Innovations in Practice: Brief behavioral parent training for children with impairing ADHD characteristics - a pilot study.

Autor: Nijboer M; Accare Child Study Centre, Groningen, The Netherlands., van Doornik R; Accare Child Study Centre, Groningen, The Netherlands.; Department of Child and Adolescent Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands., Groenman AP; Accare Child Study Centre, Groningen, The Netherlands.; Department of Child and Adolescent Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.; Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands., van der Oord S; Clinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium., Hornstra R; Accare Child Study Centre, Groningen, The Netherlands.; Department of Child and Adolescent Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands., van den Hoofdakker B; Accare Child Study Centre, Groningen, The Netherlands.; Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands., Dekkers TJ; Accare Child Study Centre, Groningen, The Netherlands.; Department of Child and Adolescent Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.; Levvel, Academic Centre for Child and Adolescent Psychiatry, Amsterdam, The Netherlands.; Department of Child and Adolescent Psychiatry, Amsterdam University Medical Centres (AUMC), Amsterdam, The Netherlands.; Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Child and adolescent mental health [Child Adolesc Ment Health] 2024 Dec 07. Date of Electronic Publication: 2024 Dec 07.
DOI: 10.1111/camh.12743
Abstrakt: Background: Behavioral parent training (BPT) is a well-established intervention for children with attention-deficit/hyperactivity disorder (ADHD), but most programs are long, which may limit their accessibility. This could be improved by making programs shorter. Here, we studied (1) the feasibility of a new brief BPT program and its procedures, and (2) pre-post changes in daily rated problem behaviors (primary outcome), children's disruptive behaviors, ADHD/ODD characteristics, impairment, and parents' sense of parenting competence (secondary outcomes).
Methods: We conducted a nonrandomized pilot study including parents of 28 children (4-12 years) with impaired ADHD characteristics. We examined treatment dropout, parent and therapist satisfaction, recruitment rates, study drop-out, measurement response and completion rates, acceptability of measurements according to parents, and treatment fidelity. Pre-post changes in the treatment group were compared to those in a historical control group using mixed model analysis, except for those outcomes that were not assessed in the control group. Within-group differences were analyzed for all outcomes.
Results: Feasibility of the program and study procedures were good. Treatment dropout was 14.2%, parents and therapists were satisfied with the new program. We recruited 1.5 participants per month, study dropout was 10.7%, response/completion rates ranged from 82% to 100%, measurements were acceptable for parents, and treatment fidelity was 96%. We found substantial within-group changes (d's = .68-.77) and medium-sized between-group changes (d's = .46-.48) on daily rated problem behaviors. We observed no changes on most of the secondary outcomes, except for disruptive behaviors and impairment.
Conclusion: Our newly developed brief BPT program was feasible and we observed improvements in children's daily-rated problem behaviors. These results suggest that brief BPT might be beneficial for clinical practice if the findings are confirmed in large-scale randomized controlled trials.
(© 2024 The Author(s). Child and Adolescent Mental Health published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
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