Improving Adherence to Behavioral Parent Training for ADHD Using Digital Health Tools

Pfiffner, Linda J.; Dvorsky, Melissa R.; Hawkey, Elizabeth; Chung, Sara; Haack, Lauren M.; Owens, Elizabeth B.

doi:10.20900/jpbs.20220005

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…While parent EF deficits were not assessed in this study, it is possible this would impact parent treatment implementation and monitoring. To address difficulties with consistent parent and child treatment adherence, newly developed digital health tools may support the monitoring aspect of BPT by providing structured reward systems with automated reminders and gamification features (Pfiffner et al, 2022). Recent work has found some initial evidence that technology-enhanced BPT improves parent skill use and maintenance over time (Jones et al, 2021; Parent et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Emotion Regulation and Organizational Skills in Children With ADHD Symptoms Are Associated With Behavioral Parent Training Adherence

Hawkey,

Williams,

Chung

et al. 2024

J Atten Disord

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Objective: Behavioral parent training (BPT) is a well-established treatment for ADHD; however, treatment response is variable. Consistency in parent skill use during BPT is known to influence child outcomes post-treatment, while less research has focused on specific child factors that may be impacting parent skill utilization during treatment. The current study examined associations between child organizational skills and emotion dysregulation (ED) with parent treatment adherence during BPT and post-treatment child impairment. Method: Parents of 72 children ( Mage = 8.31) with ADHD symptoms and impairment participated in BPT which was embedded in a 12-week, multicomponent, school-based intervention for children delivered by school mental health clinicians. Outcomes included parent treatment adherence and child improvements in global impairment post-treatment. Results: Greater pre-treatment child organizational problems were associated with less parent treatment adherence regardless of ADHD symptom severity. Worse pre-treatment child ED was associated with more impairment post-treatment regardless of ADHD symptom severity whereas the effects of child ED on parent treatment adherence were moderated by child ADHD symptom severity. Conclusion: The current study suggests that pre-treatment child ED and organizational difficulties impact parent treatment adherence to behavioral interventions targeting ADHD symptoms, potentially in unique ways, and should be considered in future BPT treatment studies.

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Section: Discussionmentioning

confidence: 99%