Attention Deficit Hyperactivity Disorder (ADHD)
Conditions
Keywords
Parenting interventions, ADHD, Family functioning, Parent Training
Brief summary
Therapist-led parenting interventions have been shown to reduce symptoms of attention deficit hyperactivity disorder (ADHD) and are recommended as a first line treatment for school age children with ADHD. However, parenting interventions can be costly and impractical for parents due to factors such as time constraints and travelling costs. A self-help parent training manual has been developed and initial results have shown moderate reductions in ADHD symptoms, indicating that whilst self-help may offer a cost effective alternative to therapist led parent training interventions, it may not be sufficient to treat ADHD alone. This study therefore aims to compare the efficacy and additional benefits of the self-help intervention plus treatment as usual including pharmacotherapy with a control treatment as usual group . Families with a child aged 6-10 with a clinical diagnosis of ADHD will be recruited to the study via referrals from community paediatricians and child and adolescent mental health services. After gaining informed consent subjects will be randomised to self-help plus Treatment as usual (TAU) + or TAU (control). Those allocated to TAU+SH will be issued with the self-help manual and an introductory DVD to highlight key aspects of the intervention. Self-help intervention will last for 12 weeks. Data will be collected via standardised questionnaires completed by the parent, teacher and child and a recorded speech samples from the parent. Data will be collected at three time points; pre-intervention, post-intervention (12 weeks) and as a long term follow up (28 weeks). After completing the trial, qualitative data will be collected about participants' experience of self-help intervention.
Interventions
BEHAVIORALSelf-help version of the New Forest Parenting Programme
Sponsors
Institute of Mental Health Nottingham
National Institute for Health Research, United Kingdom
University of Nottingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Parent/Main caregiver aged 18 years or over. * Children aged been 6-10 years who have received a clinical diagnosis of ADHD. * Children who are about to commence a course of medication for ADHD for the first time or a currently receiving medication for ADHD.
Exclusion criteria
* Parents who are not fluent in English, or unable to read English. (Due to copyright restrictions the self-help manual is only available in English.) * Families who clinicians feel may be unable/incapable of completing the self-help intervention (e.g. where parents have severe mental illness) * Parents who are aware that they have had previous experience of the NFPP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy subscale of the Parenting Sense of Competence Questionnaire (PSOC) | Post- Intervention (12 weeks) | This questionnaire provides a measure of parenting confidence and satisfaction within their parenting role; parents of children with ADHD often report low parenting efficacy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child ADHD Symptoms | 12 weeks | Parent and teacher report according to SNAP-IV |
| Family Strain Index (Riley et al, 2006). | 12 weeks | — |
| Eyberg Child Behaviour Inventory (ECBI; Eyberg, 1980) | 12 weeks | — |
| Vanderbilt Diagnostic Rating Scale (Performance scale; Wolraich et al, 2003) | 12 weeks | — |
| Southampton ADHD medication behaviour and and Attitudes scale (SAMBA) | 12 weeks | — |
| Child ADHD symptoms | 28 weeks | Parent and teacher report according to SNAP-IV |
| Family Strain Index (Riley et al, 2006) | 28 weeks | — |
| Child Health and Illness Profile (parent and child report; Riley et al, 2004) | 12 weeks | — |
| Parental Expressed emotion via recorded Five Minute Speech Sample (Daley et al, 2003) | 12 weeks | — |
| General Health Questionnaire (12 item; Goldberg, 1992) | 12 weeks | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment Fidelity | Fortnightly throughout intervention period | Fidelity of self-help intervention will be assessed using a parent self-report rating collected via fortnightly phone calls to parents from research/clinic staff. |
| Usual Treatment | Baseline, Post-intervention (12 weeks) follow-up (28 weeks) | A treatment report form questionnaire will be used to gain information about other treatments being received for ADHD. This information will be requested initially from parents and then, with consent, from clinicians if parents feel unable/fail to provide. |
Outcome results
None listed