Preliminary efficacy of a Web-based family problem-solving treatment program for adolescents with traumatic brain injury.
OBJECTIVE
Preliminary report of the efficacy of a Web-based treatment program to improve adolescent and family psychosocial functioning following traumatic brain injury (TBI).


METHODS
Families of 9 adolescents with TBI (2 severe and 7 moderate) injured less than 24 months ago participated in this study.


METHODS
A Web-based family treatment program designed to enhance family problem solving and adjustment, as well as reduce adolescent behavioral and social problems that are common sequelae of moderate-to-severe TBI was used as intervention. The program consisted of 10 core sessions and up to 4 supplemental sessions, each consisting of self-guided Web exercises followed by a videoconference therapy session.


RESULTS
Significant improvements were found in parent-reported adolescent internalizing behaviors, self-reported adolescent depressive symptoms, parental depression, and parent-adolescent conflict. Effect sizes were in the medium-to-high range for these same contrasts. Exploratory analyses suggested that providing audio with the Web site may enhance some outcomes.


CONCLUSIONS
This study provides preliminary evidence of the feasibility and efficacy of family-centered online intervention for improving adolescent and family adaptation following pediatric TBI.
Wade
Shari L
SL
Division of Pediatric Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, Ohio 45229, USA. shari.wade@cchmc.org
Walz
Nicolay Chertkoff
NC
Carey
Joanne C
JC
Williams
Kendra M
KM
D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000628:therapy*; D000293:Adolescent; D001930:Brain Injuries / Q000523:psychology*; D002648:Child; D015331:Cohort Studies; D005190:Family / Q000523:psychology; D005196:Family Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D011340:Problem Solving; D049269:Videoconferencing