Long-Term Caregiver Mental Health Outcomes Following a Predominately Online Intervention for Adolescents with Complicated Mild to Severe Traumatic Brain Injury

Christine L. Petranovich, Shari L. Wade, H. Gerry Taylor, Amy Cassedy, Terry Stancin, Michael W. Kirkwood, Tanya Maines Brown

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To examine the efficacy of counselor-assisted problem solving (CAPS) in improving long-term caregiver psychological functioning following traumatic brain injury (TBI) in adolescents. Methods: This randomized clinical trial compared CAPS (n = 65), a predominantly online problem-solving intervention, with an Internet resource comparison (n = 67) program. Families of adolescents with TBI completed a baseline assessment and follow-up assessments 6, 12, and 18 months later. General linear mixed models were used to examine longitudinal changes in caregiver global psychological distress, depressive symptoms, and caregiving self-efficacy. Family income and injury severity were examined as moderators of treatment efficacy. Results: Family income moderated long-term changes in caregiver psychological distress. For lower-income caregivers, the CAPS intervention was associated with lower levels of psychological distress at 6, 12, and 18 months post baseline. Conclusions: These findings support the utility of Web-based interventions in improving long-term caregiver psychological distress, particularly for lower-income families.

Original languageEnglish (US)
Pages (from-to)680-688
Number of pages9
JournalJournal of Pediatric Psychology
Volume40
Issue number7
DOIs
StatePublished - Jun 30 2014

Fingerprint

Caregivers
Mental Health
Psychology
Self Efficacy
Internet
Linear Models
Randomized Controlled Trials
Traumatic Brain Injury
Depression
Wounds and Injuries
Counselors

Keywords

  • caregiver outcomes
  • psychopathology
  • traumatic brain injury

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

Cite this

Long-Term Caregiver Mental Health Outcomes Following a Predominately Online Intervention for Adolescents with Complicated Mild to Severe Traumatic Brain Injury. / Petranovich, Christine L.; Wade, Shari L.; Taylor, H. Gerry; Cassedy, Amy; Stancin, Terry; Kirkwood, Michael W.; Brown, Tanya Maines.

In: Journal of Pediatric Psychology, Vol. 40, No. 7, 30.06.2014, p. 680-688.

Research output: Contribution to journalArticle

Petranovich, Christine L. ; Wade, Shari L. ; Taylor, H. Gerry ; Cassedy, Amy ; Stancin, Terry ; Kirkwood, Michael W. ; Brown, Tanya Maines. / Long-Term Caregiver Mental Health Outcomes Following a Predominately Online Intervention for Adolescents with Complicated Mild to Severe Traumatic Brain Injury. In: Journal of Pediatric Psychology. 2014 ; Vol. 40, No. 7. pp. 680-688.
@article{c2813d0782c544f0a068713da4206c9b,
title = "Long-Term Caregiver Mental Health Outcomes Following a Predominately Online Intervention for Adolescents with Complicated Mild to Severe Traumatic Brain Injury",
abstract = "Objective: To examine the efficacy of counselor-assisted problem solving (CAPS) in improving long-term caregiver psychological functioning following traumatic brain injury (TBI) in adolescents. Methods: This randomized clinical trial compared CAPS (n = 65), a predominantly online problem-solving intervention, with an Internet resource comparison (n = 67) program. Families of adolescents with TBI completed a baseline assessment and follow-up assessments 6, 12, and 18 months later. General linear mixed models were used to examine longitudinal changes in caregiver global psychological distress, depressive symptoms, and caregiving self-efficacy. Family income and injury severity were examined as moderators of treatment efficacy. Results: Family income moderated long-term changes in caregiver psychological distress. For lower-income caregivers, the CAPS intervention was associated with lower levels of psychological distress at 6, 12, and 18 months post baseline. Conclusions: These findings support the utility of Web-based interventions in improving long-term caregiver psychological distress, particularly for lower-income families.",
keywords = "caregiver outcomes, psychopathology, traumatic brain injury",
author = "Petranovich, {Christine L.} and Wade, {Shari L.} and Taylor, {H. Gerry} and Amy Cassedy and Terry Stancin and Kirkwood, {Michael W.} and Brown, {Tanya Maines}",
year = "2014",
month = "6",
day = "30",
doi = "10.1093/jpepsy/jsv001",
language = "English (US)",
volume = "40",
pages = "680--688",
journal = "Journal of Pediatric Psychology",
issn = "0146-8693",
publisher = "Oxford University Press",
number = "7",

}

TY - JOUR

T1 - Long-Term Caregiver Mental Health Outcomes Following a Predominately Online Intervention for Adolescents with Complicated Mild to Severe Traumatic Brain Injury

AU - Petranovich, Christine L.

AU - Wade, Shari L.

AU - Taylor, H. Gerry

AU - Cassedy, Amy

AU - Stancin, Terry

AU - Kirkwood, Michael W.

AU - Brown, Tanya Maines

PY - 2014/6/30

Y1 - 2014/6/30

N2 - Objective: To examine the efficacy of counselor-assisted problem solving (CAPS) in improving long-term caregiver psychological functioning following traumatic brain injury (TBI) in adolescents. Methods: This randomized clinical trial compared CAPS (n = 65), a predominantly online problem-solving intervention, with an Internet resource comparison (n = 67) program. Families of adolescents with TBI completed a baseline assessment and follow-up assessments 6, 12, and 18 months later. General linear mixed models were used to examine longitudinal changes in caregiver global psychological distress, depressive symptoms, and caregiving self-efficacy. Family income and injury severity were examined as moderators of treatment efficacy. Results: Family income moderated long-term changes in caregiver psychological distress. For lower-income caregivers, the CAPS intervention was associated with lower levels of psychological distress at 6, 12, and 18 months post baseline. Conclusions: These findings support the utility of Web-based interventions in improving long-term caregiver psychological distress, particularly for lower-income families.

AB - Objective: To examine the efficacy of counselor-assisted problem solving (CAPS) in improving long-term caregiver psychological functioning following traumatic brain injury (TBI) in adolescents. Methods: This randomized clinical trial compared CAPS (n = 65), a predominantly online problem-solving intervention, with an Internet resource comparison (n = 67) program. Families of adolescents with TBI completed a baseline assessment and follow-up assessments 6, 12, and 18 months later. General linear mixed models were used to examine longitudinal changes in caregiver global psychological distress, depressive symptoms, and caregiving self-efficacy. Family income and injury severity were examined as moderators of treatment efficacy. Results: Family income moderated long-term changes in caregiver psychological distress. For lower-income caregivers, the CAPS intervention was associated with lower levels of psychological distress at 6, 12, and 18 months post baseline. Conclusions: These findings support the utility of Web-based interventions in improving long-term caregiver psychological distress, particularly for lower-income families.

KW - caregiver outcomes

KW - psychopathology

KW - traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84940208772&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940208772&partnerID=8YFLogxK

U2 - 10.1093/jpepsy/jsv001

DO - 10.1093/jpepsy/jsv001

M3 - Article

VL - 40

SP - 680

EP - 688

JO - Journal of Pediatric Psychology

JF - Journal of Pediatric Psychology

SN - 0146-8693

IS - 7

ER -