Docstoc

BRAIN INJURY ASSOCIATION OF OHIO 29TH ANNUAL CONFERENCE

Document Sample
BRAIN INJURY ASSOCIATION OF OHIO 29TH ANNUAL CONFERENCE Powered By Docstoc
					             BRAIN INJURY ASSOCIATION OF OHIO 29TH ANNUAL CONFERENCE
             “BUILDING COMMUNITY: RECOGNITION, RESPONSE, RESILIENCE”
                                         November 1 & 2, 2010

                                    Program Sponsor(s)
   Brain Injury Association of Ohio, Ohio Departments of Mental Health, (invited) Veterans
 Services, Developmental Disabilities, Alcohol & Drug Addiction Services, Ohio Rehabilitation
    Services Commission, National Guard-OHIOCARES, Ohio Valley Center for Brain Injury
   Prevention & Rehabilitation at the Ohio State University, Ohio Center for Autism & Low
                                           Incidence

                                PROGRAM TITLE
 NIDRR Rehabilitation Research and Training Center for Pediatric TBI Interventions


                                    Funding Provided by:
                National Institute of Disability and Rehabilitation Research


                                       Date: November 1, 2010


                                           Presenter
                                      Shari L. Wade, PhD
                         Cincinnati Children’s Hospital Medical Center


Participant Learning Objectives
1. Participants will be able to describe the objectives of the RRTC.
2. Participants will be able to outline the ongoing studies in the RRTC.
3. Participants will be able to explain plans for dissemination and future research plans.

Statement of Presentation Format
This program will utilize lecture format and slide presentation to facilitate understanding
of the objectives of the RRTC, its mission and future direction. This format will enable
individuals to understand the concepts and principles presented. Participants will
complete a post program self-assessment exercise and a program evaluation tool.

Requirements for Continuing Education
For each session attended, participants eligible for CE certificates must 1) Sign in on the
TRAINING REPORT form (located at CEU table near registration, 2) participate in session
training, 3) obtain monitor’s initials on Attendance Verification Form, 4) turn in to the
monitor a completed self assessment (post test) & completed program evaluation form.


  Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                 the Brain Injury Association of Ohio 29th Annual Conference.
REHABILITATION RESEARCH AND TRAINING CENTER FOR PEDIATRIC TBI INTERVENTIONS

                                         Mission and Philosophy

     To advance the field of interventions for pediatric TBI through a systematic and
    coordinated approach of development, replication, and dissemination of promising
intervention practices to address the cognitive, behavioral, and psychosocial consequences
                                      of pediatric TBI.


The Objectives of the Center are to:
 Study practical interventions to assist “everyday” people to address problems in
  natural contexts
 Develop assessment tools to identify needs and improve outcomes for children and
  youth with TBI
 Ensure those tools reach their intended audiences—families, educators and service
  providers who support these children throughout their lifespan
 Provide training, technical assistance, and dissemination of information nationally
  to the full spectrum of stakeholders in the field of childhood TBI


                                          Center Overview
    3 multi-site clinical trials focusing on:
     o Improving parenting skills and reducing behavior problems in young children with
        moderate to severe TBI
     o Improving functioning in teens with TBI
     o Improving attention, memory, and executive function skills
    Developing a toolbox of measures that can be used to assess functional outcomes post-
     TBI
    Training and dissemination


The Psychosocial Consequences of TBI: Behavior and Relationships
 Behavior changes can be the most persistent and profound consequences of TBI
 Can range from apathy and withdrawal to emotional volatility and explosive anger
 In children, secondary attention deficit hyperactivity disorder is common
 Individuals with TBI often become socially isolated as a result of their behavioral
  difficulties and impaired self-awareness


The Consequences for Families
 Elevated injury-related stress and burden
 Parental psychological distress including anxiety and depression
 Deterioration in family functioning that may persist many years following the injury

    Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                   the Brain Injury Association of Ohio 29th Annual Conference.
                                        Predictors of Adaptation
              Social environmental factors are more important than injury severity

Clinical Implications
 Identify high-risk individuals based on multiple factors
 Follow families over time, as problems likely to persist or emerge
 Working with families is important for them as well as injured individual

Barriers to Intervention
 TBI is a “low incidence” disorder
 Problems are multifaceted and vary from individual to individual
 Providers may be distant and/or difficult to access
 Families may not recognize the problems as arising from TBI



            Research Study 1: Teen Online Problem Solving (TOPS) vs. TOPS-TO
Primary Objective: To Evaluate the Relative Efficacy of Family-Centered Online
Interventions vs. One-on-One Interventions with the Teen in Reducing Behavior Problems
and Improving Social Competence following TBI in adolescents

Secondary Objective: To Evaluate the Efficacy of the Interventions in Reducing Caregiver
Distress


                                    The TOPS Intervention
    Web-based training in problem-solving, communication, and self-management skills
    Web sessions are followed by synchronous videoconferences to review concepts and
     apply the problem-solving process to the child or family’s goals
    Entire family participates
    Total of 10-14 sessions over 6 months


                                   The TOPS-TO Intervention
    Targets the same skills as TOPS and includes largely the same website and intervention
     content
    Synchronous videoconferences with the therapist are conducted with the teen alone
    Will provide essential new information about the importance of the family in adolescent
     interventions as well as insight into which individuals are likely to benefit from each of
     these approaches




    Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                   the Brain Injury Association of Ohio 29th Annual Conference.
     Research Study 2: Positive Parenting Skills I-InTERACT vs. I-InTERACT Express
Primary Objective: To compare the efficacy of an abbreviated (I-InTERACT Express)
versus an extended (I-InTERACT) web-based parenting skills program in reducing the
behavioral consequences of TBI in young children


                                The I-InTERACT Intervention
        (Internet-based Interacting Together Everyday Recovery After Childhood TBI)
    24-week positive parenting skills program
    Total of 10-15 web-based sessions
    Sessions address positive parenting skills and topics such as consequences of TBI,
     stress, and anger management


                            The I-InTERACT Express Intervention
    6-week parenting skills program
    Developed to meet the needs of families who are unable make the time commitment
     required of a more intensive intervention
    Includes parenting skills material only so the program includes only 6 sessions
    Purpose of I-InTERACT Express is to engage families immediately with a condensed
     program to minimize family burden, maximize family benefit, and optimize family
     retention


                  Research Study 3: AIM Attention Intervention Management
Primary Objective: To develop and test an intervention to reduce problems with attention
and executive functioning following childhood TBI


                                   The AIM Intervention
    Combined attention and strategy training program will be called Attention Intervention
     & Management (AIM).
    Treatment delivery would be manualized and primarily implemented by “everyday
     people” such as parents or educational assistants

Specific modifications to include:
          o Identification of metacognitive strategies to be targeted based on the child’s
             attentional profile
          o Provision of explicit instruction and practice in the use of their target
             strategy(ies)
          o Inclusion of outcome measures that evaluate strategy implementation and
             impact of strategy use


    Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                   the Brain Injury Association of Ohio 29th Annual Conference.
                       Developing a Core Battery of Outcome Measures
Goal 1: To construct a core battery of outcome measures that enjoys consensus among
consumers, clinicians, and researchers regarding its content, breadth, depth, and utility

Goal 2: To encourage adoption of core battery among clinicians and researchers
through peer-reviewed papers and a symposium at the State-of-the-Science conference

Goal 3: To provide the foundation to establish a national pediatric TBI database of
intervention outcome data for use by researchers, clinicians and other stakeholders

                       Training, Dissemination, & Technical Assistance
Center Training Activities Overarching Goal: To facilitate adoption of evidence-based
practices by “everyday” people
   Training Audiences
    Pre-service educators and rehabilitation professionals
    Graduate students
    Professionals, educators and therapists in the field
    Parents, family members and caregivers
Dissemination Overarching Goal: To disseminate products, such as manuals, measures,
and website/links through various avenues
Technical Assistance Overarching Goal: To provide technical assistance to educators,
professionals, families, and caregivers

   Part of the Role of the RRTC is to partner with investigators outside the Center to
                           develop and test novel interventions.

                                            Further Reading
Sohlberg, M.M., Avery, J., Kennedy, M., Ylvisaker, M., Coelho, C., Turkstra, L. & Yorkston, K.
(2003). Practice guidelines for direct attention training. Journal of Medical Speech Language
Pathology, 11(3), xix-xxxix.

Sohlberg, M.M., & Mateer, C. (2001). Cognitive Rehabilitation: An Integrated
Neuropsychological Approach. New York: Guilford Publications.

Wade, S.L., Oberjohn, K.S., Burkhardt, A., Greenberg, I. (2009). Feasibility and Preliminary
Efficacy of a Web-Based Parenting Skills Program for Young Children with Traumatic Brain
Injury. Journal of Head Trauma Rehabilitation, 24(4), 239-247.

Wade, S.L., Walz, N.C., Carey, J., Williams, K.M., Cass, J., Herren, L., Mark, E., Yeates, K.O. (in
press). A Randomized Trial of Teen Online Problem Solving for Improving Executive
Function Deficits following Pediatric Traumatic Brain Injury. Journal of Head Trauma
Rehabilitation.
  Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                 the Brain Injury Association of Ohio 29th Annual Conference.
REHABILITATION RESEARCH AND TRAINING CENTER FOR PEDIATRIC TBI INTERVENTIONS

                                Post-Session Self-Assessment


1. What three things do the Center objectives involve?




2. What are the top two current ongoing studies in the center that involve teaching
   problem-solving skills to teens?




3. What are the current ongoing studies that involve parent child interactions by teaching
   positive parenting practices to parents of young children?




4. Name one or more ways that the Center plans to disseminate information in the future.




  Wade, S. L. (2010). Rehabilitation research and training center for pediatric TBI interventions. Presented at
                                                 the Brain Injury Association of Ohio 29th Annual Conference.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:8/15/2011
language:English
pages:6