Shari L Wade1,2, Eloise E Kaizar3, Megan Narad4, Huaiyu Zang5,6, Brad G Kurowski4,7, Keith Owen Yeates8,9, H Gerry Taylor10,11, Nanhua Zhang2,12. 1. Departments of Rehabilitation Medicine, shari.wade@cchmc.org. 2. Departments of Pediatrics and. 3. Department of Statistics. 4. Departments of Rehabilitation Medicine. 5. Statistics, and. 6. Mathematical Sciences, University of Cincinnati, Cincinnati, Ohio. 7. Departments of Pediatrics, Neurology, and Rehabilitation, College of Medicine, and. 8. Alberta Children's Hospital Research Institute, Hotchkiss Brain Institute, and. 9. Department of Psychology, University of Calgary, Calgary, Canada; and. 10. Department of Pediatrics, Research Institute, Nationwide Children's Hospital, Columbus, Ohio. 11. The Ohio State University, Columbus, Ohio. 12. Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Abstract
BACKGROUND AND OBJECTIVES: To determine whether online family problem-solving treatment (OFPST) is more effective in improving behavioral outcomes after pediatric traumatic brain injury with increasing time since injury. METHODS: This was an individual participant data meta-analysis of outcome data from 5 randomized controlled trials of OFPST conducted between 2003 and 2016. We included 359 children ages 5 to 18 years who were hospitalized for moderate-to-severe traumatic brain injury 1 to 24 months earlier. Outcomes, assessed pre- and posttreatment, included parent-reported measures of externalizing, internalizing, and executive function behaviors and social competence. RESULTS: Participants included 231 boys and 128 girls with an average age at injury of 13.6 years. Time since injury and age at injury moderated OFPST efficacy. For earlier ages and short time since injury, control participants demonstrated better externalizing problem scores than those receiving OFPST (Cohen's d = 0.44; P = .008; n = 295), whereas at older ages and longer time since injury, children receiving OFPST had better scores (Cohen's d = -0.60; P = .002). Children receiving OFPST were rated as having better executive functioning relative to control participants at a later age at injury, with greater effects seen at longer (Cohen's d = -0.66; P = .009; n = 298) than shorter (Cohen's d = -0. 28; P = .028) time since injury. CONCLUSIONS: OFPST may be more beneficial for older children and when begun after the initial months postinjury. With these findings, we shed light on the optimal application of family problem-solving treatments within the first 2 years after injury.
BACKGROUND AND OBJECTIVES: To determine whether online family problem-solving treatment (OFPST) is more effective in improving behavioral outcomes after pediatric traumatic brain injury with increasing time since injury. METHODS: This was an individual participant data meta-analysis of outcome data from 5 randomized controlled trials of OFPST conducted between 2003 and 2016. We included 359 children ages 5 to 18 years who were hospitalized for moderate-to-severe traumatic brain injury 1 to 24 months earlier. Outcomes, assessed pre- and posttreatment, included parent-reported measures of externalizing, internalizing, and executive function behaviors and social competence. RESULTS:Participants included 231 boys and 128 girls with an average age at injury of 13.6 years. Time since injury and age at injury moderated OFPST efficacy. For earlier ages and short time since injury, control participants demonstrated better externalizing problem scores than those receiving OFPST (Cohen's d = 0.44; P = .008; n = 295), whereas at older ages and longer time since injury, children receiving OFPST had better scores (Cohen's d = -0.60; P = .002). Children receiving OFPST were rated as having better executive functioning relative to control participants at a later age at injury, with greater effects seen at longer (Cohen's d = -0.66; P = .009; n = 298) than shorter (Cohen's d = -0. 28; P = .028) time since injury. CONCLUSIONS: OFPST may be more beneficial for older children and when begun after the initial months postinjury. With these findings, we shed light on the optimal application of family problem-solving treatments within the first 2 years after injury.
Authors: Keith Owen Yeates; H Gerry Taylor; Shari L Wade; Dennis Drotar; Terry Stancin; Nori Minich Journal: Neuropsychology Date: 2002-10 Impact factor: 3.295
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: Shari L Wade; Brad G Kurowski; Michael W Kirkwood; Nanhua Zhang; Amy Cassedy; Tanya M Brown; Britt Nielsen; Terry Stancin; H Gerry Taylor Journal: Pediatrics Date: 2015-01-12 Impact factor: 7.124
Authors: Shari L Wade; Christine L Karver; H Gerry Taylor; Amy Cassedy; Terry Stancin; Michael W Kirkwood; Tanya Maines Brown Journal: Rehabil Psychol Date: 2014-02
Authors: Shari L Wade; Terry Stancin; Michael Kirkwood; Tanya Maines Brown; Kendra M McMullen; H Gerry Taylor Journal: J Head Trauma Rehabil Date: 2014 May-Jun Impact factor: 2.710
Authors: Shari L Wade; Allison P Fisher; Eloise E Kaizar; Keith O Yeates; H Gerry Taylor; Nanhua Zhang Journal: J Int Neuropsychol Soc Date: 2019-08-13 Impact factor: 2.892
Authors: Shari L Wade; Lisa M Gies; Allison P Fisher; Emily L Moscato; Anna R Adlam; Alessandra Bardoni; Claudia Corti; Jennifer Limond; Avani C Modi; Tricia Williams Journal: J Psychother Integr Date: 2020-06
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: Shari L Wade; Kelly M Jones; Claudia Corti; Anna R Adlam; Jennifer Limond; Alessandra Bardoni; Lisa M Gies Journal: Rehabil Psychol Date: 2021-11