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Recovery Trajectories of Child and Family Outcomes Following Online Family Problem-Solving Therapy for Children and Adolescents after Traumatic Brain Injury.
- Source :
-
Journal of the International Neuropsychological Society : JINS [J Int Neuropsychol Soc] 2019 Oct; Vol. 25 (9), pp. 941-949. Date of Electronic Publication: 2019 Aug 13. - Publication Year :
- 2019
-
Abstract
- Objectives: We conducted joint analyses from five randomized clinical trials (RCTs) of online family problem-solving therapy (OFPST) for children with traumatic brain injury (TBI) to identify child and parent outcomes most sensitive to OFPST and trajectories of recovery over time.<br />Methods: We examined data from 359 children with complicated mild to severe TBI, aged 5-18, randomized to OFPST or a control condition. Using profile analyses, we examined group differences on parent-reported child (internalizing and externalizing behavior problems, executive function behaviors, social competence) and family outcomes (parental depression, psychological distress, family functioning, parent-child conflict).<br />Results: We found a main effect for measure for both child and family outcomes [F(3, 731) = 7.35, p < .001; F(3, 532) = 4.79, p = .003, respectively], reflecting differing degrees of improvement across measures for both groups. Significant group-by-time interactions indicated that children and families in the OFPST group had fewer problems than controls at both 6 and 18 months post baseline [t(731) = -5.15, p < .001, and t(731) = -3.90, p = .002, respectively, for child outcomes; t(532) = -4.81, p < .001, and t(532) = -3.80, p < .001, respectively, for family outcomes].<br />Conclusions: The results suggest limited differences in the measures' responsiveness to treatment while highlighting OFPST's utility in improving both child behavior problems and parent/family functioning. Group differences were greatest at treatment completion and after extended time post treatment.
- Subjects :
- Adolescent
Behavioral Symptoms physiopathology
Brain Injuries, Traumatic physiopathology
Child
Child, Preschool
Depression physiopathology
Executive Function physiology
Female
Humans
Internet-Based Intervention
Male
Parents psychology
Psychological Distress
Social Skills
Brain Injuries, Traumatic rehabilitation
Family
Family Therapy methods
Outcome Assessment, Health Care
Problem Solving
Subjects
Details
- Language :
- English
- ISSN :
- 1469-7661
- Volume :
- 25
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Journal of the International Neuropsychological Society : JINS
- Publication Type :
- Academic Journal
- Accession number :
- 31405391
- Full Text :
- https://doi.org/10.1017/S1355617719000778