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Journal of Pediatric Psychology Advance Access published online on February 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi067
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Journal of Pediatric Psychology © Society of Pediatric Psychology 2005; all rights reserved.
Received March 11, 2004
Revised August 26, 2004
Accepted August 26, 2004

Article

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

Shari L. Wade PhD1*, Christopher Wolfe PhD2, Tanya Maines Brown PhD3, and John P. Pestian PhD1

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

* To whom correspondence should be addressed.
Shari L. Wade, E-mail: shari.wade{at}cchmc.org


  Abstract

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.

Keywords: telehealth; acquired brain injury; intervention; problem-solving; online.
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S. L. Wade, H. Gerry Taylor, K. O. Yeates, D. Drotar, T. Stancin, N. M. Minich, and M. Schluchter
Long-term Parental and Family Adaptation Following Pediatric Brain Injury
J. Pediatr. Psychol., November 1, 2006; 31(10): 1072 - 1083.
[Abstract] [Full Text] [PDF]


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