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Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned

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 re...

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Autores principales: Wade, Shari L., Walsh, Kathleen, Slomine, Beth S., Davis, Kimberly C., Heard, Cherish, Maggard, Brianna, Sutcliffe, Melissa, Van Tubbergen, Marie, McNally, Kelly, Deidrick, Kathleen, Kirkwood, Michael W., Lantagne, Ann, Ashman, Sharon, Scratch, Shannon, Chesley, Gayle, Johnson-Kerner, Bethany, Johnson, Abigail, Cirincione, Lindsay, Austin, Cynthia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942775/
https://www.ncbi.nlm.nih.gov/pubmed/36824180
http://dx.doi.org/10.3389/fresc.2022.1089079
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author Wade, Shari L.
Walsh, Kathleen
Slomine, Beth S.
Davis, Kimberly C.
Heard, Cherish
Maggard, Brianna
Sutcliffe, Melissa
Van Tubbergen, Marie
McNally, Kelly
Deidrick, Kathleen
Kirkwood, Michael W.
Lantagne, Ann
Ashman, Sharon
Scratch, Shannon
Chesley, Gayle
Johnson-Kerner, Bethany
Johnson, Abigail
Cirincione, Lindsay
Austin, Cynthia
author_facet Wade, Shari L.
Walsh, Kathleen
Slomine, Beth S.
Davis, Kimberly C.
Heard, Cherish
Maggard, Brianna
Sutcliffe, Melissa
Van Tubbergen, Marie
McNally, Kelly
Deidrick, Kathleen
Kirkwood, Michael W.
Lantagne, Ann
Ashman, Sharon
Scratch, Shannon
Chesley, Gayle
Johnson-Kerner, Bethany
Johnson, Abigail
Cirincione, Lindsay
Austin, Cynthia
author_sort Wade, Shari L.
collection PubMed
description 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.
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spelling pubmed-99427752023-02-22 Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned Wade, Shari L. Walsh, Kathleen Slomine, Beth S. Davis, Kimberly C. Heard, Cherish Maggard, Brianna Sutcliffe, Melissa Van Tubbergen, Marie McNally, Kelly Deidrick, Kathleen Kirkwood, Michael W. Lantagne, Ann Ashman, Sharon Scratch, Shannon Chesley, Gayle Johnson-Kerner, Bethany Johnson, Abigail Cirincione, Lindsay Austin, Cynthia Front Rehabil Sci Rehabilitation Sciences 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. Frontiers Media S.A. 2023-02-07 /pmc/articles/PMC9942775/ /pubmed/36824180 http://dx.doi.org/10.3389/fresc.2022.1089079 Text en © 2023 Wade, Walsh, Slomine, Davis, Heard, Maggard, Sutcliffe, Van Tubbergen, McNally, Deidrick, Kirkwood, Lantagne, Ashman, Scratch, Chesley, Johnson-Kerner, Johnson, Cirincione and Austin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Wade, Shari L.
Walsh, Kathleen
Slomine, Beth S.
Davis, Kimberly C.
Heard, Cherish
Maggard, Brianna
Sutcliffe, Melissa
Van Tubbergen, Marie
McNally, Kelly
Deidrick, Kathleen
Kirkwood, Michael W.
Lantagne, Ann
Ashman, Sharon
Scratch, Shannon
Chesley, Gayle
Johnson-Kerner, Bethany
Johnson, Abigail
Cirincione, Lindsay
Austin, Cynthia
Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title_full Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title_fullStr Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title_full_unstemmed Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title_short Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned
title_sort widespread clinical implementation of the teen online problem-solving program: progress, barriers, and lessons learned
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942775/
https://www.ncbi.nlm.nih.gov/pubmed/36824180
http://dx.doi.org/10.3389/fresc.2022.1089079
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