Expected changes in parenting after an online parent training for ADHD

IF 1.2 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2024-02-01 DOI:10.1016/j.encep.2023.01.007

M. Rahali , E. Fongaro , N. Franc , J. Nesensohn , D. Purper-Ouakil , H. Kerbage

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引用次数: 0

Abstract

Background

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents. Treatments for this population should be multidisciplinary and must be initiated as early as possible. Non-pharmacological interventions for ADHD include psychoeducation, parent behavioural training programs and school interventions and accommodations. In response to the COVID-19 pandemic, we developed an online version of a combined psychoeducation and behavioural training program to facilitate access to mental health treatment and ensure continuity of care.

Objective

The study assessed the acceptability of this online parent training program, among parents and caretakers of children and adolescents with ADHD.

Methods

The program consisted of ten online sessions over the course of two consecutive days (five sessions a day). Satisfaction, usefulness and general comments about the program were assessed with open-ended questions and visual-analogous scales. Parents/caretakers’ use of strategies to manage behavioural problems was assessed using the Parenting and Family Adjustment Scales.

Results

A total of 206 parents participated in the online program 175 of whom completed the evaluation. Participants were satisfied with the content of the program. More than half of participants had already started using strategies included in the program. The engagement was high and no major obstacles were identified other than some internet connection issues.

Discussion

In our survey, online delivery was described as more convenient, and participants were satisfied with the content of the program finding it beneficial for their child. Despite this, some difficulties in implementing new strategies were observed. Online BTP increased access to the BTP programs while being effective on ADHD symptoms and behavioural disturbances.

Conclusions

With these measures, we hope to improve engagement in online psychoeducation and behavioural therapy programs. Future research evaluating online behavioural training programs should focus on ways to make them more accessible and adaptable to families’ obstacles.

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针对多动症的在线家长培训后家长教育的预期变化

背景注意缺陷多动障碍（ADHD）是儿童和青少年常见的神经发育障碍。针对这一人群的治疗应该是多学科的，而且必须尽早开始。针对多动症的非药物干预措施包括心理教育、家长行为培训计划以及学校干预和适应措施。为了应对 COVID-19 大流行，我们开发了一个在线版的心理教育和行为训练综合项目，以方便患者接受心理健康治疗，并确保护理的连续性。这项研究评估了患有多动症的儿童和青少年的家长和看护者对这一在线家长培训项目的接受程度。通过开放式问题和视觉类比量表对该课程的满意度、实用性和总体评价进行了评估。家长/看护人对行为问题管理策略的使用情况则通过育儿和家庭适应量表进行评估。结果共有 206 名家长参加了在线课程，其中 175 人完成了评估。参与者对课程内容表示满意。一半以上的参与者已经开始使用课程中的策略。讨论在我们的调查中，网上授课被认为更方便，参与者对课程内容感到满意，认为对他们的孩子有益。尽管如此，我们还是发现了一些实施新策略的困难。通过这些措施，我们希望提高在线心理教育和行为治疗项目的参与度。未来对在线行为训练计划的评估研究应侧重于如何使这些计划更容易获得并适应家庭的障碍。

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

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.