© 2001 Evidence-Based Nursing
Treatment
Parent training improved maternal wellbeing and reduced attention deficit hyperactivity disorder symptoms in children
Sonuga-Barke EJ, Daley D, Thompson M, et al. Parent-based therapies for preschool attention-deficit/hyperactivity disorder: a randomized, controlled trial with a community sample.J Am Acad Child Adolesc Psychiatry 2001 Apr;40:4028[Medline]
QUESTION: In 3 year old children with attention deficit hyperactivity disorder (ADHD), how effective are parent based therapies?
Randomised {allocation concealed}*, blinded (outcome assessors), controlled trial with 23 weeks of follow up.
Community based study in the UK.
78 three year old children (62% boys) who met the validated cut off for ADHD on the Parental Account of Childhood Symptoms (PACS) ADHD/Hyperkinesis scale and whose parents reported that the child's condition warranted treatment. Exclusion criteria were serious mental illness or learning disability in a parent or a previous diagnosis of a mental health condition. 7 children withdrew but were included in the analysis.
30 children were assigned to parent training (PT), 28 to parent counselling and support (PCS), and 20 to a waiting list control group. The PT group received coaching in child management techniques. The PCS group received non-directive support and counselling. Both treatments consisted of a structured 8 week programme for mothers, involving 8 one hour weekly visits to the child's home by a specially
Nottinghamshire Healthcare Trust Mansfield, Nottinghamshire, UK
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