Self-directed or therapist-led parent training for children with attention deficit hyperactivity disorder? A randomized controlled non-inferiority pilot trialBreider, S., de Bildt, A., Nauta, M. H., Hoekstra, P. J. & van den Hoofdakker, B. J., Dec-2019, In : Internet interventions-The application of information technology in mental and behavioural health. 18, 9 p., 100262.
Research output: Contribution to journal › Article › Academic › peer-review
Background and objectives: Therapist-led behavioral parent training is a well-established treatment for behavior problems in children with attention-deficit/hyperactivity disorder (ADHD). However, parental attrition is high; self-directed forms of parent training may be a promising alternative. To date, no studies have compared these two forms of parent training in referred children with ADHD. The objectives of this pilot study were to examine the non-inferiority of a blended parent training (i.e. online program + supportive therapist contact) in comparison to its therapist-led equivalent (i.e. face-to-face parent training) regarding effects on behavioral problems, and to compare attrition rates, parental satisfaction, and therapist-time between both treatments.
Methods: 21 school-aged children with ADHD and behavioral problems, who had been referred to an outpatient mental health clinic, were randomized to blended (n = 11) or face-to-face (n = 10) parent training. Behavior problems were measured with the Child Behavior Checklist. Treatment completers and dropouts were included in the analyses.
Results and conclusions: Blended parent training was not found to be non-inferior to face-to-face parent training in the reduction of behavior problems. Parents in the blended condition dropped out of treatment significantly earlier than parents in the face-to-face condition and were less satisfied. Therapists in the blended condition spent significantly less time on parent training than therapists in the face-to-face condition.
|Number of pages||9|
|Journal||Internet interventions-The application of information technology in mental and behavioural health|
|Publication status||Published - Dec-2019|
|Event||10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII) - Auckland, New Zealand|
Duration: 13-Feb-2019 → 15-Feb-2019
10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII)
13/02/2019 → 15/02/2019Auckland, New Zealand
- Online, Blended, Face-to-face, Non-inferiority, Attrition, Behavior problems, TRIPLE P ONLINE, BEHAVIOR PROBLEMS, YOUNG-CHILDREN, INTERVENTIONS, PROGRAM, ADHD, FAMILIES, BARRIERS, METAANALYSIS, CHILDHOOD