Teen online problem solving for teens with traumatic brain injury: Rationale, methods, and preliminary feasibility of a teen only intervention.

This article is the first report from the trial and does not include functional outcomes or comparative efficacy. Group assignment was not concealed from families or staff, and the satisfaction outcomes relied on parent and teen report. Attrition occurred: 111 teens completed the 6-month assessment and 41 dropped out before it. Teens who dropped out were more likely to have severe injuries than those who completed the 6-month assessment, so the satisfaction findings may not represent the broader adolescent traumatic brain injury population. Adherence and satisfaction results excluded the Internet Resource Comparison group. Parents had less direct exposure to the teen-only program, and their ratings were lower on several items. The sample had relatively few nonwhite participants, so racial and ethnic differences were not explored. Treatment fidelity was checked with session checklists, not with ratings of recorded therapy sessions. Patient and family preference for teen-only or family treatment was not assessed.

The supplied text does not include a conflict-of-interest declaration. The publication types indicate research support from the U.S. Government, non-P.H.S.

Do not conclude that teen-only online problem solving is as effective as family-based treatment. This report measured feasibility and satisfaction, not functional outcomes or efficacy, and parents in the teen-only group reported less benefit on several items.