Interacting Together Everyday: Recovery After Childhood Traumatic Brain Injury (TBI) "I-InTERACT - Full Text View

Purpose

The purpose of this study is to test an on-line intervention for families of young children who have experienced moderate or severe traumatic brain injury (TBI). Previous interventions were not designed to address the needs of young children with TBI, and feedback revealed a desire for more examples and materials appropriate for families of younger children. 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 group 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.

Condition	Intervention
Traumatic Brain Injury	Behavioral: Internet-based Interacting Together Everyday: Recovery After Childhood TBI Behavioral: Internet Resources Comparison

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment
Official Title:	An Online Intervention for Families of Young Children With TBI: I-InTERACT

Resource links provided by NLM:

MedlinePlus related topics: Brain Diseases Edema Head Injuries Injuries Neurologic Diseases Parenting Traumatic Brain Injury Wounds

U.S. FDA Resources

Further study details as provided by Children's Hospital Medical Center, Cincinnati:

Primary Outcome Measures:

parenting behaviors (e.g., warmth, responsiveness, and criticism) [ Time Frame: Measured at 3 months post baseline and 6 months post baseline ] [ Designated as safety issue: No ]
parent-child communication [ Time Frame: Measured at 3 months post baseline and 6 months post baseline ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

child behavior problems [ Time Frame: Measured at 3 months post baseline and 6 months post baseline ] [ Designated as safety issue: No ]
parent psychological distress [ Time Frame: Measured at 3 months post baseline and 6 months post baseline ] [ Designated as safety issue: No ]

Enrollment:	41
Study Start Date:	June 2008
Study Completion Date:	December 2011
Primary Completion Date:	December 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Internet Resources Comparison (IRC) Participants will receive the Internet resource comparison group treatment	Behavioral: Internet Resources Comparison 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. Other Name: IRC
Experimental: I-InTERACT Participants will receive the internet-based parenting skills program.	Behavioral: Internet-based Interacting Together Everyday: Recovery After Childhood TBI Families in I-InTERACT will look through 10 web-sessions (like chapters) and participate in 10 family meetings focusing on education about traumatic brain injury, parenting skills, communication, behavior strategies, and stress management. Meetings will be conducted in their home using a computer hook-up with a trained therapist. Families will also be contacted two times per month by the counselor to discuss individual problems or concerns. Other Name: I-InTERACT

Arms

Assigned Interventions

Active Comparator: Internet Resources Comparison (IRC)

Participants will receive the Internet resource comparison group treatment

Behavioral: Internet Resources Comparison

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.

Other Name: IRC

Experimental: I-InTERACT

Participants will receive the internet-based parenting skills program.

Behavioral: Internet-based Interacting Together Everyday: Recovery After Childhood TBI

Families in I-InTERACT will look through 10 web-sessions (like chapters) and participate in 10 family meetings focusing on education about traumatic brain injury, parenting skills, communication, behavior strategies, and stress management. Meetings will be conducted in their home using a computer hook-up with a trained therapist. Families will also be contacted two times per month by the counselor to discuss individual problems or concerns.

Other Name: I-InTERACT

Detailed Description:

Five million young children suffer from traumatic brain injury (TBI) each year resulting in new child behavior problems, parental distress, and family dysfunction. Recent studies provide evidence that online skill building interventions can reduce caregiver distress and improve child adjustment following TBI. The investigators hypothesize that the I-InTERACT group will exhibit more effective parenting skills as well as better child functioning and lower levels of parental distress at follow-up than will the IRC group. The investigators overarching goal is to reduce the risk of long-term behavioral problems and disability in young children following TBI by equipping parents with increased coping and parenting skills in a cost effective fashion. Findings will be disseminated via presentations and peer-reviewed publications, a website and newsletter, workshops with advocacy groups, and technical assistance to interested parties

Eligibility

Ages Eligible for Study:	3 Years to 9 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Moderate to severe TBI that occurred within the last 24 months
Overnight hospital stay
English-speaking
Parent must be willing to provide informed consent

Exclusion Criteria:

Child does not live with parents or guardian
Child or parent has history of hospitalization for psychiatric problem
Diagnosed with moderate or severe mental retardation, autism, or a significant developmental disability

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01056146

Locations

United States, Ohio
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States, 45229

Sponsors and Collaborators

Children's Hospital Medical Center, Cincinnati

U.S. Department of Education

Investigators

Principal Investigator:

Shari L. Wade, PhD

Children's Hospital Medical Center, Cincinnati

More Information

No publications provided

Responsible Party:	Children's Hospital Medical Center, Cincinnati
ClinicalTrials.gov Identifier:	NCT01056146 History of Changes
Other Study ID Numbers:	H133G060167
Study First Received:	January 20, 2010
Last Updated:	August 1, 2012
Health Authority:	United States: Institutional Review Board

Keywords provided by Children's Hospital Medical Center, Cincinnati:

TBI
intracranial edema
brain edema
craniocerebral trauma
head injury
brain hemorrhage, traumatic
subdural hematoma
brain concussion
head injuries, closed
epidural hematoma
extra-axial hemorrhage

cortical contusion
Additional relevant MeSH terms:
Craniocerebral Trauma
Nervous System Diseases
Wounds and Injuries
Disorders of Environmental Origin
Central Nervous System Diseases
Trauma, Nervous System
Brain Diseases
Brain Injuries

Additional relevant MeSH terms:

Brain Injuries
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases

Craniocerebral Trauma
Trauma, Nervous System
Wounds and Injuries

ClinicalTrials.gov processed this record on May 16, 2013