@article{ref1,
title="Recovery trajectories of child and family outcomes following online family problem-solving therapy for children and adolescents after traumatic brain injury",
journal="Journal of the International Neuropsychological Society",
year="2019",
author="Wade, Shari L. and Fisher, Allison P. and Kaizar, Eloise E. and Yeates, Keith O. and Taylor, H. Gerry and Zhang, Nanhua",
volume="ePub",
number="ePub",
pages="1-9",
abstract="OBJECTIVES: We conducted joint analyses from five randomized clinical trials (RCTs) of online family problem-solving therapy (OFPST) for children with traumatic brain injury (TBI) to identify child and parent outcomes most sensitive to OFPST and trajectories of recovery over time. <br><br>METHODS: We examined data from 359 children with complicated mild to severe TBI, aged 5-18, randomized to OFPST or a control condition. Using profile analyses, we examined group differences on parent-reported child (internalizing and externalizing behavior problems, executive function behaviors, social competence) and family outcomes (parental depression, psychological distress, family functioning, parent-child conflict). <br><br>RESULTS: We found a main effect for measure for both child and family outcomes [F(3, 731) = 7.35, p <.001; F(3, 532) = 4.79, p =.003, respectively], reflecting differing degrees of improvement across measures for both groups. Significant group-by-time interactions indicated that children and families in the OFPST group had fewer problems than controls at both 6 and 18 months post baseline [t(731) = -5.15, p <.001, and t(731) = -3.90, p =.002, respectively, for child outcomes; t(532) = -4.81, p <.001, and t(532) = -3.80, p <.001, respectively, for family outcomes]. <br><br>CONCLUSIONS: The results suggest limited differences in the measures' responsiveness to treatment while highlighting OFPST's utility in improving both child behavior problems and parent/family functioning. Group differences were greatest at treatment completion and after extended time post treatment.<p /> <p>Language: en</p>",
language="en",
issn="1355-6177",
doi="10.1017/S1355617719000778",
url="http://dx.doi.org/10.1017/S1355617719000778"
}