Angeleitete Selbsthilfe für Eltern von Kindern mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung

Mokros, Laura; Benien, Nicole; Mütsch, Anna; Kinnen, Claudia; Schürmann, Stephanie; Metternich-Kaizman, Tanja Wolff; Breuer, Dieter; Hautmann, Christopher; Ravens‐Sieberer, Ulrike; Klasen, Fionna; Döpfner, Manfred

doi:10.1024/1422-4917/a000348

Cited by 13 publications

(8 citation statements)

References 25 publications

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“…In the present observational study, we examined the long-term effectiveness of a guided self-help intervention for parents of children with ADHD under routine care conditions. Consistent with a previous preliminary analysis on the pre-post data set (Mokros et al, 2015), we found improvements in child behavior during the course of the intervention in our follow-up sample. Children showed less severe ADHD symptoms (primary outcome) and ODD symptoms, less severe overall behavioral and emotional problems, and an improved health-related quality of life at postassessment (secondary outcomes).…”

Section: Discussionsupporting

confidence: 92%

“…Studies have demonstrated the effectiveness of individually administered telephone-assisted self-help interventions for parents of children with externalizing problem behavior including ADHD. These studies indicate decreases in parent-reported externalizing and internalizing child problem behavior as well as ADHD symptoms and dysfunctional parenting practices (Dose et al, 2017; Kierfeld, Ise, Hanisch, Görtz-Dorten, & Döpfner, 2013; Mokros et al, 2015). A meta-analysis (Tarver, Daley, Lockwood, & Sayal, 2014) and a systematic review (M.…”

Section: Introductionmentioning

confidence: 92%

“…A preliminary analysis (Mokros et al, 2015) evaluated the short-term effectiveness of this intervention in a pre-post design. Registered pediatricians and child and adolescent psychiatrists enrolled 274 children, who were aged between 6 and 12 years and had been diagnosed with ADHD.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In the current analysis, we examined the maintenance of the improvement found for the treatment group under routine care conditions in a 1-year follow-up, including a subsample of Mokros et al’s (2015) study. Based on the results of experimental studies (e.g., Dose et al, 2017; Kierfeld et al, 2013; Mokros et al, 2015) and the meta-analyses or systematic reviews (M. O’Brien & Daley, 2011; Tarver et al, 2014), we hypothesized that children would show a significant improvement in parent-rated ADHD and ODD symptoms, overall behavioral problems, and health-related quality of life after their parents had received the telephone-assisted self-help intervention under routine care conditions.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care—An Observational Study

Döpfner

Liebermann-Jordanidis

Kinnen

et al. 2018

J Atten Disord

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Objective:To assess long-term effectiveness of guided self-help for parents of children with ADHD under routine care conditions. Method: 6- to 12-year-old children diagnosed with ADHD were enrolled in an observational study on a 1-year telephone-assisted parent-administered behavioral intervention. N = 136 families who completed the intervention participated in a follow-up assessment. Pre-, post-, and follow-up data were analyzed by repeated measures ANOVA with planned contrasts. Clinical significance was analyzed according to the reliable change index. Results: Child ADHD symptoms (primary outcome), oppositional defiant disorder (ODD) symptoms, overall behavioral problems, and quality of life improved during the intervention. There was a further improvement in ADHD symptoms at follow-up, with a medium effect size. Improvements during treatment in ODD symptoms, overall behavioral problems, and quality of life were maintained at follow-up. Conclusion: The findings suggest that telephone-assisted self-help interventions may result in a long-term reduction of child behavior problems.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care—An Observational Study

Döpfner

Liebermann-Jordanidis

Kinnen

et al. 2018

J Atten Disord

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Hyperkinetische Störung

Döpfner¹,

Junghänel²,

Kinnen³

2021

Psychotherapie: Praxis

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Negative parenting behaviour as a mediator of the effects of telephone-assisted self-help for parents of pharmacologically treated children with attention-deficit/hyperactivity disorder

Dose

Hautmann

Bürger

et al. 2020

Eur Child Adolesc Psychiatry

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A previous randomised controlled trial demonstrated the effects of a telephone-assisted self-help (TASH) intervention for parents of pharmacologically treated children with attention-deficit/hyperactivity disorder (ADHD) on ADHD symptoms, oppositional symptoms, functional impairment, and negative parenting behaviour (per-protocol analyses). In the current study, we examined whether changes in positive and negative parenting behaviour mediated the effects on symptoms and impairment. Parents in an enhancement group (n = 51) participated in a 12-month TASH intervention (eight booklets plus up to 14 telephone consultations) as an adjunct to routine clinical care, whereas parents in a waitlist control group (n = 52) received routine clinical care only. Parents completed measures of child symptoms, child functional impairment, and parenting behaviour at baseline, at 6 months, and at 12 months. The mediating effects of parenting behaviour were examined using regression analyses. Per-protocol analyses (n = 74) revealed a significant indirect intervention effect on functional impairment through negative parenting behaviour at 6 months as well as indirect intervention effects on oppositional symptoms and functional impairment through negative parenting behaviour at 12 months. The indirect effect on ADHD symptoms through negative parenting behaviour at 12 months just failed to reach significance. The analyses yielded no indirect intervention effects through positive parenting behaviour. The study provides some, albeit limited, support for the importance of changes in negative parenting behaviour to achieve changes in symptoms and functional impairment during parent training. In consideration of the inconsistent results of previous studies concerning the mediating role of positive and negative parenting behaviour, further research is required to better understand the mechanisms of change during parent training, also including other possible mediators like parenting stress and parental self-efficacy.

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Angeleitete Selbsthilfe für Eltern von Kindern mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung

Abstract: These results indicate that guided self-help programs for families with children with ADHD are effective, also as an addition to pharmacological treatment.

Cited by 13 publications

References 25 publications

Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care—An Observational Study

Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care—An Observational Study

Hyperkinetische Störung

Negative parenting behaviour as a mediator of the effects of telephone-assisted self-help for parents of pharmacologically treated children with attention-deficit/hyperactivity disorder

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