Online Family Problem Solving for Pediatric Traumatic Brain Injury

Influences of Parental Marital Status and Participation on Adolescent Outcomes

Stacey P. Raj, Nanhua Zhang, Michael W. Kirkwood, Gerry G. Taylor, Terry Stancin, Tanya M. Brown, Shari L. Wade

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE:: To examine the moderating effects of parent marital status and participation on efficacy of an online family problem-solving intervention for pediatric traumatic brain injury (TBI). METHODS:: Participants were 132 adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their parents. Participants were randomly assigned to the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison (IRC) condition. CAPS was designed to support families in the initial phase following TBI, by teaching problem-solving skills and addressing common challenges. To examine the moderating effect of parent marital status, participants were divided into 4 groups (ie, CAPS married household, CAPS unmarried household, IRC married household, and IRC unmarried household). Family income and caregiver education were controlled in analyses. RESULTS:: Parent marital status moderated treatment effects on adolescent externalizing behavior problems. Adolescents from married households in CAPS displayed fewer behavior problems at 6 and 18 months postbaseline compared with adolescents from unmarried households in CAPS. Among married CAPS families, there were no differences in outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS:: Web-based interventions for pediatric TBI, such as CAPS, are a viable option for some although not all families. Further research is needed to investigate factors that influence efficacy to match families to the most beneficial treatments.

Original languageEnglish (US)
JournalJournal of Head Trauma Rehabilitation
DOIs
StateAccepted/In press - Jul 20 2017

Fingerprint

Marital Status
Pediatrics
Internet
Parents
Traumatic Brain Injury
Adolescent Behavior
Counselors
Caregivers
Teaching
Education

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Online Family Problem Solving for Pediatric Traumatic Brain Injury : Influences of Parental Marital Status and Participation on Adolescent Outcomes. / Raj, Stacey P.; Zhang, Nanhua; Kirkwood, Michael W.; Taylor, Gerry G.; Stancin, Terry; Brown, Tanya M.; Wade, Shari L.

In: Journal of Head Trauma Rehabilitation, 20.07.2017.

Research output: Contribution to journalArticle

Raj, Stacey P. ; Zhang, Nanhua ; Kirkwood, Michael W. ; Taylor, Gerry G. ; Stancin, Terry ; Brown, Tanya M. ; Wade, Shari L. / Online Family Problem Solving for Pediatric Traumatic Brain Injury : Influences of Parental Marital Status and Participation on Adolescent Outcomes. In: Journal of Head Trauma Rehabilitation. 2017.
@article{9bde31e14c0148ef9c5c463f9b9e8e31,
title = "Online Family Problem Solving for Pediatric Traumatic Brain Injury: Influences of Parental Marital Status and Participation on Adolescent Outcomes",
abstract = "OBJECTIVE:: To examine the moderating effects of parent marital status and participation on efficacy of an online family problem-solving intervention for pediatric traumatic brain injury (TBI). METHODS:: Participants were 132 adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their parents. Participants were randomly assigned to the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison (IRC) condition. CAPS was designed to support families in the initial phase following TBI, by teaching problem-solving skills and addressing common challenges. To examine the moderating effect of parent marital status, participants were divided into 4 groups (ie, CAPS married household, CAPS unmarried household, IRC married household, and IRC unmarried household). Family income and caregiver education were controlled in analyses. RESULTS:: Parent marital status moderated treatment effects on adolescent externalizing behavior problems. Adolescents from married households in CAPS displayed fewer behavior problems at 6 and 18 months postbaseline compared with adolescents from unmarried households in CAPS. Among married CAPS families, there were no differences in outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS:: Web-based interventions for pediatric TBI, such as CAPS, are a viable option for some although not all families. Further research is needed to investigate factors that influence efficacy to match families to the most beneficial treatments.",
author = "Raj, {Stacey P.} and Nanhua Zhang and Kirkwood, {Michael W.} and Taylor, {Gerry G.} and Terry Stancin and Brown, {Tanya M.} and Wade, {Shari L.}",
year = "2017",
month = "7",
day = "20",
doi = "10.1097/HTR.0000000000000331",
language = "English (US)",
journal = "Journal of Head Trauma Rehabilitation",
issn = "0885-9701",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Online Family Problem Solving for Pediatric Traumatic Brain Injury

T2 - Influences of Parental Marital Status and Participation on Adolescent Outcomes

AU - Raj, Stacey P.

AU - Zhang, Nanhua

AU - Kirkwood, Michael W.

AU - Taylor, Gerry G.

AU - Stancin, Terry

AU - Brown, Tanya M.

AU - Wade, Shari L.

PY - 2017/7/20

Y1 - 2017/7/20

N2 - OBJECTIVE:: To examine the moderating effects of parent marital status and participation on efficacy of an online family problem-solving intervention for pediatric traumatic brain injury (TBI). METHODS:: Participants were 132 adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their parents. Participants were randomly assigned to the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison (IRC) condition. CAPS was designed to support families in the initial phase following TBI, by teaching problem-solving skills and addressing common challenges. To examine the moderating effect of parent marital status, participants were divided into 4 groups (ie, CAPS married household, CAPS unmarried household, IRC married household, and IRC unmarried household). Family income and caregiver education were controlled in analyses. RESULTS:: Parent marital status moderated treatment effects on adolescent externalizing behavior problems. Adolescents from married households in CAPS displayed fewer behavior problems at 6 and 18 months postbaseline compared with adolescents from unmarried households in CAPS. Among married CAPS families, there were no differences in outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS:: Web-based interventions for pediatric TBI, such as CAPS, are a viable option for some although not all families. Further research is needed to investigate factors that influence efficacy to match families to the most beneficial treatments.

AB - OBJECTIVE:: To examine the moderating effects of parent marital status and participation on efficacy of an online family problem-solving intervention for pediatric traumatic brain injury (TBI). METHODS:: Participants were 132 adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their parents. Participants were randomly assigned to the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison (IRC) condition. CAPS was designed to support families in the initial phase following TBI, by teaching problem-solving skills and addressing common challenges. To examine the moderating effect of parent marital status, participants were divided into 4 groups (ie, CAPS married household, CAPS unmarried household, IRC married household, and IRC unmarried household). Family income and caregiver education were controlled in analyses. RESULTS:: Parent marital status moderated treatment effects on adolescent externalizing behavior problems. Adolescents from married households in CAPS displayed fewer behavior problems at 6 and 18 months postbaseline compared with adolescents from unmarried households in CAPS. Among married CAPS families, there were no differences in outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS:: Web-based interventions for pediatric TBI, such as CAPS, are a viable option for some although not all families. Further research is needed to investigate factors that influence efficacy to match families to the most beneficial treatments.

UR - http://www.scopus.com/inward/record.url?scp=85025469961&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025469961&partnerID=8YFLogxK

U2 - 10.1097/HTR.0000000000000331

DO - 10.1097/HTR.0000000000000331

M3 - Article

JO - Journal of Head Trauma Rehabilitation

JF - Journal of Head Trauma Rehabilitation

SN - 0885-9701

ER -