Efficacy of a self-help parenting intervention for parents of children with Attention Deficit Hyperactivity Disorder in adjunct to usual treatment – Small Scale Randomised Controlled Trial

Daley, David; Tarver, Joanne; Sayal, Kapil

Abstract

Background: Multimodal intervention incorporating psychosocial intervention and medication is recommended for school aged children with Attention-Deficit/Hyperactivity Disorder (ADHD). This randomised controlled trial (RCT) investigates the adjunctive benefit of the self-help version of the New Forest Parenting Programme (NFPP-SH) when offered in addition to treatment as usual (TAU) compared to TAU alone.
Method: Fifty-two children, receiving medication for ADHD as part of their usual care, were randomised to receive NFPP-SH+TAU or TAU alone.
Results: When used in adjunct to TAU, NFPP-SH may have beneficial effects for parenting efficacy (F=6.28, p=0.02), child social performance in school and negative comments made by parents during a recorded speech sample. However, the self-help intervention did not have any additional effect on child behaviour.
Conclusions: This study provides further support for self-help interventions as potentially low intensity, and cost-effective alternatives to therapist-led parenting interventions. The findings require replication in larger samples before any firm conclusions about adjunctive efficacy of NFPP-SH can be drawn but underline the potential for self-help within routine treatment. ClinicalTrials.gov Identifier: NCT02174952.

Citation

Daley, D., Tarver, J., & Sayal, K. (2021). Efficacy of a self-help parenting intervention for parents of children with Attention Deficit Hyperactivity Disorder in adjunct to usual treatment – Small Scale Randomised Controlled Trial. Child: Care, Health and Development, 47(2), 269-280. https://doi.org/10.1111/cch.12825

• Journal Article Type: Article
• Acceptance Date: Oct 27, 2020
• Online Publication Date: Nov 6, 2020
• Publication Date: 2021-03
• Deposit Date: Nov 4, 2020
• Publicly Available Date: Nov 7, 2021
• Journal: Child: Care, Health and Development
• Print ISSN: 0305-1862
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 47
• Issue: 2
• Pages: 269-280
• DOI: https://doi.org/10.1111/cch.12825
• Public URL: https://nottingham-repository.worktribe.com/output/5017299
• Publisher URL: https://onlinelibrary.wiley.com/doi/full/10.1111/cch.12825
• Additional Information: Acknowledgements This study was funded by National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care--Nottinghamshire, Derbyshire, Lincolnshire (CLAHRC-NDL) and the Institute of Mental Health at the University of Nottingham. Conflicts of Interest DD is a co-author of the published self-help book which is tested in this study. JT and KS declare no conflicts of interest. Availability of data and material: Full data not available for ethical reasons