Navigating the challenges of moving from research to clinical care: The example of the Teen Online Problem Solving program.

No patient outcomes were measured. Progress is described only by the treating therapist, with no standardised or patient-reported measures, so nothing here shows the programme changed anything for these patients. Fewer than half the therapists asked completed the survey, so their views may not reflect all the clinicians delivering the programme. Surveys were anonymous, so the authors could not tell whether a therapist's profession, workplace or region shaped their answers. The medical provider data broke the assumption that each response was independent, because the same provider appeared under several diagnoses, so no statistical comparisons between diagnoses could be made. Four therapists each described a single patient. These are illustrations of how the programme was adapted, not evidence that it works for those conditions. The evidence that this programme benefits teenagers comes from earlier trials in traumatic brain injury. Whether those benefits carry over to other conditions is untested here.

The authors report that they received no financial support for the research, authorship or publication of this article, and declare no conflicts of interest.

Do not read this paper as evidence that the programme works for children with conditions other than traumatic brain injury. No patient outcomes were measured. The evidence is what therapists said about how they adapted the programme plus four individual case descriptions, and the authors say the benefits reported in the cases come only from the treating therapist's own account.