@article{ref1,
title="Long-term caregiver mental health outcomes following a predominately online intervention for adolescents with complicated mild to severe traumatic brain injury",
journal="Journal of pediatric psychology",
year="2015",
author="Petranovich, Christine L. and Wade, Shari L. and Taylor, H. Gerry and Cassedy, Amy and Stancin, Terry and Kirkwood, Michael W. and Maines Brown, Tanya",
volume="40",
number="7",
pages="680-688",
abstract="OBJECTIVE:  To examine the efficacy of counselor-assisted problem solving (CAPS) in improving long-term caregiver psychological functioning following traumatic brain injury (TBI) in adolescents.  METHODS:  This randomized clinical trial compared CAPS (n = 65), a predominantly online problem-solving intervention, with an Internet resource comparison (n = 67) program. Families of adolescents with TBI completed a baseline assessment and follow-up assessments 6, 12, and 18 months later. General linear mixed models were used to examine longitudinal changes in caregiver global psychological distress, depressive symptoms, and caregiving self-efficacy. Family income and injury severity were examined as moderators of treatment efficacy.  RESULTS:  Family income moderated long-term changes in caregiver psychological distress. For lower-income caregivers, the CAPS intervention was associated with lower levels of psychological distress at 6, 12, and 18 months post baseline.  CONCLUSIONS:  These findings support the utility of Web-based interventions in improving long-term caregiver psychological distress, particularly for lower-income families.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="10.1093/jpepsy/jsv001",
url="http://dx.doi.org/10.1093/jpepsy/jsv001"
}