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  • Title: Preliminary efficacy of a Web-based family problem-solving treatment program for adolescents with traumatic brain injury.
    Author: Wade SL, Walz NC, Carey JC, Williams KM.
    Journal: J Head Trauma Rehabil; 2008; 23(6):369-77. PubMed ID: 19033829.
    Abstract:
    OBJECTIVE: Preliminary report of the efficacy of a Web-based treatment program to improve adolescent and family psychosocial functioning following traumatic brain injury (TBI). PARTICIPANTS: Families of 9 adolescents with TBI (2 severe and 7 moderate) injured less than 24 months ago participated in this study. INTERVENTION: A Web-based family treatment program designed to enhance family problem solving and adjustment, as well as reduce adolescent behavioral and social problems that are common sequelae of moderate-to-severe TBI was used as intervention. The program consisted of 10 core sessions and up to 4 supplemental sessions, each consisting of self-guided Web exercises followed by a videoconference therapy session. RESULTS: Significant improvements were found in parent-reported adolescent internalizing behaviors, self-reported adolescent depressive symptoms, parental depression, and parent-adolescent conflict. Effect sizes were in the medium-to-high range for these same contrasts. Exploratory analyses suggested that providing audio with the Web site may enhance some outcomes. CONCLUSIONS: This study provides preliminary evidence of the feasibility and efficacy of family-centered online intervention for improving adolescent and family adaptation following pediatric TBI.
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