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Parent Training for ADHD
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Effect of Parent Training on Kids with ADHD
Effects of Parent Training for Preschool Children with ADHD
Testing Parent Therapies for Kids with ADHD
Testing Parent Training's Effect on ADHD Treatment
Comparing specialized and generic parent training programs for preschool ADHD
How Parent Training Affects Young Kids With ADHD
Effectiveness of Parent-Administered Behavioral Interventions for ADHD
Results of One Year of Parent-Child Therapy on ADHD Children
Comparing Traditional and Enhanced Behavioral Parent Training for Single Mothers of Children with ADHD
What are the benefits of early parent training interventions for preschool children with ADHD?
How effective is parent training in managing ADHD symptoms and behavioral problems in children?
Are there long term benefits to parent behavioral training for ADHD?
Can parent training be used together with ADHD medication to achieve better results?
Can parent training improve social skills and parenting practices for children with ADHD?
What is the impact of parent training on parenting stress and self-esteem in families dealing with ADHD?
Is parent training effective for ADHD management without medication?
Visual Abstract

Parenting Interventions for ADHD: A Systematic Literature Review and Meta-Analysis

Effectiveness of Parent-Administered Behavioral Interventions for ADHD

Coates J, Taylor JA, Sayal K
Summarized by:
Charles Li, MD
March 25, 2024
study source
J Atten Disord
2015 Oct
Effectiveness of Parent-Administered Behavioral Interventions for ADHD
Effectiveness of Parent-Administered Behavioral Interventions for ADHD
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What they studied
The study evaluated the effectiveness of parent-administered behavioral interventions for children with ADHD.
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What they found
Parenting interventions were associated with a reduction in ADHD symptoms, comorbid conduct problems, and improved parenting self-esteem.
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Why it matters
The findings support clinical practice guidelines suggesting that parenting interventions are effective for managing ADHD in children, which aligns with the current evidence recommending behavioral therapy as a crucial component of ADHD treatment.

Objectives

The paper set out to assess how well interventions led by parents work for kids with ADHD.

Study Quote
Coates et al, 2015

To evaluate the evidence base relating to the effectiveness of parent-administered behavioral interventions for ADHD.

Methods

The team looked at many studies, picking only those that were set up in a way that would give clear answers. They focused on the changes seen in kids right after these programs ended.

Study Quote
Coates et al, 2015

A systematic review of randomized controlled trials or non-randomized but adequately controlled trials for children with ADHD or high levels of ADHD symptoms was carried out across multiple databases. For meta-analyses, the most proximal ratings of child symptoms were used as the primary...

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Results

They found 11 studies that fit their criteria, involving 603 kids aged between about 2.5 and 12 years. The interventions by parents really did help lessen ADHD symptoms in kids, showing a moderate level of success. This held true even when they didn't consider studies where kids were also taking medication. Besides, these programs also helped with other behavior problems kids had and made parents feel better about their parenting skills. However, the study didn't find any significant improvements in parents' stress or their negative behaviors towards their kids.

Parenting interventions significantly reduce ADHD symptoms with a moderate effect size.
Interventions moderately improve comorbid conduct problems and significantly enhance parenting self-esteem.
Study Quote
Coates et al, 2015

Eleven studies met inclusion criteria (603 children, age range = 33-144 months). Parenting interventions were associated with reduction in ADHD symptoms (Standardized Mean Difference [SMD] = 0.68; 95% confidence interval [CI] [0.32, 1.04]). There was no evidence of attenuation of effecti...

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Evidence Comparison

The study's findings align with current evidence on the effectiveness of parent training in behavior management (PTBM) as a primary intervention for preschool-aged children with ADHD. They reinforce the importance of involving parents and educators in the treatment process to help reduce disruptive behaviors. The study found no evidence of reduced effectiveness when excluding studies where medication was also used, suggesting that parenting interventions can be beneficial both in combination with medication and as a standalone treatment. Overall, the study's results support the current practice guidelines recommending PTBM as a key component in the management of ADHD in young children.

Conclusions

The study's findings support clinical practice guidelines and suggest that parenting interventions are effective in reducing ADHD symptoms, comorbid conduct problems, and improving parenting self-esteem in children with ADHD. The authors emphasize the need to ensure the availability of parenting interventions in community settings to make these evidence-based treatments more accessible to families.

Study Quote
Coates et al, 2015

These findings support clinical practice guidelines and suggest that parenting interventions are effective. There is a need to ensure the availability of parenting interventions in community settings.

Key Takeaways

Parenting interventions are effective for ADHD
The study found that parent-administered behavioral interventions are associated with a reduction in ADHD symptoms in children, supporting their effectiveness as a treatment approach.
Benefits extend beyond ADHD symptoms
Parenting interventions not only reduce ADHD symptoms but also improve comorbid conduct problems and parenting self-esteem, highlighting their broad impact.
Effectiveness independent of medication
The effectiveness of parenting interventions for ADHD is not dependent on medication status, suggesting they can be beneficial with or without concurrent pharmacological treatment.

Context

The current study focuses on the effectiveness of parent-administered behavioral interventions for children with ADHD. To further explore the role of different treatment approaches, readers might be interested in the study by Abikoff et al. (2004) titled "Social functioning in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment." This study investigated whether combining ADHD medication with specialized social skills training could help children with ADHD improve their social functioning. The findings suggested that adding social skills training to medication did not significantly enhance children's social skills, indicating that medication alone might be sufficient for addressing social difficulties in children with ADHD.

Another related topic of interest for parents of children with ADHD is how to help their child stay more organized. Children with ADHD often struggle with organization, time management, and planning compared to their peers, which can lead to difficulties in completing tasks and remembering important details. These organizational challenges can negatively impact school performance, resulting in issues such as forgotten assignments, misplaced materials, and procrastination. Simple techniques like brief to-do lists, managing hyperfocus, and using visual reminders can be effective in helping individuals with ADHD manage their daily tasks. Exploring strategies to support organization skills can be a valuable complement to the parenting interventions discussed in the current study.