A web-based videoconferencing approach to training caregivers in rural areas to compensate for problems related to traumatic brain injury.
OBJECTIVE
To describe the development and the implementation of a Web-based, videoconferencing training program for caregivers of adults with traumatic brain injury in rural areas to manage cognitive and behavioral changes in the person with the injury.


METHODS
Feasibility study, with satisfaction and perceived utility assessed.


METHODS
Six Web-based videoconference sessions, combining didactic education and interactive problem-solving.


METHODS
Fifteen caregivers of persons with complicated mild, moderate, or severe traumatic brain injury, who were admitted to a level III trauma center in a rural area of Texas.


METHODS
Satisfaction survey and perceived utility questions conducted immediately following training and at an average of 18 months after training.


RESULTS
Participants' overall satisfaction and comfort with the training was high. They perceived that they gained knowledge that was applicable to the everyday problems being experienced. At follow-up, all participants reported having used the knowledge gained to help cope with problems and all had referred to the written materials at least once since the training.


CONCLUSIONS
Web-based videoconferencing can be used to provide training to caregivers to manage cognitive and behavioral problems resulting from traumatic brain injury. However, there are obstacles related to willingness to seek help among persons in rural areas that must be overcome.
Sander
Angelle M
AM
Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA. asander@bcm.tmc.edu <asander@bcm.tmc.edu>
Clark
Allison N
AN
Atchison
Timothy B
TB
Rueda
Misty
M
D000293:Adolescent; D000328:Adult; D001519:Behavior; D001930:Brain Injuries / Q000150:complications*; D017028:Caregivers / Q000523:psychology*; D003072:Cognition Disorders / Q000209:etiology / Q000628:therapy; D003258:Consumer Behavior; D005240:Feasibility Studies; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D011340:Problem Solving; D012424:Rural Population; D049269:Videoconferencing; D055815:Young Adult