Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury.
Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury.
复制标题
辅导员协助解决问题可提高青少年脑损伤后护理人员的效率。
DOI：
10.1037/a0034911
复制
发表时间：
2014
影响因子：
2.7
通讯作者：
Brown,TanyaMaines
中科院分区：
文献类型：
--
作者：
Wade,ShariL;Karver,ChristineL;Taylor,HGerry;Cassedy,Amy;Stancin,Terry;Kirkwood,MichaelW;Brown,TanyaMaines
目的：本研究的目的是检验辅导员辅助问题解决 (CAPS) 在改善创伤性脑损伤 (TBI) 后护理人员适应能力方面的功效。研究方法/设计：在一项随机临床试验中，比较了 CAPS (n= 65)（一种在线解决问题的干预措施，附带基于网络的咨询课程）和基于信息的互联网资源比较 (IRC；n= 67) 计划，参与者包括在过去 6 个月内遭受过 TBI 的 12 至 17 岁儿童的家庭。线性回归分析用于确定主要效应，并检查护理人员的教育程度、种族或之前使用计算机是否会调节治疗效果。结果：计算机体验调节了 CAPS 后护理自我效能的干预后改善，具体而言，之前使用水平较低的 CAPS 家长报告改善最大。完成 5 次或以上疗程的 CAPS 参与者报告抑郁症的减轻程度比 IRC 更大；然而，这些群体对全球困境的看法并无分歧。结论/启示：研究结果支持咨询师支持的基于网络的干预措施的潜在效用，特别是对于青少年 TBI 后计算机专业知识有限的个人。（PsycINFO 数据库记录 (c) 2016 APA，保留所有权利）
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.(PsycINFO Database Record (c) 2016 APA, all rights reserved)