Internet-based Interacting Together Everyday, Recovery After Childhood TBI (I-InTERACT)--RRTC

• Parent-Child Interaction [ Time Frame: Measured at 3 months post baseline ] [ Designated as safety issue: No ]
  Parents receiving I-InTERACT or I-InTERACT Express will display more positive parenting behaviors (warmth, responsiveness), and fewer negative parenting behaviors (criticism) than parents in the IRC group
  
  
• Parent-Child Interaction [ Time Frame: Measured at 6 months post-baseline ] [ Designated as safety issue: No ]
  Parents receiving I-InTERACT or I-InTERACT Express will display more positive parenting behaviors (warmth, responsiveness)and fewer negative parenting behaviors (criticism) than parents in the IRC group.
  
  

• Parental Psychological Distress [ Time Frame: Measured at 3 months and 6 months post baseline ] [ Designated as safety issue: No ]
  Families receiving I-InTERACT or I-InTERACT Express will have lower levels of parental distress and fewer child behavior problems than those in the IRC group.
  
  
• Parental Psychological Distress [ Time Frame: Measured at 6 months post baseline ] [ Designated as safety issue: No ]
  Families receiving I-InTERACT or I-InTERACT Express will have lower levels of parental distress and fewer child behavior problems than those in the IRC group.
  
  
• Child Adjustment and Adaptive Functioning [ Time Frame: Measured at 3 months post baseline ] [ Designated as safety issue: No ]
  The investigators anticipate that these improvements in parenting skills and psychological functioning will translate into improved parent-child relationships and reductions in child behavior problems. Over time, such improvements in child and parent functioning should contribute to academic and social success and more successful community integration.
  
  
• Child Adjustment and Adaptive Functioning [ Time Frame: Measured at 6 months post baseline ] [ Designated as safety issue: No ]
  The investigators anticipate that these improvements in parenting skills and psychological functioning will translate into improved parent-child relationships and reductions in child behavior problems. Over time, such improvements in child and parent functioning should contribute to academic and social success and more successful community integration.
  
  

The investigators will conduct a multi-site randomized controlled trial (RCT) comparing the efficacy of 7-week Internet-based Interacting Together Everyday, Recovery after Childhood Traumatic Brain Injury Express (I-InTERACT Express) and 24-week long web-based positive parenting skills programs Internet-based Interacting Together Everyday, Recovery after Childhood Traumatic Brain Injury (I-InTERACT) to an internet resource group (IRC) involving access to internet resources and education about brain injury. The project builds upon the feasibility and efficacy findings from an ongoing randomized trial comparing the efficacy of a 24-week positive parenting skills program to access to internet resources. However, it differs in size and scope by including multiple sites, and by including an abbreviated parenting skills training arm in response to family feedback that the existing 24-week intervention was excessively long, resulting in adherence difficulties. The investigators anticipate that the improvements in parenting skills and psychological functioning will translate into improved parent-child relationships and reductions in child behavior problems. Over time, such improvements in child and parent functioning should contribute to academic and social success and more successful community integration.