Children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and their caregivers
Conditions
Interventions
<
I-PCIT>
(1) I-PCIT is conducted according to the "
Parent-Child Interaction Therapy Protocol 2011"
. This protocol is translated into Japanese with the permission of Sheila Eyberg et al, the developers of PCIT. (2)One or two therapists will conduct the I-PCIT. The therapists should have complete
s skill level and the child'
s behavioral status, but the average number of sessions is 12 to 20. The co-therapist monitors the fidelity of the main therapist'
s procedures and provides feedback based on a treatment completion checklist. (3) Individualized intervention for each parent and child. (4)The program consists of two parts. In the first half o
s listening behavior and reducing problem behaviors. (6) Treatment is terminated when the caregiver'
s CDI and PDI skills reach the mastery criteria specified in the treatment protocol, the ECBI score is 112 or lower, and the caregiver demonstrates confidence in parenting. (7) After the completion
Sponsors
Osaka University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) The child's age is 4 to 5 years old. (2) The child was diagnosed as ADHD in DSM-5 by a child psychiatrist or pediatrician. (3) The child is not receiving any medication or psychotherapy for ADHD or any mental developmental disorder at the time of entry into the study. (4) The caregiver and the child do not have severe physical disabilities. (5) The child has externalizing symptoms (aggressive behavior, hyperactivity, etc.), and the caregiver feels some difficulty in raising the child and interacting with the child (ECBI intensity score of 124 or higher). (6) The caregiver's age is between 20 and 60 years old. (7) The caregiver is able to speak, read, and write in Japanese and is raising the child in Japanese. (8) Both caregivers and preschool staff are willing to participate in the study. (9) Have an Internet environment and devices that allow them to participate in online sessions using a videoconferencing system. (10) The patient has obtained permission from the attending physician to participate in the study.
Exclusion criteria
Exclusion criteria: (1) The caregiver has intellectual disability (22 or more wrong answers on JART-25). (2) The caregiver has serious suicidal ideation (score of 2 or more on BDI-II item 9). (3) The child has severe autistic tendency. (T score of 76 or more on SRS-2). (4) When the child has difficulty in understanding simple instructions in daily life. (5) Cases in which there is abuse that requires urgent attention at the time of initiation of treatment, and in which the perpetrator of domestic violence is living with the child. (6) Cases of sexual abuse in which the perpetrator is a caregiver who is scheduled to undergo I-PCIT.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ECBI (Eyberg Child Behavior Inventory) intensity scale at 16 weeks after starting the treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| ECBI intensity scale at 22 weeks after starting treatment and the following rating scale at 16 and 22 weeks after starting treatment -CBCL(Child Behavior Checklist) -SESBI-R(Sutter-Eyberg Student Behavior Inventory-Revised) -ADHD-RS(ADHD Rating Scale-4) -PNPS(Positive and Negative Parenting Scale) -BDI-2(Beck Depression Inventory-2) -PSI-SF(Parental Stress Index-Short Form) -Confidence in parenting | — |
Countries
Japan
Contacts
Public ContactMasako Kawasaki
Japan PCIT Training Center Clinical department
Outcome results
None listed