@article{ref1,
title="Online Family Problem-Solving Therapy (F-PST) for executive and behavioral dysfunction after traumatic brain injury in adolescents: a randomized, multicenter, comparative effectiveness clinical trial",
journal="Journal of head trauma rehabilitation",
year="2019",
author="Kurowski, Brad G. and Taylor, H. Gerry and McNally, Kelly A. and Kirkwood, Michael W. and Cassedy, Amy and Horn, Paul S. and Stancin, Terry and Wade, Shari L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To examine the comparative effectiveness of 3 modes of family problem-solving therapy (F-PST): therapist-guided online, self-guided online, and face-to-face. SETTING: Four children's hospitals and a general hospital with pediatric commitment. PARTICIPANTS: A total of 150 adolescents aged 14 to 18 years, previously hospitalized with traumatic brain injury (TBI), and evidence of behavior problems at enrollment. <br><br>DESIGN: Multicenter, randomized clinical trial. MAIN MEASURES: Behavior Rating Inventory of Executive Function (BRIEF) Global Executive Composite (GEC), Behavior Regulation Index, and Metacognition Index, and Strengths and Difficulties Questionnaire (SDQ) Total at baseline and 6 and 9 months later. <br><br>RESULTS: Mixed-model intention-to-treat analyses of comparative effectiveness failed to reveal statistically significant differences among treatment groups. At 6 months, parent BRIEF-GEC improved for the therapist-guided and self-guided, online groups. Effects remained significant and increased in magnitude at 9 months for the self-guided online group. Scores for the Self-guided online group significantly improved from baseline to 9 months on the SDQ Total. <br><br>CONCLUSIONS: This comparative effectiveness study supports the utility of both self- and therapist-guided online F-PST in improving executive function behaviors in adolescents following TBI. Further work regarding clinical implementation and how best to integrate telehealth with ongoing rehabilitation care is warranted.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000545",
url="http://dx.doi.org/10.1097/HTR.0000000000000545"
}