Publication

Self-directed or therapist-led parent training for children with attention deficit hyperactivity disorder? A randomized controlled non-inferiority pilot trial

Breider, 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 journalArticleAcademicpeer-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.

Original languageEnglish
Article number100262
Number of pages9
JournalInternet interventions-The application of information technology in mental and behavioural health
Volume18
Publication statusPublished - Dec-2019
Event10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII) - Auckland, New Zealand
Duration: 13-Feb-201915-Feb-2019

Event

10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII)

13/02/201915/02/2019

Auckland, New Zealand

Event: Conference

    Keywords

  • Online, Blended, Face-to-face, Non-inferiority, Attrition, Behavior problems, TRIPLE P ONLINE, BEHAVIOR PROBLEMS, YOUNG-CHILDREN, INTERVENTIONS, PROGRAM, ADHD, FAMILIES, BARRIERS, METAANALYSIS, CHILDHOOD

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