Development and preliminary evaluation of a structured family system intervention for adolescents with brain injury and their families

Gan, Caron; Gargaro, Judith; Kreutzer, Jeffrey S.; Boschen, Kathryn A.; Wright, Virginia

doi:10.3109/02699051003692142

Cited by 32 publications

(61 citation statements)

References 38 publications

(46 reference statements)

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“…Thus, problem-solving therapy may also provide a key metacognitive strategy enabling children with TBI to function more effectively. Problem-solving therapy has been used with caregivers of adults with TBI 12, 13 and has been increasingly used in family-centered treatments for children and youth with TBI 14 .…”

Section: Introductionmentioning

confidence: 99%

Counselor-Assisted Problem Solving (CAPS) Improves Behavioral Outcomes in Older Adolescents With Complicated Mild to Severe TBI

Wade¹,

Stancin²,

Kirkwood³

et al. 2014

Journal of Head Trauma Rehabilitation

118

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Objective To test the efficacy of Counselor-Assisted Problem Solving (CAPS) versus an internet resources comparison (IRC) condition in reducing behavior problems in adolescents following traumatic brain injury (TBI). Design Randomized clinical trial with interviewers naïve to treatment condition. Setting Three large tertiary children's hospitals and two general hospitals with pediatric commitment. Participants 132 children ages 12-17 years hospitalized during the previous 6 months for moderate to severe TBI. Interventions Participants in CAPS (n = 65) completed 8-12 online modules providing training in problem solving, communication skills, and self-regulation and subsequent synchronous videoconferences with a therapist. Participants in the IRC group (n = 67) received links to internet resources about pediatric TBI. Main Outcome Measures Child Behavior Checklist (CBCL) administered before and after completion of treatment (i.e., approximately six months after treatment initiation). Results Post hoc analysis of covariance (ANCOVA), controlling for pre-treatment 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 did IRC. Conclusion Online problem-solving therapy may be effective in reducing behavior problems in older adolescent survivors of moderate-severe TBI.

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Section: Introductionmentioning

confidence: 99%

Counselor-Assisted Problem Solving (CAPS) Improves Behavioral Outcomes in Older Adolescents With Complicated Mild to Severe TBI

Wade¹,

Stancin²,

Kirkwood³

et al. 2014

Journal of Head Trauma Rehabilitation

118

View full text Add to dashboard Cite

show abstract

“…Problem-solving therapy provides a structured, yet flexible, approach for staying positive and addressing the varied difficulties and changing family dynamics that often accompany TBI (D’Zurilla & Nezu, 2006). Problem-solving therapy has been used with caregivers of adults with TBI (Kreutzer et al, 2009; Rivera et al, 2008) and has been used increasingly in family-centered treatments for children and youth with TBI (Gan, Gargaro, Kreutzer, Boschen, & Wright, 2010). …”

Section: Introductionmentioning

confidence: 99%

Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury.

Wade¹,

Karver²,

Taylor³

et al. 2014

Rehabilitation Psychology

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Purpose The purpose of the current study is to examine the efficacy of Counselor-Assisted Problem Solving (CAPS) in improving caregiver adaptation following traumatic brain injury (TBI). Research Method/Design In a randomized clinical trial comparing CAPS (n = 65), an online problem-solving intervention with accompanying Web-based counseling sessions, with an information-based Internet Resource Comparison (IRC; n = 67) program, participants included families of 12- to17-year-olds who had sustained a TBI in the past 6 months. Linear regression analyses were used to identify main effects and to examine whether caregiver education, race, or prior computer use moderated treatment efficacy. Results Computer experience moderated postintervention improvements in caregiving self-efficacy following CAPS, Specifically, parents in CAPS with low levels of prior use reporting the greatest improvements. CAPS participants who completed 5 or more sessions reported greater reductions in depression than did the IRC; however, the groups did not differ on global distress. Conclusions/Implications Findings support the potential utility of counselor-supported Web-based interventions particularly for individuals with limited computer expertise following adolescent TBI.

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“…To the best of the authors' knowledge, Gan et al [27] provided the first detailed account of the adaptation of a psychological/psychosocial intervention programme across client groups (i.e. from adults to adolescents) in the field of acquired brain injury.…”

Section: Introductionmentioning

confidence: 99%

“…from adults to adolescents) in the field of acquired brain injury. The procedures devised by Gan et al [27] provided the model for the current study.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation of the Window to Hope: A psychological intervention to reduce hopelessness among US Veterans with traumatic brain injury

et al. 2014

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Development and preliminary evaluation of a structured family system intervention for adolescents with brain injury and their families

Abstract: The findings provide evidence that BIFI-A is a promising family system intervention. Additional research is needed to determine its benefits.

Cited by 32 publications

References 38 publications

Counselor-Assisted Problem Solving (CAPS) Improves Behavioral Outcomes in Older Adolescents With Complicated Mild to Severe TBI

Counselor-Assisted Problem Solving (CAPS) Improves Behavioral Outcomes in Older Adolescents With Complicated Mild to Severe TBI

Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury.

Cross-cultural adaptation of the Window to Hope: A psychological intervention to reduce hopelessness among US Veterans with traumatic brain injury

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