Article

OBJECTIVE: To test the efficacy of Counselor-Assisted Problem Solving (CAPS)
versus an Internet resource comparison (IRC) condition in reducing behavior
problems in adolescents following traumatic brain injury (TBI). DESIGN:
Randomized clinical trial with interviewers naive to treatment condition.
SETTING: Three large tertiary children's hospitals and 2 general hospitals with
pediatric commitment. PARTICIPANTS: A total of 132 children and adolescents aged
12 to 17 years hospitalized during the previous 6 months for moderate to severe
TBI. INTERVENTIONS: Participants in CAPS (n = 65) completed 8 to 12 online
modules providing training in problem solving, communication skills, and
self-regulation and subsequent synchronous videoconferencing with a therapist.
Participants in the IRC group (n = 67) received links to Internet resources about
pediatric TBI. MAIN OUTCOME MEASURES: Child Behavior Checklist administered
before and after completion of treatment (ie, approximately 6 months after
treatment initiation). RESULTS: Post hoc analysis of covariance, controlling for
pretreatment scores, was used to examine group differences in behavior problems
in the entire sample and among older (n = 59) and younger adolescents (n = 53).
Among older but not younger adolescents, CAPS resulted in greater improvements on
multiple dimensions of externalizing behavior problems than IRC. CONCLUSION:
Online problem-solving therapy may be effective in reducing behavior problems in
older adolescent survivors of moderate-severe TBI.

Langue : ANGLAIS