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

Br J Clin Psychol. 2004 Nov;43(Pt 4):449-57. doi: 10.1348/0144665042388973.

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.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attention Deficit Disorder with Hyperactivity / rehabilitation*
  • Child, Preschool
  • Education
  • Female
  • Humans
  • Male
  • Nursing Care
  • Parent-Child Relations*
  • Parenting*
  • Primary Health Care
  • Treatment Outcome