A Wilde Journal: Brain Imaging Behav Date: 2021-04 Impact factor: 3.978