Article

OBJECTIVE: To examine the moderating effects of parent marital status and
participation on efficacy of an online family problem-solving intervention for
pediatric traumatic brain injury (TBI). METHODS: Participants were 132
adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their
parents. Participants were randomly assigned to the intervention
(Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison
(IRC) condition. CAPS was designed to support families in the initial phase
following TBI, by teaching problem-solving skills and addressing common
challenges. To examine the moderating effect of parent marital status,
participants were divided into 4 groups (ie, CAPS married household, CAPS
unmarried household, IRC married household, and IRC unmarried household). Family
income and caregiver education were controlled in analyses. RESULTS: Parent
marital status moderated treatment effects on adolescent externalizing behavior
problems. Adolescents from married households in CAPS displayed fewer behavior
problems at 6 and 18 months postbaseline compared with adolescents from unmarried
households in CAPS. Among married CAPS families, there were no differences in
outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS:
Web-based interventions for pediatric TBI, such as CAPS, are a viable option for
some although not all families. Further research is needed to investigate factors
that influence efficacy to match families to the most beneficial treatments.

Langue : ANGLAIS