Evidence map›Paper›PMID 25583911›Full record

Trial reportPediatrics2015

Online problem-solving therapy after traumatic brain injury: a randomized controlled trial.

Shari L Wade, Brad G Kurowski, Michael W Kirkwood, Nanhua Zhang, Amy Cassedy, Tanya M Brown, Britt Nielsen, Terry Stancin, H Gerry Taylor

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 9 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shari L WadeDivisions of Physical Medicine and Rehabilitation and shari.wade@cchmc.org.
Brad G KurowskiDivisions of Physical Medicine and Rehabilitation and.
Michael W KirkwoodDepartment of Physical Medicine and Rehabilitation, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado;
Nanhua ZhangEpidemiology and Biostatistics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio;
Amy CassedyEpidemiology and Biostatistics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio;
Tanya M BrownDepartment of Psychiatry and Psychology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota;
Britt NielsenDivision of Pediatric Psychology, Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio; and.
Terry StancinDivision of Pediatric Psychology, Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio; and.
H Gerry TaylorDivision of Developmental and Behavioral Pediatrics and Psychology, Department of Pediatrics, Case Western Reserve University and Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Improving Mental Health Outcomes of Child Brain InjuryR01MH073764 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI WADE, SHARI L · 2006 to 2010
$3.0M
Efficacy of Methylphenidate for Management of Long-term Attention Problems inTBIK23HD074683 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI KUROWSKI, BRAD G · 2013 to 2016
$426k
NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425NICHD NIH HHS 1K23HD074683-01A1NICHD NIH HHS K23 HD074683NIMH NIH HHS R01 MH073764NIMH NIH HHS R01-MH073764PHS HHS H133G050239
6 · The paper itself

Abstract

backgroundPediatric traumatic brain injury (TBI) contributes to impairments in functioning in everyday settings. Evidence suggests that online family problem-solving therapy (FPST) may be effective in reducing adolescent behavioral morbidity. This article examines the efficacy of Counselor-Assisted Problem Solving (CAPS), a form of online FPST in improving long-term functional outcomes of adolescents with TBI relative to Internet resources only.

methodsChildren, aged 12 to 17 years, who were hospitalized in the previous 7 months for TBI were enrolled in a multisite, assessor-blinded randomized controlled trial. Consented participants were randomly assigned to CAPS or an Internet resource comparison (IRC) condition. Outcomes were assessed at baseline and at follow-ups 6, 12, and 18 months postbaseline. The Child and Functional Assessment Scale and the Iowa Family Interaction Rating Scale (IFIRS) served as primary outcomes of child and family functioning respectively.

resultsFor the Child and Functional Assessment Scale total, we found a significant group × time interaction, with less impaired functioning for the CAPS group than for the IRC group at the final follow-up. Parent education moderated the efficacy of CAPS on overall rates of impairment and school/work functioning, with the advantage of CAPS over IRC evident at the final follow-up only for participants with less-educated parents. Neither group differences nor group × time interactions were found for the IFIRS.

conclusionsRelatively brief, online treatment shortly after injury may result in long-term improvements in child functioning, particularly among families of lower socioeconomic status. Clinical implementation of CAPS during the initial months postinjury should be considered.

Indexed as

Family TherapyInternetProblem SolvingTherapy, Computer-AssistedAdolescentBrain InjuriesChildChild Behavior DisordersFemaleFollow-Up StudiesHumansMalePsychotherapy, BriefSocioeconomic Factorsadolescentbrain injurychildonlineRCTtherapy

Identifiers

PMID25583911
PMCPMC4306792

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.