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| Name | Class |
|---|---|
| MetroHealth Medical Center | OTHER |
| Nationwide Children's Hospital | OTHER |
| Rainbow Babies and Children's Hospital | OTHER |
| Children's Hospital Colorado |
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The purpose of this study is to test two on-line interventions for families of young children who have experienced moderate or severe traumatic brain injury (TBI). This project builds upon the investigators' previous research by modifying the online intervention content to address the needs of young children with TBI. The goal of this project is to develop an intervention that will encourage positive parenting behaviors, improve child behaviors, and reduce parent distress and burden following TBI. The investigators hypothesize that the intervention groups will exhibit more effective parenting skills as well as better child functioning and lower levels of parental distress at follow-up than will the active comparison group.
The investigators will conduct a multi-site randomized controlled trial (RCT) comparing the efficacy of 7-week Internet-based Interacting Together Everyday, Recovery after Childhood Traumatic Brain Injury Express (I-InTERACT Express) and 24-week long web-based positive parenting skills programs Internet-based Interacting Together Everyday, Recovery after Childhood Traumatic Brain Injury (I-InTERACT) to an internet resource group (IRC) involving access to internet resources and education about brain injury. The project builds upon the feasibility and efficacy findings from an ongoing randomized trial comparing the efficacy of a 24-week positive parenting skills program to access to internet resources. However, it differs in size and scope by including multiple sites, and by including an abbreviated parenting skills training arm in response to family feedback that the existing 24-week intervention was excessively long, resulting in adherence difficulties. The investigators anticipate that the improvements in parenting skills and psychological functioning will translate into improved parent-child relationships and reductions in child behavior problems. Over time, such improvements in child and parent functioning should contribute to academic and social success and more successful community integration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Comparator: Internet Resources Comparison (IRC) | Experimental | Participants will receive the Internet resource comparison group treatment |
|
| I-InTERACT | Experimental | Participants will receive a 24 week, 27 session internet-based parenting skills program |
|
| I-InTERACT Express | Experimental | Participants will receive an abbreviated 7 week, 14 session version of the I-InTERACT parenting skills program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet-based Interacting Together Everyday: Recovery After Childhood TBI (I-InTERACT) | Behavioral | Families in I-InTERACT will view 10 web-sessions (like chapters) and participate in 27 family meetings over the course of 24 weeks focusing on increasing positive parenting skills, reducing parenting stress, and improving child behavior problems. Meetings will be conducted in their home using a computer hook-up with a trained therapist. |
| Measure | Description | Time Frame |
|---|---|---|
| Parent Report Measures | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Neuropsychological Testing | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shari L Wade, PhD | Children's Hospital Medical Center, Cincinnati | Principal Investigator |
| H. Gerry Taylor, PhD | Rainbow Babies and Children's Hospital | Principal Investigator |
| Keith O. Yeates, PhD | Nationwide Children's Hospital | Principal Investigator |
| Michael Kirkwood, PhD | Children's Hospital Colorado | Principal Investigator |
| Terry Stancin, PhD | MetroHealth Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Children's Hospital, Denver | Aurora | Colorado | 80045 | United States | ||
| Cincinnati Children's Hospital Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30499926 | Derived | Aguilar JM, Cassedy AE, Shultz EL, Kirkwood MW, Stancin T, Yeates KO, Taylor HG, Wade SL. A Comparison of 2 Online Parent Skills Training Interventions for Early Childhood Brain Injury: Improvements in Internalizing and Executive Function Behaviors. J Head Trauma Rehabil. 2019 Mar/Apr;34(2):65-76. doi: 10.1097/HTR.0000000000000443. | |
| 29096775 |
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| OTHER |
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|
|
| Internet-based-Interacting Together Everyday, Recovery after Childhood TBI Express (I-InTERACT Express) | Behavioral | Families in I-InTERACT Express will view 10 web-sessions (like chapters) and participate in 14 family meetings over the course of 7 weeks focusing on increasing positive parenting skills, reducing parenting stress, and improving child behavior problems. Meetings will be conducted in their home using a computer hook-up with a trained therapist. |
|
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| Internet Resources Comparison (IRC) | Behavioral | Families in the IRC group will receive computers, high speed internet access, and links to brain injury information and resources. The resources are available for families to access as often as they choose. |
|
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| Cincinnati |
| Ohio |
| 45229 |
| United States |
| Rainbow Babies and Children's Hospital | Cleveland | Ohio | 44106 | United States |
| MetroHealth Medical Center | Cleveland | Ohio | 44109 | United States |
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
| Wade SL, Cassedy AE, Shultz EL, Zang H, Zhang N, Kirkwood MW, Stancin T, Yeates KO, Taylor HG. Randomized Clinical Trial of Online Parent Training for Behavior Problems After Early Brain Injury. J Am Acad Child Adolesc Psychiatry. 2017 Nov;56(11):930-939.e2. doi: 10.1016/j.jaac.2017.09.413. Epub 2017 Sep 14. |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001929 | Brain Edema |
| D006259 | Craniocerebral Trauma |
| D020201 | Brain Hemorrhage, Traumatic |
| D006408 | Hematoma, Subdural |
| D001924 | Brain Concussion |
| D016489 | Head Injuries, Closed |
| D046748 | Hematoma, Epidural, Spinal |
| D000070624 | Brain Contusion |
| D009422 | Nervous System Diseases |
| D014947 | Wounds and Injuries |
| D007280 | Disorders of Environmental Origin |
| D002493 | Central Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D001927 | Brain Diseases |
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D020198 | Intracranial Hemorrhage, Traumatic |
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006406 | Hematoma |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014949 | Wounds, Nonpenetrating |
| D003288 | Contusions |
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