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Evidence-Based Nursing 2001;4:109; doi:10.1136/ebn.4.4.109
Copyright © 2001 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.
Evidence-Based Nursing 2001; 4:109
© 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;40:402–8[Medline]

QUESTION: In 3 year old children with attention deficit hyperactivity disorder (ADHD), how effective are parent based therapies?

Design

Randomised {allocation concealed}*, blinded (outcome assessors), controlled trial with 23 weeks of follow up.

Setting

Community based study in the UK.

Patients

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.

Intervention

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 . . . [Full text of this article]

Laurence Baldwin, RMN, MA, Clinical Nurse Specialist

Nottinghamshire Healthcare Trust Mansfield, Nottinghamshire, UK


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