Lessons learned: The effect of prior technology use on web-based interventions
Lessons learned: The effect of prior technology use on web-based interventions
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DOI：
10.1089/cpb.2007.0025
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发表时间：
2008-04-01
期刊：
影响因子：
--
通讯作者：
Wolfe, Christopher R.
中科院分区：
文献类型：
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作者：
Carey, Joanne C.;Wade, Shari L.;Wolfe, Christopher R.
这项研究考察了常规先前技术在儿童创伤性脑损伤(TBI)在线家庭问题解决(OFP)干预和互联网资源干预(IRI)治疗反应中的作用。参与者是来自40个脑外伤儿童家庭的150人，随机分配到OFP干预或IRI组。所有家庭都获得了免费的电脑和互联网访问TBI资源。OFP家庭接受基于网络的会议和治疗师指导的同步视频会议，重点放在解决问题、沟通技能和行为管理上。所有参与者都完成了抑郁、焦虑和使用电脑的测量。OFP参与者对治疗满意度、治疗联盟、网站和技术舒适度进行了评级。在OFP干预下，在使用科技产品的父母(n=14)中，抑郁和焦虑的改善明显高于非科技产品使用者(n=6)。科技用户报告说，随着时间的推移，他们对科技的舒适度越来越高，这种变化预示着后续会出现抑郁症。满意度和易用性评级并不因技术使用情况而异。先前不经常使用家庭电脑和不坚持使用电脑预示着后续的焦虑。IRI并不是全球有效的。然而，控制了先前的抑郁、年龄和工作中的技术，家庭技术对抑郁有显著的影响。在家中有技术经验的家庭(n=11)报告的抑郁改善比在家中没有技术经验的家庭(n=8)显著更大。尽管基于网络的OFP在改善照顾者功能方面是有效的，但由于不遵守的增加，计算机经验有限的个人可能从在线干预中受益较少。
This study examined the role of regular prior technology use in treatment response to an online family problem-solving (OFPS) intervention and an Internet resource intervention (IRI) for pediatric traumatic brain injury (TBI). Participants were 150 individuals in 40 families of children with TBI randomly assigned to OFPS intervention or an IRI. All families received free computers and Internet access to TBI resources. OFPS families received Web-based sessions and therapist-guided synchronous videoconferences focusing on problem solving, communication skills, and behavior management. All participants completed measures of depression, anxiety, and computer usage. OFPS participants rated treatment satisfaction, therapeutic alliance, and Web site and technology comfort. With the OFPS intervention, depression and anxiety improved significantly more among technology using parents (n = 14) than nontechnology users (n = 6). Technology users reported increasing comfort with technology over time, and this change was predictive of depression at followup. Satisfaction and ease-of-use ratings did not differ by technology usage. Lack of regular prior home computer usage and nonadherence were predictive of anxiety at followup. The IRI was not globally effective. However, controlling for prior depression, age, and technology at work, there was a significant effect of technology at home for depression. Families with technology experience at home (n = 11) reported significantly greater improvements in depression than families without prior technology experience at home (n = 8). Although Web-based OFPS was effective in improving caregiver functioning, individuals with limited computer experience may benefit less from an online intervention due to increased nonadherence.