Delivering group treatment via videoconference to individuals with traumatic brain injury: A feasibility study
Abstract
The objective was to assess the feasibility of delivering a group treatment to improve emotional regulation via videoconferencing to individuals with traumatic brain injury (TBI). A pre-post feasibility study was undertaken. Seven individuals with TBI were recruited at a brain injury research centre in an urban medical centre. The main measures were therapist assessment of session-by-session progress and feasibility, Difficulties in Emotion Regulation Scale (DERS), Brain Injury Rehabilitation Trust Regulation of Emotions Questionnaire (BREQ), Satisfaction with Therapy and Therapist Scale (STTS), and exit interview. Attendance across sessions and participants was over 90%. Adequate skill acquisition and ease of use of the technology were demonstrated. Self-reported satisfaction with treatment was high. Participants noted several benefits in terms of the treatment delivery modality. There was no change is self-reported emotional dysregulation. This is the first study to report the use of videoconferencing for the delivery of group treatment to individuals with TBI. The exceptional compliance and self-reported satisfaction suggest that this treatment delivery option could be a viable alternative for increasing access to healthcare in this population. The findings of the study supported the development of a large clinical trial to assess treatment effectiveness.
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Studies have reported equivalent outcomes to those found in face-to-face groups for 125 clients with posttraumatic stress disorder and seven clients with traumatic brain injury.
“Studies have reported equivalent outcomes to those found in face-to-face groups for 125 clients with posttraumatic stress disorder [25, 29, 30] and seven clients with traumatic brain injury [28].”
Communication can be adapted for the Web environment.
“Communication can be adapted for the Web environment”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Attendance rates ranged from 66% to 93.8%, with 6 studies reporting groups with rates of >80%.
“Attendance rates ranged from 66% to 93.8%, with 6 studies reporting groups with rates of >80% [32,35,36,46,47].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Overall, inexperience with videoconferencing or computer use did not appear to be a major problem; the majority of studies reported that over time participants found the technology easy to use and enjoyable.
“Overall, inexperience did not appear to be a major problem as the majority of studies reported that, over time, participants found the technology easy to use [32-35,40-42,46] and found videoconferencing enjoyable [42,44-46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Three studies reported that technical difficulties declined during the course of the intervention.
“However, 3 studies reported that technical difficulties declined during the course of the intervention [33,38,46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Adherence rates were very good, with homework completed 93% of the time and all participants viewing educational videos and completing health diaries.
“Adherence rates were very good, with homework completed 93% of the time [46] and all participants viewing educational videos and completing health diaries [34,35].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
A common feature of low-quality studies was the use of mixed-methods with small sample sizes and limited detail on the method of integration of quantitative and qualitative data.
“A common feature of low-quality studies was the use of mixed-methods with small sample sizes and limited detail on the method of integration of quantitative and qualitative data [31,32,37,40,46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Over time, the vast majority of participants became familiar with the technology and adapted their communication accordingly.
“Over time, the vast majority of participants became familiar with the technology and adapted their communication accordingly [33,36,42,46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Eight of the 15 studies reported few technical difficulties, whereas 7 reported a number of problems, 2 of which required substantial work hours to overcome.
“Various levels of technical problems were encountered; 8 of the 15 studies reported few difficulties [31,32,34-36,38,44-46], whereas 7 reported a number of problems [33,37,39,42,43,45,47], 2 of which required substantial work hours to overcome [39,47].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Some participants reported feeling more relaxed and open by being at home and valued the convenience.
“some participants reported feeling more relaxed and open by being at home and valued the convenience [33,34,36,42-46].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
In pre-post treatment scores, there were no significant differences in emotional regulation or problem solving.
“no significant differences in emotional regulation, problem solving [46]”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
The delay in feeling at ease may have been related to the online environment.
“which may have been related to the online environment [46]”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
Some participants took a while before they felt at ease with others in videoconferencing groups.
“some participants took a while before they felt at ease with others, which may have been related to the online environment [46]”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [46]
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- Authors
- Tsaousides, T., D'Antonio, E., Varbanova, V., & Spielman, L.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Tsaousides, Theodore
- Venue
- Neuropsychological Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2014-05-09
- Volume
- 24
- Issue
- 5
- Pages
- 784-803
- ISSN
- 0960-2011 (ISSN-L)
- 1464-0694
- OpenAlex
- W1999430284
- Cited by
- 49
- References
- 52
- Citations by year
- 2025: 5 · 2024: 6 · 2023: 9 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 9 · 2016: 3 · 2014: 1
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychological Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- traumatic brain injury, videoconferencing, group therapy, emotion regulation, emotional dysregulation, telemedicine, treatment feasibility, treatment satisfaction, health care access, Difficulties in Emotion Regulation Scale
- MeSH terms
- Adult, Brain Injuries, Feasibility Studies, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Psychotherapy, Group, Surveys and Questionnaires, Treatment Outcome, Patient Satisfaction, Telemedicine, Videoconferencing, Young Adult
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