Relative Efficacy of Internet-based and Face-to-face Behavioural Parent Training for Parents of Children with Attention-deficit/ hyperactivity disorder: a Non-randomised Controlled Trial.

Q3 Pharmacology, Toxicology and Pharmaceutics
Neuropsychopharmacologia Hungarica Pub Date : 2024-12-01
Monika Miklosi, Hanna Hayes, Maria Gallai
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引用次数: 0

Abstract

Background/objective: Behavioural Parent Training (BPT) is an evidence-based psychosocial intervention for attention-deficit/hyperactivity disorder (ADHD) in children. The use of online technologies significantly increases the accessibility of these interventions. This study aimed to assess the relative efficacy of face-to-face and online training in the use of parenting strategies taught. We also explored the impact of parental ADHD symptom levels.

Method: A massive open online course (MOOC) version of a BPT program was designed and evaluated. A total of ninety parents of children diagnosed with ADHD were recruited. Randomisation was not employed; parents gave their preferences in choosing between face-to-face and online training formats. One month after the completion of the training and at a three-month follow-up, parents were queried regarding the implementation and frequency of use of the parenting strategies taught. The two groups were compared along these variables. The Adult ADHD Rating Scale (ASRS-A) was employed to screen parental ADHD symptoms, with the two groups (positively/negatively screened) subsequently compared in terms of their choice of training format and the use of the parenting strategies. The psychopathological symptoms of the child were evaluated using the Strengths and Difficulties Questionnaire (SDQ).

Results: Thirty parents elected to participate in the face- to-face training, while sixty parents registered for the online programme. The drop-out rate was high, data from 21 and 39 parents was included in the analysis from the two groups, respectively. The two groups did not differ in the ASRS-A screening outcome. The only difference was the implementation of the reward system, which was reported by more parents in the face-to-face group than in the online group. The only difference between the groups that screened positive and negative in the ASRS-A was found in the use of proactive parenting strategies. We found no significant differences between the two time points in the use of most parenting strategies.

Discussion: Our results suggest that the online format may be similarly effective in teaching parenting techniques as the face-to-face parenting training. The level of parental ADHD symptoms had little effect; the difficulties regarding proactive strategies may be due to deficits in executive functioning. Parent training delivered through telemedicine can significantly improve access and is cost-effective; therefore, we recommend its use in the treatment of ADHD in children. Nevertheless, this necessitates appropriate regulation and funding of telemedicine. (Neuropsychopharmacol Hung 2024; 26(4): 204-217)

基于网络和面对面的父母行为训练对注意缺陷/多动障碍儿童父母的相对效果:一项非随机对照试验。
背景/目的:行为父母训练(BPT)是针对儿童注意力缺陷/多动障碍(ADHD)的循证心理社会干预。在线技术的使用大大提高了这些干预措施的可及性。本研究旨在评估面对面和在线培训在使用育儿策略方面的相对效果。我们还探讨了父母ADHD症状水平的影响。方法:设计并评估一个大规模在线开放课程(MOOC)版本的BPT程序。总共招募了90名被诊断患有多动症儿童的父母。未采用随机化;家长们在选择面对面和在线培训形式时给出了他们的偏好。培训结束一个月后,在三个月的随访中,父母们被问及所教授的育儿策略的实施情况和使用频率。根据这些变量对两组进行比较。采用成人ADHD评定量表(ASRS-A)筛查父母ADHD症状,随后比较两组(阳性/阴性筛查)在训练形式选择和育儿策略使用方面的差异。采用优势与困难问卷(SDQ)对患儿的精神病理症状进行评估。结果:30位家长选择参加面对面培训,60位家长报名参加在线培训。退学率高,两组分别有21名和39名家长的数据被纳入分析。两组在ASRS-A筛查结果上没有差异。唯一的区别是奖励制度的实施,面对面组的家长比在线组的家长更多地报告了这一点。ASRS-A阳性组和阴性组之间的唯一区别是在积极育儿策略的使用上。我们发现,在大多数育儿策略的使用上,这两个时间点之间没有显著差异。讨论:我们的研究结果表明,在教授育儿技巧方面,在线形式可能与面对面的育儿培训同样有效。父母ADHD症状水平影响不大;关于主动战略的困难可能是由于执行功能的缺陷。通过远程医疗提供的家长培训可以显著改善获取机会,而且具有成本效益;因此,我们建议将其用于儿童多动症的治疗。然而,这需要对远程医疗进行适当的监管和资助。(神经精神药物,洪2024;26 (4): 204 - 217)
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来源期刊
Neuropsychopharmacologia Hungarica
Neuropsychopharmacologia Hungarica Medicine-Medicine (all)
CiteScore
1.60
自引率
0.00%
发文量
8
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