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Background 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.
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2. Multimodal treatment study of children with attention-deficit/hyperactivity disorder Cooperative Group. Moderators and mediators of treatment response for children with attention-deficit/hyperactivity disorder: the Multimodal Treatment Study of children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 1999;56:1088–96.
3. Multimodal treatment study of children with attention-deficit/hyperactivity disorder Cooperative Group. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 1999;56:1073–86.
4. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–8.
5. Saputro D. Gangguan hiperkinetik pada anak di DKI Jakarta penyusunan instrumen baru, penentuan prevalensi, penelitian patofisologi dan upaya terapi. [dissertation]. [Yogyakarta]: Universitas Gajah Mada; 2004.
6. Pratiti B. Model Pembelajaran orang tua berbasis penerimaan terhadap anak dalam perbaikan perilaku anak attention deficit hyperactivity disorder di Yogyakarta. [dissertation]. [Yogyakarta]: Universitas Gajah Mada; 2015.
7. Charach A, Carson P, Fox S, Ali MU, Becket J, Lim CG. Interventions for preschool children at high risk for ADHD: a comparative effectiveness review. Pediatrics. 2013:131;e1584-604.
8. Gilliam JE. Attention-Deficit/Hyperactivity Disorder Test: A Method for Identifying Individuals with ADHD. Examiner’s Manual. Texas: PRO-ED Inc; 1995.
9. van den Hoofdakker, van der Veen-Mulders, Sytema S, Emmelkamp P, Minderaa RB, Nauta MH. Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry. 2007;46:1263-71.
10. Sonuga-Barke EJ, Daley D, Thompson M, Laver-Bradbury C, Weeks A. Parent-based therapies for Preschool attention- eficit/hyperactivity disorder: a randomized, controlled trial with a community sample. J Am Acad Child Adolesc Psychiatry. 2001;40:402-8.
11. Nixon RDV. Changes in hyperactivity and temperament in behaviourally disturbed preschoolers after parent-child interaction therapy (PCIT). Behav Change. 2001;18:168-76.