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Randomized Controlled Trial
. 2014 Feb;59(1):1-9.
doi: 10.1037/a0034911.

Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury

Shari L Wade  1 , Christine L Karver  2 , H Gerry Taylor  3 , Amy Cassedy  4 , Terry Stancin  5 , Michael W Kirkwood  6 , Tanya Maines Brown  7
Affiliations
Randomized Controlled Trial

Counselor-assisted problem solving improves caregiver efficacy following adolescent brain injury

Shari L Wade et al. Rehabil Psychol. 2014 Feb.

Abstract

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- to 17-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.

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Figures

Figure 1
Figure 1
CONSORT diagram.
Figure 2
Figure 2
a. Mean baseline and 6-month Caregiver Self-Efficacy Scale (CSES) scores of frequent computer users. b. Mean baseline and 6-month Caregiver Self-Efficacy Scale (CSES) scores of nonfrequent computer users.
See this image and copyright information in PMC

References

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