Traumatic Brain Injury Positive Strategies for Families: A Pilot Randomized Controlled Trial of an Online Parent-Training Program.
Arch Phys Med Rehabil
; 104(7): 1026-1034, 2023 07.
Article
em En
| MEDLINE
| ID: mdl-37142177
ABSTRACT
OBJECTIVE:
To determine program satisfaction and preliminary efficacy of Traumatic Brain Injury Positive Strategies (TIPS), a web-based training for parenting strategies after child brain injury.DESIGN:
A randomized controlled trial with parallel assignment to TIPS intervention or usual-care control (TAU). The three testing time-points were pretest, posttest within 30 days of assignment, and 3-month follow-up. Reported in accordance with CONSORT extensions to randomized feasibility and pilot trialsSETTING:
Online.PARTICIPANTS:
Eighty-three volunteers recruited nationally who were 18 years of age or older, U.S. residents, English speaking and reading, had access to high-speed internet, and were living with and caring for a child who was hospitalized overnight with a brain injury (ages 3-18 years, able to follow simple commands; N=83).INTERVENTIONS:
Eight interactive behavioral training modules on parent strategies. The usual-care control was an informational website. MAIN OUTCOMEMEASURES:
The proximal outcomes were User Satisfaction, Usefulness, Usability, Feature Preference, Strategy Utilization and Effectiveness, and Learning and Self-Efficacy for TIPS program participants. The primary outcomes were Strategy Knowledge, Application, and Strategy-Application Confidence; Family Impact Module of Pediatric Quality of Life Inventory (PedsQL); and Caregiver Self-Efficacy Scale. The secondary outcomes were TIPS vs TCore PedsQL and Health Behavior Inventory (HBI)RESULTS:
Pre- and posttest assessments were completed by 76 of 83 caregivers; 74 completed their 3-month follow-up. Linear growth models indicated that relative to TAU, TIPS yielded greater increases in Strategy Knowledge over the 3-month study (d=.61). Other comparisons did not reach significance. Outcomes were not moderated by child age, SES, or disability severity measured by Cognitive Function Module of PedsQL. All TIPS participants were satisfied with the program.CONCLUSIONS:
Of the 10 outcomes tested, only TBI knowledge significantly improved relative to TAU.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Lesões Encefálicas
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Clinical_trials
Aspecto:
Patient_preference
Limite:
Adolescent
/
Adult
/
Child
/
Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2023
Tipo de documento:
Article