A web-based videoconferencing approach to training caregivers in rural areas to compensate for problems related to traumatic brain injury.

Objective: To describe the development and the implementation of a Web-based, videoconferencing training program for caregivers of adults with traumatic brain injury in rural areas to manage cognitive and behavioral changes in the person with the injury.
Design: Feasibility study, with satisfaction and perceived utility assessed.
Intervention: Six Web-based videoconference sessions, combining didactic education and interactive problem-solving.
Participants: Fifteen caregivers of persons with complicated mild, moderate, or severe traumatic brain injury, who were admitted to a level III trauma center in a rural area of Texas.
Measures: Satisfaction survey and perceived utility questions conducted immediately following training and at an average of 18 months after training.
Results: Participants' overall satisfaction and comfort with the training was high. They perceived that they gained knowledge that was applicable to the everyday problems being experienced. At follow-up, all participants reported having used the knowledge gained to help cope with problems and all had referred to the written materials at least once since the training.
Conclusions: Web-based videoconferencing can be used to provide training to caregivers to manage cognitive and behavioral problems resulting from traumatic brain injury. However, there are obstacles related to willingness to seek help among persons in rural areas that must be overcome.