Parent- and Adolescent-reported Executive Functioning in the Context of Randomized Controlled Trials of Online Family Problem-Solving Therapy.
Parent- and Adolescent-reported Executive Functioning in the Context of Randomized Controlled Trials of Online Family Problem-Solving Therapy.
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在线家庭问题解决疗法随机对照试验背景下家长和青少年报告的执行功能。
DOI：
10.1017/s1355617721000308
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Wade,ShariL
中科院分区：
文献类型：
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作者：
Fisher,AllisonP;Gies,LisaM;Narad,MeganE;Austin,CynthiaA;Yeates,KeithOwen;Taylor,HGerry;Zhang,Nanhua;Wade,ShariL
我们研究了父母和家长报告的执行功能（EF）的行为，在儿童创伤性脑损伤（TBI）的背景下，在线家庭问题解决治疗（OFPST）和主持人的EF behaviors.MethodIn的变化，共274个家庭被随机分配到OFPST或互联网资源比较组。父母和青少年在四个时间点完成了执行功能的行为评定量表。混合模型被用来检查EF行为，评估访问，治疗组，评级，TBI严重程度，年龄，社会经济地位和家庭功能的影响。（F（3，1156）= 220.15，p <0.001; M = 58.11，SE = 0.73）高于青少年对自己的评价（M = 51.81，SE = 0.73）。在评分者中，父母受教育程度较低的青少年的EF行为（F（3，1156）= 8.60，p = 0.003; M = 56.76，SE = 0.98）比受教育程度较高的青少年（M = 53.16，SE = 0.88）差。基线年龄与访视相互作用（F（3，1156）= 5.05，p = 0.002），因此年龄较大的青少年家庭报告EF行为随时间推移而改善。家庭功能也与访视相互作用（F（3，1156）= 2.61，p = 0.049），表明随着时间的推移，功能更高的家庭EF行为改善更多。有没有影响的治疗或TBI severity.ConclusionWe确定了一个差异之间的父母和监护人报告的EF，这表明减少意识的赤字与TBI的青少年。我们还发现，较差的家庭功能和年龄较小与TBI后恢复较差相关，而据报道，父母受教育程度较低的青少年在不同时间点有更大的EF缺陷。
ObjectiveWe examined parent- and adolescent-reported executive functioning (EF) behaviors following pediatric traumatic brain injury (TBI) in the context of Online Family Problem-Solving Therapy (OFPST) and moderators of change in EF behaviors.MethodIn total, 274 families were randomized to OFPST or an internet resource comparison group. Parents and adolescents completed the Behavior Rating Inventory of Executive Function at four time points. Mixed models were used to examine EF behaviors, assessing the effects of visit, treatment group, rater, TBI severity, age, socioeconomic status, and family functioning.ResultsParents rated their adolescents’ EF as poorer (F(3,1156) = 220.15, p < .001; M = 58.11, SE = 0.73) than adolescents rated themselves (M = 51.81, SE = 0.73). Across raters, EF behaviors were poorer for adolescents whose parents had less education (F(3,1156) = 8.60, p = .003; M = 56.76, SE = 0.98) than for those with more education (M = 53.16, SE = 0.88). Age at baseline interacted with visit (F(3,1156) = 5.05, p = .002), such that families of older adolescents reported improvement in EF behaviors over time. Family functioning also interacted with visit (F(3, 1156) = 2.61, p = .049), indicating more improvement in EF behaviors over time in higher functioning families. There were no effects of treatment or TBI severity.ConclusionWe identified a discrepancy between parent- and adolescent-reported EF, suggesting reduced awareness of deficits in adolescents with TBI. We also found that poorer family functioning and younger age were associated with poorer recovery after TBI, whereas adolescents of parents with less education were reported as having greater EF deficits across time points.