Efficacy of parent training for children with attention-deficit/hyperactivity disorder : a therapeutic component analysis
KeywordsAttention-deficit hyperactivity disorder--Treatment
Special education--Parent participation--United States
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Abstract"Despite prior research indicating Parent Training (PT) is an efficacious treatment for children with Attention-Deficit Hyperactivity Disorder (AD/HD), few conclusions can be made about the efficacy given the inconsistent manner in which PT programs have been implemented. Also remaining unclear is whether reported clinical improvements are due to altered parenting styles or other factors targeted by PT programs. In response to this situation, the current study conducted a therapeutic component analysis to determine whether a complete PT program, which included contingency management and AD/HD counseling (Anastopoulos & Barkley, 1990), was superior to a didactic-attention control (D-AC) group, which only taught AD/HD counseling. A total of 126 clinic-referred children with ADHD, between 6 and 11 years of age, and their parent(s) participated. Although increases in knowledge of AD/HD and contingency management were reported as predicted, differences in treatment effectiveness across the two groups did not emerge as anticipated; both groups experienced improvements related to child, parent, and family functioning. However, treatment-related group differences were evident with respect to child emotional functioning suggesting PT was superior to the D-AC group. These findings were examined in terms of their clinical significance using methodology by Jacobson and Truax (1991). Findings indicate that treatment aimed at increasing knowledge of AD/HD, which is rarely integrated into behavioral treatments, may enhance existing treatments."--Abstract from author supplied metadata.