Related Journal Citations
Study Registration Information
Initial PCORI-Funded Research Study
This implementation project focuses on putting findings into practice from this completed PCORI-funded research study: Comparing Online and In-Person Family Therapy for Teens with Traumatic Brain Injury and Their Parents
|PCORI implementation projects promote the use of findings from PCORI-funded studies in real-world healthcare and other settings. These projects build toward broad use of evidence to inform healthcare decisions.|
This PCORI-funded implementation project is helping hospitals and rehab centers deliver family problem-solving therapy to improve quality of life and behavior for teens with traumatic brain injury, or TBI.
|More than 150,000 children in the United States have ongoing problems due to TBI. Less than half of these children receive treatment. Connecting families with treatment can improve quality of life and behavior for teens with TBI.|
COVID-19-Related Project Enhancement
COVID-19 has disrupted care for teens with TBI or other brain injuries. For many, follow-up care has shifted from in-person care to telehealth. Telehealth provides care to patients remotely using phone, video, or other devices that help manage care. In an earlier study, online F-PST for teens with TBI improved quality of life and behavior.
With this enhancement, the project team will adapt F-PST for use by children with other brain injuries, such as tumors or stroke. The team will also expand training and support to offer F-PST via telehealth.
Enhancement Award Amount: $499,999
Implementation Project Summary
What is the goal of this implementation project?
Violent bumps or blows to the head, such as from car crashes or sports accidents, can cause TBI. People with TBI may have headaches, nausea, dizziness, confusion, or mood changes. Some TBIs cause physical, emotional, and behavioral problems that last a long time and are stressful for families.
Family problem-solving therapy, or F-PST, teaches families how to communicate and manage anger. It also helps families to adjust to changes in daily life. A PCORI-funded study found that online F-PST with or without a therapist was similar to in-person F-PST in improving quality of life and behavior for teens with TBI. Both types also improved parents’ depression and distress.
This project will expand the use of F-PST for teens with TBI to 15 children’s hospitals and rehab centers across 10 US states and Toronto.
What will this project do?
The project team will work with the children’s hospitals and rehab centers to develop ways to enroll teens and match them to the type of F-PST they prefer. Based on what works best for each family, they can choose
- In-person F-PST, where teens and families have hour-long meetings with a therapist and receive printed materials.
- Online F-PST with a therapist, where teens and families have hour-long video calls with a therapist. They also have access to online materials, such as videos and ways to practice skills learned during the calls.
- Online F-PST without a therapist, where teens and families have access to online materials that they can review on their own.
The project team will train providers at each site to deliver F-PST in person and online. The trainings will include in-person and video education, webinars, and continuing education credits. Providers will receive support, supervision, and training in F-PST.
The project team will also develop F-PST materials for families who speak Spanish.
What is the expected impact of this project?
In this project, more than 800 teens will receive F-PST. In addition to training therapists to deliver F-PST, the project will certify trainers. These trainers can continue to train and supervise therapists to deliver the therapy after the project ends. The project team will look at whether F-PST is working as planned to improve teen quality of life and behavior and depression in parents.
This project will demonstrate what’s required to offer F-PST at children’s hospitals and rehab centers in ways that work best for families—either online or in person.
More about this implementation project:
Stakeholders Involved in This Project
To document implementation:
To assess healthcare and health outcomes: