Evidence map›Paper›PMID 31834062›Full record

Trial reportThe Journal of head trauma rehabilitation

Online Family Problem-Solving Therapy (F-PST) for Executive and Behavioral Dysfunction After Traumatic Brain Injury in Adolescents: A Randomized, Multicenter, Comparative Effectiveness Clinical Trial.

Brad G Kurowski, H Gerry Taylor, Kelly A McNally, Michael W Kirkwood, Amy Cassedy, Paul S Horn, Terry Stancin, Shari L Wade

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

Trial report in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

8 authors.

Brad G KurowskiDivision of Pediatric Rehabilitation Medicine, Departments of Pediatrics and Neurology and Rehabilitation Medicine (Dr Kurowski), Division of Epidemiology and Biostatistics, Department of Pediatrics (Dr Cassedy), Division of Neurology, Department of Pediatrics (Dr Horn), and Division of Pediatric Rehabilitation Medicine, Department of Pediatrics (Dr Wade), Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Ohio; Biobehavioral Health Center, Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, and Case Western Reserve University and Rainbow Babies & Children's Hospital, University Hospitals Cleveland Medical Center, Cleveland, Ohio (Dr Taylor); Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio (Dr McNally); Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado (Dr Kirkwood); and MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio (Dr Stancin).
H Gerry Taylor
Kelly A McNally
Michael W Kirkwood
Amy Cassedy
Paul S Horn
Terry Stancin
Shari L Wade

Funding

Efficacy of MBSR Treatment of Cognitive Impairment Among Breast Cancer SurvivorsR01CA199160 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI LENGACHER, CECILE A · 2015 to 2019
$2.9M
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
NCI NIH HHS R01 CA199160NICHD NIH HHS K23 HD074683NICHD NIH HHS L40 HD066480
6 · The paper itself

Abstract

objectiveTo examine the comparative effectiveness of 3 modes of family problem-solving therapy (F-PST): therapist-guided online, self-guided online, and face-to-face.

settingFour children's hospitals and a general hospital with pediatric commitment.

participantsA total of 150 adolescents aged 14 to 18 years, previously hospitalized with traumatic brain injury (TBI), and evidence of behavior problems at enrollment.

designMulticenter, randomized clinical trial. MAIN MEASURES: Behavior Rating Inventory of Executive Function (BRIEF) Global Executive Composite (GEC), Behavior Regulation Index, and Metacognition Index, and Strengths and Difficulties Questionnaire (SDQ) Total at baseline and 6 and 9 months later.

resultsMixed-model intention-to-treat analyses of comparative effectiveness failed to reveal statistically significant differences among treatment groups. At 6 months, parent BRIEF-GEC improved for the therapist-guided and self-guided, online groups. Effects remained significant and increased in magnitude at 9 months for the self-guided online group. Scores for the Self-guided online group significantly improved from baseline to 9 months on the SDQ Total.

conclusionsThis comparative effectiveness study supports the utility of both self- and therapist-guided online F-PST in improving executive function behaviors in adolescents following TBI. Further work regarding clinical implementation and how best to integrate telehealth with ongoing rehabilitation care is warranted.

Indexed as

Brain Injuries, TraumaticProblem SolvingAdolescentExecutive FunctionFamilyHumansInternetMaleProblem BehaviorPsychotherapy

Identifiers

PMID31834062
PMCPMC7205575

What OpenQuestion holds

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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.