A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Intl J of Devlp Neuroscience

et al. 2015

Self Cite

107

Pediatric traumatic brain injury (TBI) can result in a range of social impairments, however longitudinal recovery is not well characterized, and clinicians are poorly equipped to identify children at risk for persisting difficulties. Using a longitudinal prospective design, this study aimed to evaluate the contribution of injury and non-injury related risk and resilience factors to longitudinal outcome and recovery of social problems from 12- to 24-months post-TBI. 78 children with TBI (injury age: 5.0-15.0 years) and 40 age and gender-matched typically developing (TD) children underwent magnetic resonance imaging including a susceptibility-weighted imaging (SWI) sequence 2-8 weeks post-injury (M=39.25, SD=27.64 days). At 12 and 24-months post- injury, parents completed questionnaires rating their child's social functioning, and environmental factors including socioeconomic status, caregiver mental health and family functioning. Results revealed that longitudinal recovery profiles differed as a function of injury severity, such that among children with severe TBI, social problems significantly increased from 12- to 24-months post-injury, and were found to be significantly worse than TD controls and children with mild and moderate TBI. In contrast, children with mild and moderate injuries showed few problems at 12-months post-injury and little change over time. Pre-injury environment and SWI did not significantly contribute to outcome at 24-months, however concurrent caregiver mental health and family functioning explained a large and significant proportion of variance in these outcomes. Overall, this study shows that longitudinal recovery profiles differ as a function of injury severity, with evidence for late-emerging social problems among children with severe TBI. Poorer long-term social outcomes were associated with family dysfunction and poorer caregiver mental health at 24-months post injury, suggesting that efforts to optimize the child's environment and bolster family coping resources may enhance recovery of social problems following pediatric TBI.

Section: Discussionmentioning

confidence: 99%

Longitudinal outcome and recovery of social problems after pediatric traumatic brain injury (TBI): Contribution of brain insult and family environment

Ryan

Bijnen

Intl J of Devlp Neuroscience

et al. 2015

Self Cite

107

“…Translated with permission of Drotar. FBII has been previously used in studies of children with ABI [21] , [29] . We will use the total intensity raw score for the analysis.…”

Section: Methodsmentioning

confidence: 99%

Parenting program versus telephone support for Mexican parents of children with acquired brain injury: A blind randomized controlled trial

Chávez

Contemporary Clinical Trials Communications

Hearps

et al. 2017

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IntroductionAcquired brain injury (ABI) during childhood typically causes behavior problems in the child and high levels of stress in the family. The aims of this study are: (1) to investigate the effectiveness and feasibility of a parenting intervention in improving behavior and self-regulation in Mexican children with ABI compared to telephone support; (2) to investigate the effectiveness and feasibility of a parenting intervention in improving parenting skills, parent self-efficacy and decreasing parental stress in parents of children with ABI compared to telephone support. Our secondary aims are (1) to explore the impact that parent characteristics have on the intervention outcomes; (2) to investigate if changes are maintained 3 months after the intervention.MethodsThe research design is a blind randomized controlled trial (RCT). Eligible participants include children with a diagnosis of ABI, between 6 and 12 years of age, and their parents. Sixty-six children and their parents will be randomly allocated to either a parenting program group or telephone support group. The parenting program involves six face-to-face weekly group sessions of 2.5 h each. Participants in the control group receive an information sheet with behavioral strategies, and six weekly phone calls, in which strategies to improve academic skills are provided. Children and their parents are evaluated by blind assessors before the intervention, immediately after the intervention and 3-months post-intervention.DiscussionThis study will be the first to evaluate the efficacy and feasibility of a parenting program for Mexican parents of children with ABI.Trial identifierACTRN12617000360314.

“…18,19 In the pediatric ABI population, the effectiveness of Signposts in combination with an additional module called "Dealing with a head injury in the family" (ABI booklet) has been investigated in two studies. 20,21 Woods et al 22 studied Signposts delivered via telephone in a case series of nine children. In that case series, Signposts was shown effective in reducing disruptive behavior and improving parenting practices, and not effective in reducing parental stress.…”

Section: Introductionmentioning

confidence: 99%

“…In that case series, Signposts was shown effective in reducing disruptive behavior and improving parenting practices, and not effective in reducing parental stress. 22 Another study using a pre-post design investigated the effectiveness of Signposts delivered in face-to-face group sessions or via telephone in a sample of 42 children with ABI and their families. 20 Signposts was effective in improving parenting practices, reducing disruptive behavior, and reducing parental stress in participants who were at risk of behavioral disturbance prior to intervention (total T score ≥60) in the Child Behavior Checklist (CBCL).…”

Section: Introductionmentioning

confidence: 99%

A Parenting Program to Reduce Disruptive Behavior in Hispanic Children with Acquired Brain Injury: A Randomized Controlled Trial Conducted in Mexico

Arana

Developmental Neurorehabilitation

Yáñez-Téllez

et al. 2019

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Children with acquired brain injury (ABI) are at risk of impairments in self-regulation and disruptive behavior. We aimed to investigate the effectiveness of the Signposts program to reduce disruptive behavior and improve self-regulation in Hispanic children with ABI, and reduce parental stress and improve parenting practices. Using a randomized controlled trial design, we assigned children (n = 71) and their parents to Signposts or generic telephone support. Blinded assessors conducted assessments at pre-intervention, immediately post-intervention, and at 3 months post-intervention. Signposts was effective in reducing dysfunctional parenting practices. Further, when analyzing participants at risk of behavioral disturbance (n = 46), Signposts was effective in reducing child disruptive behavior in the home environment and emotional self-regulation. No differences were found for parental stress, parent sense of competence, child disruptive behaviors at school, and child cognitive and behavioral selfregulation. The reduction in disruptive behavior was associated with the implementation of authoritative parenting practices (external regulation), and not associated with child self-regulation. ARTICLE HISTORY