Modernizing behavioral parent training program for ADHD with mHealth strategies, telehealth groups, and health behavior curriculum: a randomized pilot trial

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-09-11 DOI:10.1093/jpepsy/jsae073

Pooja S Tandon, Tess Gabert, Michelle Kuhn, Nguyen Tran, Cindy Ola, Erin Sullivan, Chuan Zhou, Mark Stein, Jason A Mendoza, Tyler Sasser, Erin Gonzalez

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引用次数: 0

Abstract

Objective Parent behavior management training (BMT) is an evidence-based yet underutilized tool to treat children with ADHD and address related health disparities. This pilot study investigated the acceptability and feasibility of a novel, health behavior-, and technology-adapted BMT (LEAP) vs. standard BMT. Methods The weekly 9-session LEAP telemedicine group program is based on a standard BMT curriculum enhanced with strategies for supporting optimal child sleep, problematic media use (PMU), and physical activity, including wrist-worn activity trackers. Children ages 6–10 years with ADHD and their caregivers were randomized to LEAP or standard BMT. Acceptability and feasibility were tracked. Caregivers completed standardized measures, and children wore hip-worn accelerometers for 1 week at baseline, postintervention (10 weeks), and follow-up (20 weeks). Results 84 parent/child dyads were randomized to LEAP or standard BMT, with high and comparable acceptability and feasibility. Both treatment groups demonstrated decreased ADHD symptoms and improved executive functions postintervention (p < .0001), maintained at follow-up. Average accelerometer-measured MVPA decreased and sleep duration remained unchanged, while PMU and bedtime resistance improved for both groups. Conclusions LEAP is highly feasible and acceptable, and yielded similar initial clinical and health behavior improvements to standard BMT. Innovative and targeted supports are needed to promote healthy behaviors in children with ADHD.

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利用移动医疗策略、远程医疗小组和健康行为课程对多动症家长行为培训计划进行现代化改造：随机试点试验

目的家长行为管理培训（BMT）是一种以证据为基础的工具，但在治疗多动症儿童和解决相关的健康差异方面却未得到充分利用。本试点研究调查了新颖的、与健康行为和技术相适应的家长行为管理培训（LEAP）与标准家长行为管理培训的可接受性和可行性。方法每周 9 节课的 LEAP 远程医疗小组项目以标准 BMT 课程为基础，增加了支持儿童最佳睡眠、问题媒体使用 (PMU) 和体育锻炼的策略，包括腕戴式活动追踪器。6-10岁的多动症儿童及其照顾者被随机分配到LEAP或标准BMT。对可接受性和可行性进行了跟踪。照顾者完成标准化测量，儿童在基线、干预后（10 周）和随访（20 周）期间佩戴髋部加速计 1 周。结果 84 个家长/儿童二人组被随机分配到 LEAP 或标准 BMT 治疗组，其可接受性和可行性相当高。干预后，两个治疗组的多动症症状都有所减轻，执行功能也有所提高（p &p;lt;.0001），并在随访中保持不变。加速计测量的平均 MVPA 减少，睡眠时间保持不变，而 PMU 和就寝抵抗力在两组中均有所改善。结论 LEAP 具有很高的可行性和可接受性，与标准 BMT 相比，LEAP 在临床和健康行为方面取得了相似的初步改善。需要创新和有针对性的支持来促进多动症儿童的健康行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.