Behavioral parent training for ADHD children: a mixed methods study
Abstract: Management of ADHD
requires multimodal treatments. Parental participation is one of the most
important factors for effective ADHD treatment.
Objective To investigate the effectiveness of behavioral parent training
combined with routine clinical care, in reducing ADHD symptoms in children.
Methods Quantitative and qualitative methods were combined in this study.
This study was conducted at 3 growth and developmental clinics in Central of
Java, on June-July 2016. The quantitative aspect was assessed by comparing ADHD
quotient scores at pre- and post-intervention, while the qualitative aspect by
intensive parental interviews. Parents of children with ADHD were randomized
with block random sampling. In the treatment group, parents received behavioral
training for 7 weeks, along with weekly routine clinical care for their
children. The control group received only routine clinical care of the
children. Six parents in the treatment group were randomly selected for
intensive interviews.
Results A total of 67 parents with their children were involved. Both
groups’ ADHD quotient scores improved post-intervention. The treatment group
ADHD quotient score was reduced from 120.53 to 116.41 (effect size Cohen’s d
0.68). The control group ADHD quotient score was reduced from 121.74 to 119.83
(effect size Cohen’s d 0.23). Mean difference post-intervention in both group
was not significant (p=.161). After behavioral parent training, communication
between parents and children increased and parents’ capability in directing
their children’s daily activity increased.
Conclusion Behavioral parent training can not enhacing effectiveness of
routine clinical care to reduce ADHD symptoms in children.
Keywords: attention
deficit/hyperactivity disorder; behavioral parent training
Author: Hari Wahyu Nugroho,
Mei Neni Sitaresmi, Indria Laksmi Gamayanti
Journal Code: jpkedokterangg170176
