Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial

Objective Parent training (PT) is recommended for attention-deficit/hyperactivity disorder (ADHD) in preschool children. Evidence-based interventions are important, but only if they produce better outcomes than usual care. Method We conducted a multi-center, two-arm parallel group randomized...

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Main Authors:	Lange, Anne-Mette, Daley, David, Frydenberg, Morten, Houman, Tine, Kristensen, Lene Juel, Rask, Charlotte, Sonuga-Barke, Edmund, Søndergaard-Baden, Signe, Udupi, Aparna, Thomsen, Per Hove
Format:	Article
Language:	English
Published:	Elsiever 2018
Online Access:	http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/1/Parent%20training%20for%20preschool%20ADHD%20in%20routine%20specialist%20care%20A%20randomized%20controlled%20trial%20Mette%20Lange%20Daley%20et%20al.pdf

id	nottingham-52550
recordtype	eprints
spelling	nottingham-525502018-06-21T15:01:48Z http://eprints.nottingham.ac.uk/52550/ Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial Lange, Anne-Mette Daley, David Frydenberg, Morten Houman, Tine Kristensen, Lene Juel Rask, Charlotte Sonuga-Barke, Edmund Søndergaard-Baden, Signe Udupi, Aparna Thomsen, Per Hove Objective Parent training (PT) is recommended for attention-deficit/hyperactivity disorder (ADHD) in preschool children. Evidence-based interventions are important, but only if they produce better outcomes than usual care. Method We conducted a multi-center, two-arm parallel group randomized controlled trial in routine, specialist ADHD clinics in Danish Child and Adolescent Mental Health Services (CAMHS). Children (N=164, age 3-7) with ADHD received either a well-established PT programme (New Forest Parenting Programme (NFPP)) (n=88) or treatment as usual (TAU) (n=76). The primary outcome was parent ratings of child ADHD symptoms. Secondary outcomes included teacher ratings and direct observations of ADHD symptoms. Outcomes were measured at baseline (T1) and post-treatment (T2) and at follow-up (T3: 36 weeks after T2). Representativeness of participants was evaluated against the total national cohort of children (n=1378, age 3-7) diagnosed with ADHD during the same time period, using the Danish Civil Registration System. Statistical analysis employed a repeated measure model. Results By T2, NFPP was superior to TAU on parent-rated ADHD symptoms (p=0.009; ES d.=0.30), and on parenting self-efficacy and family strain. Effects persisted to T3. There were no effects on teacher ratings or direct observations of ADHD or on ratings of conduct problems or parenting. Our clinical sample was similar to the national cohort of young children with ADHD. Conclusions Evidence-based PT has value as an intervention for preschool ADHD in routine clinical settings. As in previous trials effects were restricted to parent-reported outcomes. Surprisingly, there were no effects on child conduct problems. Elsiever 2018-06-18 Article PeerReviewed application/pdf en cc_by_nc_nd http://eprints.nottingham.ac.uk/52550/1/Parent%20training%20for%20preschool%20ADHD%20in%20routine%20specialist%20care%20A%20randomized%20controlled%20trial%20Mette%20Lange%20Daley%20et%20al.pdf Lange, Anne-Mette and Daley, David and Frydenberg, Morten and Houman, Tine and Kristensen, Lene Juel and Rask, Charlotte and Sonuga-Barke, Edmund and Søndergaard-Baden, Signe and Udupi, Aparna and Thomsen, Per Hove (2018) Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry . ISSN 1527-5418 (In Press) https://www.sciencedirect.com/science/article/pii/S089085671830279X doi:10.1016/j.jaac.2018.04.014 doi:10.1016/j.jaac.2018.04.014
repository_type	Digital Repository
institution_category	Local University
institution	University of Nottingham Malaysia Campus
building	Nottingham Research Data Repository
collection	Online Access
language	English
description	Objective Parent training (PT) is recommended for attention-deficit/hyperactivity disorder (ADHD) in preschool children. Evidence-based interventions are important, but only if they produce better outcomes than usual care. Method We conducted a multi-center, two-arm parallel group randomized controlled trial in routine, specialist ADHD clinics in Danish Child and Adolescent Mental Health Services (CAMHS). Children (N=164, age 3-7) with ADHD received either a well-established PT programme (New Forest Parenting Programme (NFPP)) (n=88) or treatment as usual (TAU) (n=76). The primary outcome was parent ratings of child ADHD symptoms. Secondary outcomes included teacher ratings and direct observations of ADHD symptoms. Outcomes were measured at baseline (T1) and post-treatment (T2) and at follow-up (T3: 36 weeks after T2). Representativeness of participants was evaluated against the total national cohort of children (n=1378, age 3-7) diagnosed with ADHD during the same time period, using the Danish Civil Registration System. Statistical analysis employed a repeated measure model. Results By T2, NFPP was superior to TAU on parent-rated ADHD symptoms (p=0.009; ES d.=0.30), and on parenting self-efficacy and family strain. Effects persisted to T3. There were no effects on teacher ratings or direct observations of ADHD or on ratings of conduct problems or parenting. Our clinical sample was similar to the national cohort of young children with ADHD. Conclusions Evidence-based PT has value as an intervention for preschool ADHD in routine clinical settings. As in previous trials effects were restricted to parent-reported outcomes. Surprisingly, there were no effects on child conduct problems.
format	Article
author	Lange, Anne-Mette Daley, David Frydenberg, Morten Houman, Tine Kristensen, Lene Juel Rask, Charlotte Sonuga-Barke, Edmund Søndergaard-Baden, Signe Udupi, Aparna Thomsen, Per Hove
spellingShingle	Lange, Anne-Mette Daley, David Frydenberg, Morten Houman, Tine Kristensen, Lene Juel Rask, Charlotte Sonuga-Barke, Edmund Søndergaard-Baden, Signe Udupi, Aparna Thomsen, Per Hove Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
author_facet	Lange, Anne-Mette Daley, David Frydenberg, Morten Houman, Tine Kristensen, Lene Juel Rask, Charlotte Sonuga-Barke, Edmund Søndergaard-Baden, Signe Udupi, Aparna Thomsen, Per Hove
author_sort	Lange, Anne-Mette
title	Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
title_short	Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
title_full	Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
title_fullStr	Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
title_full_unstemmed	Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial
title_sort	parent training for preschool adhd in routine, specialist care: a randomized controlled trial
publisher	Elsiever
publishDate	2018
url	http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/ http://eprints.nottingham.ac.uk/52550/1/Parent%20training%20for%20preschool%20ADHD%20in%20routine%20specialist%20care%20A%20randomized%20controlled%20trial%20Mette%20Lange%20Daley%20et%20al.pdf
first_indexed	2018-09-06T14:27:51Z
last_indexed	2018-09-06T14:27:51Z
_version_	1610868663457415168

Parent training for preschool ADHD in routine, specialist care: a randomized controlled trial

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