TY - JOUR
T1 - Widespread clinical implementation of the teen online problem-solving program
T2 - Progress, barriers, and lessons learned
AU - Wade, Shari L.
AU - Walsh, Kathleen
AU - Slomine, Beth S.
AU - Davis, Kimberly C.
AU - Heard, Cherish
AU - Maggard, Brianna
AU - Sutcliffe, Melissa
AU - Van Tubbergen, Marie
AU - McNally, Kelly
AU - Deidrick, Kathleen
AU - Kirkwood, Michael W.
AU - Lantagne, Ann
AU - Ashman, Sharon
AU - Scratch, Shannon
AU - Chesley, Gayle
AU - Johnson-Kerner, Bethany
AU - Johnson, Abigail
AU - Cirincione, Lindsay
AU - Austin, Cynthia
N1 - Publisher Copyright:
2023 Wade, Walsh, Slomine, Davis, Heard, Maggard, Sutcliffe, Van Tubbergen, McNally, Deidrick, Kirkwood, Lantagne, Ashman, Scratch, Chesley, Johnson-Kerner, Johnson, Cirincione and Austin.
PY - 2022
Y1 - 2022
N2 - Objective: We describe the clinical implementation in North America of Teen Online Problem Solving (TOPS), a 10+ session, evidence-based telehealth intervention providing training in problem-solving, emotion regulation, and communication skills. Methods: Twelve children's hospitals and three rehabilitation hospitals participated, agreeing to train a minimum of five therapists to deliver the program and to enroll two patients with traumatic brain injuries (TBI) per month. Barriers to reach and adoption were addressed during monthly calls, resulting in expansion of the program to other neurological conditions and extending training to speech therapists. Results: Over 26 months, 381 patients were enrolled (199 TBI, 182 other brain conditions), and 101 completed the program. A total of 307 therapists were trained, and 58 went on to deliver the program. Institutional, provider, and patient barriers and strategies to address them are discussed. Conclusions: The TOPS implementation process highlights the challenges of implementing complex pediatric neurorehabilitation programs while underscoring potential avenues for improving reach and adoption.
AB - Objective: We describe the clinical implementation in North America of Teen Online Problem Solving (TOPS), a 10+ session, evidence-based telehealth intervention providing training in problem-solving, emotion regulation, and communication skills. Methods: Twelve children's hospitals and three rehabilitation hospitals participated, agreeing to train a minimum of five therapists to deliver the program and to enroll two patients with traumatic brain injuries (TBI) per month. Barriers to reach and adoption were addressed during monthly calls, resulting in expansion of the program to other neurological conditions and extending training to speech therapists. Results: Over 26 months, 381 patients were enrolled (199 TBI, 182 other brain conditions), and 101 completed the program. A total of 307 therapists were trained, and 58 went on to deliver the program. Institutional, provider, and patient barriers and strategies to address them are discussed. Conclusions: The TOPS implementation process highlights the challenges of implementing complex pediatric neurorehabilitation programs while underscoring potential avenues for improving reach and adoption.
KW - acquired brain injury
KW - implementation
KW - pediatric injury
KW - problem solving
KW - telehealth
KW - traumatic brain injury
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U2 - 10.3389/fresc.2022.1089079
DO - 10.3389/fresc.2022.1089079
M3 - Article
AN - SCOPUS:85174915437
SN - 2673-6861
VL - 3
JO - Frontiers in Rehabilitation Sciences
JF - Frontiers in Rehabilitation Sciences
M1 - 1089079
ER -