A randomized trial of teen online problem solving: efficacy in improving caregiver outcomes after brain injury.
A randomized trial of teen online problem solving: efficacy in improving caregiver outcomes after brain injury.
复制标题
青少年在线解决问题的随机试验：改善脑损伤后护理人员结果的功效。
DOI：
10.1037/a0028440
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
K. Yeates
中科院分区：
文献类型：
--
作者：
S. Wade;N. Walz;Joanne C. Carey;Kendra M McMullen;Jennifer Cass;Erin M. Mark;K. Yeates
客观化
目的：检验在线问题解决(TOPS)模式--青少年在线问题解决(TOPS)的随机临床试验(RCT)在提高问题解决技能、减轻创伤性脑损伤(TBI)青少年照顾者抑郁症状和全球痛苦方面的结果。
方法
11-18岁青少年的家庭是从医院创伤登记处招募的，他们在3到19个月前遭受了中到重度的脑外伤。参与者被分配接受基于网络的问题解决干预(TOPS，n=20)，或访问与TBI有关的在线资源(互联网资源比较；IRC；n=21)。在治疗前后评估家长对问题解决能力、抑郁症状、总体苦恼、利用和满意度的报告。在控制治疗前水平后，对两组的随访评分进行比较。家庭收入被视为治疗效果的潜在调节因素。问题解决能力的提高被视为减少抑郁和痛苦的中介因素。
结果
41名参与者表示同意并完成了基线评估，35名参与者(16名TOP和19名IRC)完成了后续评估。两组的父母都报告对两种干预措施都有很高的满意度。解决问题的技能和抑郁的改善受到家庭收入的影响，收入较低的顶层照顾者报告有更大的改善。解决问题的增加在一定程度上促进了全球痛苦的减少。
结论
研究结果表明，在患有脑外伤的青少年家庭中，TOPS可能在提高解决问题的技能和减少某些照顾者的抑郁症状方面有效。
OBJECTIVE
To examine the results of a randomized clinical trial (RCT) of Teen Online Problem Solving (TOPS), an online problem solving therapy model, in increasing problem-solving skills and decreasing depressive symptoms and global distress for caregivers of adolescents with traumatic brain injury (TBI).
METHOD
Families of adolescents aged 11-18 who sustained a moderate to severe TBI between 3 and 19 months earlier were recruited from hospital trauma registries. Participants were assigned to receive a web-based, problem-solving intervention (TOPS, n = 20), or access to online resources pertaining to TBI (Internet Resource Comparison; IRC; n = 21). Parent report of problem solving skills, depressive symptoms, global distress, utilization, and satisfaction were assessed pre- and posttreatment. Groups were compared on follow-up scores after controlling for pretreatment levels. Family income was examined as a potential moderator of treatment efficacy. Improvement in problem solving was examined as a mediator of reductions in depression and distress.
RESULTS
Forty-one participants provided consent and completed baseline assessments, with follow-up assessments completed on 35 participants (16 TOPS and 19 IRC). Parents in both groups reported a high level of satisfaction with both interventions. Improvements in problem solving skills and depression were moderated by family income, with caregivers of lower income in TOPS reporting greater improvements. Increases in problem solving partially mediated reductions in global distress.
CONCLUSIONS
Findings suggest that TOPS may be effective in improving problem solving skills and reducing depressive symptoms for certain subsets of caregivers in families of adolescents with TBI.
人际压力源和资源作为儿科创伤后父母适应的预测因子。
影响因子：
5.9
作者：
Wade,ShariL;Stancin,Terry;Taylor,HGerry;Drotar,Dennis;Yeates,KeithOwen;Minich,NoriM
通讯作者：
Minich,NoriM
儿科创伤后第一年护理人员的应对方式与家庭结局的关系。
影响因子：
5.9
作者：
Wade,SL;Borawski,EA;Taylor,HG;Drotar,D;Yeates,KO;Stancin,T
通讯作者：
Stancin,T