Parent training for Attention Deficit/Hyperactivity Disorder: Is it as effective when delivered as routine rather than as specialist care?

Authors: Edmund J.S. Sonuga-Barke1; Margaret Thompson2; David Daley3; Cathy Laver-Bradbury4

Source: British Journal of Clinical Psychology, Volume 43, Number 4, November 2004 , pp. 449-457(9)

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Abstract:

Background: The effectiveness of parent training (PT) when delivered as part of specialist tier-two services for preschool AD/HD children has been recently demonstrated.

Aims: To assess the effectiveness of the same PT programme when delivered as part of routine primary care by non-specialist nurses.

Method: A sample of 89 3-year-old children with preschool AD/HD took part in a controlled trial of an eight-week (one hour a week), health visitor delivered, PT package. Children, allocated randomly to PT (n = 59) and waiting list control (WLC; n = 30) groups, were compared.

Results: PT did not reduce AD/HD symptoms. Maternal well-being decreased in both PT and WLC groups.

Conclusions: While PT is an effective intervention for preschool AD/HD when delivered in specialized settings, these benefits do not appear to generalize when programme are delivered as part of routine primary care by non-specialist nurses.

Document Type: Research article

DOI: 10.1348/0144665042388973

Affiliations: 1: Developmental Brain Behaviour Unit, School of Psychology, University of Southampton, UK 2: Department of Psychiatry, University of Southampton, UK 3: School of Psychology, University of Wales, Bangor, UK 4: Child and Family Guidance Centre, Ashurst Hospital, Southampton, UK

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