title: An online family intervention to reduce parental distress following pediatric brain injury.
abstract: This study examined whether an online problem-solving intervention could improve parental adjustment following pediatric traumatic brain injury (TBI). Families of children with moderate-to-severe TBI were recruited from the trauma registry of a large children's hospital and randomly assigned to receive online family problem solving therapy (FPS; n = 20) or Internet resources (IRC; n = 20) in addition to usual care. The FPS group reported significantly less global distress, depressive symptoms, and anxiety at follow-up than did the IRC group after controlling for baseline symptoms. The FPS group also reported significant improvements in problem-solving skills, although the groups did not differ significantly at follow-up. Findings suggest that an online, skill-building approach can be effective in facilitating parental adaptation after TBI.
authors.affiliation: Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. shari.wade@cchmc.org
authors.forename: Shari L
authors.initials: SL
authors.lastname: Wade
authors.forename: JoAnne
authors.initials: J
authors.lastname: Carey
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Wolfe
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001008:Anxiety Disorders / Q000523:psychology* / Q000628:therapy*; D001930:Brain Injuries; D002648:Child; D003863:Depression / Q000523:psychology* / Q000628:therapy*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet / Q000295:instrumentation; D008297:Male; D010290:Parents / Q000523:psychology*; D011340:Problem Solving; D012932:Social Facilitation