title: Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury.
abstract: OBJECTIVE
  The purpose of the current study is to examine the efficacy of Counselor-Assisted Problem Solving (CAPS) in improving caregiver adaptation following traumatic brain injury (TBI).
  
  
  METHODS
  In a randomized clinical trial comparing CAPS (n = 65), an online problem-solving intervention with accompanying Web-based counseling sessions, with an information-based Internet Resource Comparison (IRC; n = 67) program, participants included families of 12- to 17-year-olds who had sustained a TBI in the past 6 months. Linear regression analyses were used to identify main effects and to examine whether caregiver education, race, or prior computer use moderated treatment efficacy.
  
  
  RESULTS
  Computer experience moderated postintervention improvements in caregiving self-efficacy following CAPS, Specifically, parents in CAPS with low levels of prior use reporting the greatest improvements. CAPS participants who completed 5 or more sessions reported greater reductions in depression than did the IRC; however, the groups did not differ on global distress.
  
  
  CONCLUSIONS
  Findings support the potential utility of counselor-supported Web-based interventions particularly for individuals with limited computer expertise following adolescent TBI.
authors.affiliation: Division of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center.
authors.forename: Shari L
authors.initials: SL
authors.lastname: Wade
authors.affiliation: Department of Psychology, University of Cincinnati.
authors.forename: Christine L
authors.initials: CL
authors.lastname: Karver
authors.affiliation: Department of Pediatrics, Case Western Reserve University, Department of Pediatrics, University Hospitals Case Medical Center.
authors.forename: H Gerry
authors.initials: HG
authors.lastname: Taylor
authors.affiliation: Department of Pediatrics, Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center.
authors.forename: Amy
authors.initials: A
authors.lastname: Cassedy
authors.affiliation: Department of Psychiatry, Case Western Reserve University.
authors.forename: Terry
authors.initials: T
authors.lastname: Stancin
authors.affiliation: Department of Physical Medicine and Rehabilitation, Children's Hospital of Colorado.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Kirkwood
authors.affiliation: Departments of Psychiatry and Psychology, Mayo Clinic.
authors.forename: Tanya Maines
authors.initials: TM
authors.lastname: Brown
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D017028:Caregivers / Q000523:psychology*; D002648:Child; D003376:Counseling / Q000379:methods*; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D010290:Parents / Q000523:psychology; D011340:Problem Solving; D020377:Self Efficacy; D013315:Stress, Psychological / Q000523:psychology; D016896:Treatment Outcome; D014481:United States