TY  - JOUR
PY  - 2015//
TI  - Long-term caregiver mental health outcomes following a predominately online intervention for adolescents with complicated mild to severe traumatic brain injury
JO  - Journal of pediatric psychology
A1  - Petranovich, Christine L.
A1  - Wade, Shari L.
A1  - Taylor, H. Gerry
A1  - Cassedy, Amy
A1  - Stancin, Terry
A1  - Kirkwood, Michael W.
A1  - Maines Brown, Tanya
SP  - 680
EP  - 688
VL  - 40
IS  - 7
N2  - 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>
LA  - en
SN  - 0146-8693
UR  - http://dx.doi.org/10.1093/jpepsy/jsv001
ID  - ref1
ER  -