Online Family Problem-Solving Training (OFPS)

Online Family Problem-solving TrainingOnline Family Problem-Solving Training (OFPS) is a family-centered skill-building intervention focused on improving post-injury family adaptation.  Developed for families of adolescents with a traumatic brain injury, treatment sessions consist of self-guided, web-based sessions and synchronous online videoconferences with a therapist.  Web-based sessions include video clips of teenagers with brain injuries discussing the effects of their injury and information about the skills being taught. The teens then model the skills they’ve learned. Interactive exercises are shown to help teens and family members practice the skills.

Session content samples include:

  1. Overview, identify goals: Learn about family, overview, identify goals
  2. Positive problem orientation: The importance of attitude
  3. Steps of problem-solving: Learn steps of problem-solving
  4. Getting Organized: Identify organizational strategies to increase success
  5. Self-management, Self-monitoring and Regulation: Learn how to monitor own actions and regulate behavior
  6. Anger Management & Communication: Identify ways to defuse anger and communicate needs effectively
  7. Social Skills & Communication: Listening/positive communication strategies
  8. Social Problem-Solving Skills: Learn appropriate interactions and communication in social setting
  9. Crisis management skills: Skills for crises, assessment of needs

The Center on Interventions for Children and Youth with Traumatic Brain Injury : Building Capacity of Educators, Community-based Therapists and Families housed at Cincinnati Children's Hospital Medical Center, is an example of a center that is advancing research of interventions to improve the long-term outcomes of children and youth post-TBI.


Wade, S. L., Wolfe, C. R., & Pestian, J. P. (2004). A web-based problem solving intervention for families of children with traumatic brain injury. Behavioral Research Methods, Instruments, and Computers, 36, 261–269.

Wade, S.L., Carey, J., & Wolfe, C.R. (2006). The efficacy of an online cognitive- behavioral, family intervention in improving child behavior and social competence following pediatric brain injury. Rehabilitation Psychology, 51, 179- 189.

Wade, S. L., Carey, J., & Wolfe, C. R. (2006). The efficacy of an online family intervention to reduce parental distress following pediatric brain injury. Journal of Consulting and Clinical Psychology, 74, 445-454.

Wade, S.L., Walz, N.C., Carey, J., Williams, K.M., Cass, J., Herren, L., Mark, E., Yeates, K.O. (in press) . A randomized trial of teen online problem-solving for improving executive function deficits following pediatric traumatic brain injury. Journal of Head Trauma Rehabilitation.

Wade, S.L., Walz, N.C., Carey, J.C., & Williams, K.M. (2008). Preliminary efficacy of a web-based family problem-solving treatment program for adolescents with traumatic brain injury. Journal of Head Trauma Rehabilitation, 23, 369-377.