Evidence map›Paper›PMID 25738891›Full record

Trial reportJournal of neurotrauma2015

Long-Term Behavioral Outcomes after a Randomized, Clinical Trial of Counselor-Assisted Problem Solving for Adolescents with Complicated Mild-to-Severe Traumatic Brain Injury.

Shari L Wade, H Gerry Taylor, Amy Cassedy, Nanhua Zhang, Michael W Kirkwood, Tanya M Brown, Terry Stancin

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurotrauma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 7% of its field
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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Shari L Wade1 Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine , Cincinnati, Ohio.
H Gerry Taylor2 Division 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.
Amy Cassedy1 Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine , Cincinnati, Ohio.
Nanhua Zhang1 Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine , Cincinnati, Ohio.
Michael W Kirkwood3 Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado and University of Colorado School of Medicine , Aurora, Colorado.
Tanya M Brown4 Department of Psychiatry and Psychology, Mayo Clinic College of Medicine , Mayo Clinic, Rochester, Minnesota.
Terry Stancin5 Division of Pediatric Psychology, Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University , Cleveland, Ohio.
University of Cincinnati · USMayo Clinic · USMetroHealth Medical Center · USRainbow Babies & Children's Hospital · US

Funding

Improving Mental Health Outcomes of Child Brain InjuryR01MH073764 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI WADE, SHARI L · 2006 to 2010
$3.0M
NIMH NIH HHS R01 MH073764NIMH NIH HHS R01-MH073764
6 · The paper itself

Abstract

Family problem-solving therapy (FPST) has been shown to reduce behavior problems after pediatric traumatic brain injury (TBI). It is unclear whether treatment gains are maintained. We sought to evaluate the maintenance of improvements in behavior problems after a Web-based counselor-assisted FPST (CAPS) intervention compared to an Internet resource comparison (IRC) intervention provided to adolescents within the initial year post-TBI. We hypothesized that family socioeconomic status, child educational status, and baseline levels of symptoms would moderate the efficacy of the treatment over time. Participants included 132 adolescents ages 12-17 years who sustained a complicated mild-to-severe TBI 1-6 months before study enrollment. Primary outcomes were the Child Behavior Checklist Internalizing and Externalizing Totals. Mixed-models analyses, using random intercepts and slopes, were conducted to examine group differences over time. There was a significant group×time×grade interaction (F(1,304)=4.42; p=0.03) for internalizing problems, with high school-age participants in CAPS reporting significantly lower symptoms at 18 months postbaseline than those in the IRC. Post-hoc analyses to elucidate the nature of effects on internalizing problems revealed significant group×time×grade interactions for the anxious/depressed (p=0.03) and somatic complaints subscales (p=0.04). Results also indicated significant improvement over time for CAPS participants who reported elevated externalizing behavior problems at baseline (F(1, 310)=7.17; p=0.008). Findings suggest that CAPS may lead to long-term improvements in behavior problems among older adolescents and those with pretreatment symptoms.

Indexed as

Outcome Assessment, Health CareProblem SolvingAdolescentAdolescent BehaviorBrain InjuriesCounselingFemaleFollow-Up StudiesHumansInternetMaleProblem BehaviorTreatment Outcomeadolescentbehaviorbrain injurychildonlinetherapy

Identifiers

PMID25738891
PMCPMC4492777
OpenAlexW1683207829

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.