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

ObjectiveWe 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.MethodsTwelve children's hospitals and three rehabil...

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Main Authors: Shari L. Wade (Author), Kathleen Walsh (Author), Beth S. Slomine (Author), Kimberly C. Davis (Author), Cherish Heard (Author), Brianna Maggard (Author), Melissa Sutcliffe (Author), Marie Van Tubbergen (Author), Kelly McNally (Author), Kathleen Deidrick (Author), Michael W. Kirkwood (Author), Ann Lantagne (Author), Sharon Ashman (Author), Shannon Scratch (Author), Gayle Chesley (Author), Bethany Johnson-Kerner (Author), Abigail Johnson (Author), Lindsay Cirincione (Author), Cynthia Austin (Author)
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Published: Frontiers Media S.A., 2023-02-01T00:00:00Z.
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001 doaj_4f0bdbcef5a24e6da559a6c055872d0d
042 |a dc 
100 1 0 |a Shari L. Wade  |e author 
700 1 0 |a Kathleen Walsh  |e author 
700 1 0 |a Beth S. Slomine  |e author 
700 1 0 |a Kimberly C. Davis  |e author 
700 1 0 |a Cherish Heard  |e author 
700 1 0 |a Brianna Maggard  |e author 
700 1 0 |a Melissa Sutcliffe  |e author 
700 1 0 |a Marie Van Tubbergen  |e author 
700 1 0 |a Kelly McNally  |e author 
700 1 0 |a Kathleen Deidrick  |e author 
700 1 0 |a Michael W. Kirkwood  |e author 
700 1 0 |a Ann Lantagne  |e author 
700 1 0 |a Sharon Ashman  |e author 
700 1 0 |a Shannon Scratch  |e author 
700 1 0 |a Gayle Chesley  |e author 
700 1 0 |a Bethany Johnson-Kerner  |e author 
700 1 0 |a Abigail Johnson  |e author 
700 1 0 |a Lindsay Cirincione  |e author 
700 1 0 |a Cynthia Austin  |e author 
245 0 0 |a Widespread clinical implementation of the teen online problem-solving program: Progress, barriers, and lessons learned 
260 |b Frontiers Media S.A.,   |c 2023-02-01T00:00:00Z. 
500 |a 2673-6861 
500 |a 10.3389/fresc.2022.1089079 
520 |a ObjectiveWe 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.MethodsTwelve 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.ResultsOver 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.ConclusionsThe TOPS implementation process highlights the challenges of implementing complex pediatric neurorehabilitation programs while underscoring potential avenues for improving reach and adoption. 
546 |a EN 
690 |a traumatic brain injury 
690 |a pediatric injury 
690 |a implementation 
690 |a telehealth 
690 |a problem solving 
690 |a acquired brain injury 
690 |a Other systems of medicine 
690 |a RZ201-999 
690 |a Medical technology 
690 |a R855-855.5 
655 7 |a article  |2 local 
786 0 |n Frontiers in Rehabilitation Sciences, Vol 3 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fresc.2022.1089079/full 
787 0 |n https://doaj.org/toc/2673-6861 
856 4 1 |u https://doaj.org/article/4f0bdbcef5a24e6da559a6c055872d0d  |z Connect to this object online.