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Journal of Pediatric Psychology Advance Access originally published online on February 23, 2005
Journal of Pediatric Psychology 2005 30(5):437-442; doi:10.1093/jpepsy/jsi067
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Journal of Pediatric Psychology vol. 30 no. 5 © Society of Pediatric Psychology 2005; all rights reserved.

Putting the Pieces Together: Preliminary Efficacy of a Web-Based Family Intervention for Children with Traumatic Brain Injury

Shari L. Wade, PhD1,2, Christopher Wolfe, PhD3, Tanya Maines Brown, PhD4 and John P. Pestian, PhD1,2

1 Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, 2 College of Medicine, University of Cincinnati, 3 School of Interdisciplinary Studies, Miami University, and 4 Medical College of Wisconsin

All correspondence should be addressed to Shari L. Wade, Division of Pediatric Physical Medicine and Rehabilitation, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229–3039. E-mail: shari.wade{at}cchmc.org.

Received March 11, 2004; revisions received August 26, 2004; accepted August 26, 2004

Objective To report preliminary efficacy data from a Web-based family problem-solving intervention to improve parent and child adaptation. Method Eight parents and six children with moderate to severe traumatic brain injury (TBI) who were injured more than 15 months earlier (M = 16 months) participated in the intervention. Families were given computers, Web cameras, and high-speed Internet access. Weekly videoconferences with the therapist were conducted after they completed self-guided Web exercises on problem-solving, communication, and antecedent behavior management strategies. Results Paired t tests comparing pre- and post-intervention scores revealed significant improvements in injury-related burden, parental psychiatric symptoms, depression, and parenting stress. There were also significant reductions in antisocial behaviors in the injured child, but not in self-reported depressive symptoms. Conclusions These findings suggest that a computer-based intervention may successfully be used to improve both parent and child outcomes following TBI in children.

Key words: telehealth; acquired brain injury; intervention; problem-solving; online.


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