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

19 Scopus citations


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
Issue number7
StatePublished - Jan 1 2015



  • caregiver outcomes
  • psychopathology
  • traumatic brain injury

ASJC Scopus subject areas

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

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