Web-based parenting skills to reduce behavior problems following abusive head trauma: A pilot study

• Published in: Child abuse & neglect Vol. 38; no. 9; pp. 1487 - 1495
• Main Authors: Mast, Jennifer E, Antonini, Tanya N, Raj, Stacey P, Oberjohn, Karen S, Cassedy, Amy, Makoroff, Kathi L, Wade, Shari L
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.09.2014; Elsevier Science Ltd
• Subjects: Abusive head trauma; Behavior modification; Behavior Problems; Child; Child abuse & neglect; Child Abuse - rehabilitation; Child Behavior Disorders - rehabilitation; Child Rearing; Child, Preschool; Craniocerebral Trauma - rehabilitation; Female; Head injuries; Humans; Internet; Male; Online instruction; Online intervention; Parent-Child Relations; Parenting - psychology; Parenting Skills; Parents & parenting; Parents - psychology; Pediatrics; Pilot Projects; Psychiatry; Rehabilitation; Traumatic brain injury; Treatment Outcome; Victims of crime; Abusive head trauma; Pediatrics; Online intervention; Traumatic brain injury; Rehabilitation
• ISSN: 0145-2134; 1873-7757
• DOI: 10.1016/j.chiabu.2014.04.012

Abstract Pediatric abusive head trauma causes significant cognitive and behavioral morbidity, yet very few post-acute interventions exist to facilitate long-term recovery. To meet the needs of this vulnerable population, we piloted a web-based intervention with live coaching designed to improve positive parenting and child behavior. The efficacy of this parenting skills intervention was compared with access to Internet resources on brain injury. Participants included seven families (four randomized to the parenting intervention and three randomized to receive Internet resources). Parenting skills were observed and child behavior was rated at baseline and intervention completion. At completion, parents who received the parenting skills intervention showed significantly more positive parenting behaviors and fewer undesirable behaviors during play than parents who received access to Internet resources. Additionally, during play, children in the parenting skills intervention group were more compliant following parent commands than children in the Internet resources group. Lastly, parents who received the parenting intervention reported less intense oppositional and conduct behavior problems in their children post-intervention than did parents in the Internet resources group. These findings provide preliminary evidence for the use of this web-based positive parenting skills intervention to improve parenting skills and child behavior following abusive head trauma.