整合各方面因素：基于网络的针对创伤性脑损伤儿童的家庭干预的初步疗效
Putting the pieces together: preliminary efficacy of a web-based family intervention for children with traumatic brain injury.
作者信息
Wade Shari L, Wolfe Christopher, Brown Tanya Maines, Pestian John P
机构信息
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229-3039, USA.
出版信息
J Pediatr Psychol. 2005 Jul-Aug;30(5):437-42. doi: 10.1093/jpepsy/jsi067. Epub 2005 Feb 23.
OBJECTIVE
To report preliminary efficacy data from a Web-based family problem-solving intervention to improve parent and child adaptation.
METHOD
Eight parents and six children with moderate to severe traumatic brain injury (TBI) who were injured more than 15 months earlier (M = 16 months) participated in the intervention. Families were given computers, Web cameras, and high-speed Internet access. Weekly videoconferences with the therapist were conducted after they completed self-guided Web exercises on problem-solving, communication, and antecedent behavior management strategies.
RESULTS
Paired t tests comparing pre- and post-intervention scores revealed significant improvements in injury-related burden, parental psychiatric symptoms, depression, and parenting stress. There were also significant reductions in antisocial behaviors in the injured child, but not in self-reported depressive symptoms.
CONCLUSIONS
These findings suggest that a computer-based intervention may successfully be used to improve both parent and child outcomes following TBI in children.
目的
报告一项基于网络的家庭问题解决干预措施改善家长和儿童适应情况的初步疗效数据。
方法
八名家长和六名中重度创伤性脑损伤（TBI）儿童参与了干预，这些儿童受伤时间超过15个月（平均16个月）。为家庭配备了电脑、网络摄像头和高速网络接入。在他们完成关于问题解决、沟通和先行行为管理策略的自主网络练习后，每周与治疗师进行视频会议。
结果
配对t检验比较干预前后得分显示，与损伤相关的负担、家长精神症状、抑郁和育儿压力有显著改善。受伤儿童的反社会行为也有显著减少，但自我报告的抑郁症状没有减少。
结论
这些发现表明，基于计算机的干预措施可能成功用于改善儿童创伤性脑损伤后家长和儿童的结局。
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