Preliminary Efficacy of a Behavioral Parent Training Program for Children With ADHD in Pakistan

Malik, Tamkeen Ashraf; Rooney, Mary; Chronis‐Tuscano, Andrea; Tariq, Naeem

doi:10.1177/1087054714524158

Cited by 12 publications

(9 citation statements)

References 49 publications

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“…These findings may indicate minimal transfer of treatment from the clinic to the school environment, indicating the context-specific nature of Cog-Fun. These results are similar to those of Malik, Rooney, Chronis-Tuscano, and Tariq (2017) from a study examining the preliminary efficacy of a behavioral parent training program for children with ADHD in which teacher ratings of symptoms and impairments showed no improvement after treatment, while parent ratings did. Those authors noted that such findings are consistent with other intervention studies targeting the home environment and not the classroom in which ADHD behavioral treatment effects do not usually generalize beyond the treatment setting (Malik et al, 2017).…”

Section: Discussionsupporting

confidence: 82%

“…These results are similar to those of Malik, Rooney, Chronis-Tuscano, and Tariq (2017) from a study examining the preliminary efficacy of a behavioral parent training program for children with ADHD in which teacher ratings of symptoms and impairments showed no improvement after treatment, while parent ratings did. Those authors noted that such findings are consistent with other intervention studies targeting the home environment and not the classroom in which ADHD behavioral treatment effects do not usually generalize beyond the treatment setting (Malik et al, 2017). In a different vein, it is important to note that prior to intervention teachers reported less EF deficits and less severe ADHD symptoms than parents reported, to the point where mean teacher scores were below (not impaired) cutoff for both measures.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Efficacy of Cognitive-Functional (Cog-Fun) Occupational Therapy Intervention Among Children With ADHD: An RCT

Hahn-Markowitz¹,

Berger²,

Manor

et al. 2016

J Atten Disord

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Efficacy of Cognitive-Functional (Cog-Fun) Occupational Therapy Intervention Among Children With ADHD: An RCT

Hahn-Markowitz¹,

Berger²,

Manor

et al. 2016

J Atten Disord

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“…In our study, the intervention was found to be successful in reducing ADHD symptoms in the school setting based on the ratings of parents and teachers. Contrary to our results, in a previous study by Tamkeen in Pakistan after a behavioral parent, training there was a significant improvement in parent-reported ADHD symptoms, but teacher reports of symptoms and impairments generally did not show any improvement (43).…”

Section: Discussioncontrasting

confidence: 99%

“…Although parent and teacher training programs have beneficial effects for children with ADHD, these approaches often target only one system (for example, at home or at school) at the same time (9,25,26). However, the effectiveness of simultaneous intervention with regard to improving ADHD symptoms is limited.…”

Section: Introductionmentioning

confidence: 99%

Parents and Teachers Intervention for Children with Attention Deficit Hyperactivity Disorder Abstract

Hosseinnia

Mazaheri

Heidari

2021

Preprint

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Background: this study evaluated the effect of parents and teachers educational intervention to decrease the ADHD symptoms in children. Method: Seventy-two children and their parents and teachers participated in this quasiexperimental study and randomly divided into two groups of test and control. Data collected by CSI4-questionnaire. Parents and teacher in test group participated in training sessions. Student’s ADHD symptoms were assessed before and after the educational intervention. Results: Two mounts after the intervention, based on parent and teacher report, the ADHD symptoms was decreased significantly only in test group students. Conclusion: parents and teachers training and developing appropriate strategies can diminish ADHD symptoms in all three aspects including inattention and reduce the side effects of ADHD. Trial registration: The study was approved by the by the Research Deputy of Isfahan University of Medical Sciences. In addition, The Ethical Committee of Isfahan University of Medical Sciences approved the study proposal. (ID code: IR.MUI.RESEARCH.REC.1398.297). The required permission from Education Department of Isfahan City was attained. Participation in the study was voluntary. Before taking part in the study, selected teachers provided written consent also study goals were described to them.

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“…Only a few trials are done in LMICs in the preschool ADHD subpopulation, of which only one included BPT as an intervention (Malik et al, 2017; Thudalikunnil Gopalan et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Comparison of brief group behavioural parent training with individual parent training for preschool children with attention deficit hyperactivity disorder: A randomized feasibility study

Vaidyanathan

Chandrasekaran

Kothiyal

2023

Early Intervention Psych

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BackgroundBehaviour parent training (BPT) is first‐line treatment for preschool attention deficit hyperactivity disorder (ADHD). BPT in a group format can be a cost‐ and time‐effective alternative in low and middle‐income countries (LMIC) settings with limited resources. We conducted a randomized controlled trial to compare the feasibility and efficacy of group BPT with individual BPT in improving ADHD severity in the preschool age group over 12 weeks.MethodsAfter approval by the ethical committee, the study was conducted in the child guidance clinic, JIPMER. Fifty‐six children aged 2.5 to 6 years diagnosed with ADHD according to DSM5 were recruited. Children with autism spectrum disorder and a social quotient less than 50 were excluded. Block randomization parallel design was done. Group interventions were delivered with 4–8 parents per group, focusing on psychoeducation, structuring of routine, attention enhancing tasks, behavioural parenting techniques, and TAU. ADHD severity was assessed using Conner's abbreviated behaviour rating scale at baseline, 4, 8, and 12 weeks. Parental stress was estimated by FISC‐MR adapted for ADHD. Statistical analysis included repeated measures ANOVA.ResultsSignificant improvement was noticed for both groups (F = 20.261, p < .001, ES (η2) = 0.539). Group intervention was not inferior to individual BPT in reducing ADHD severity (F = 0.860, p = .468, ES (η2) = 0.047). There was a statistically significant difference from baseline to 12 weeks of intervention in the reduction of parental stress (F = 20.80, p < .001, ES (η2) = 0.278) and enhancement of the coping strategies (F = 64.4, (p < .001), ES (η2) = 0.78). The intervention had high attendance and fidelity rates.ConclusionGroup BPT was promising in treating ADHD in low‐resource settings.

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Preliminary Efficacy of a Behavioral Parent Training Program for Children With ADHD in Pakistan

Abstract: This study provides preliminary evidence for the feasibility and effectiveness of behavioral parenting training for children with ADHD in Pakistan and represents a critical first step in identifying evidence-based treatments for Pakistani children with ADHD.

Cited by 12 publications

References 49 publications

Efficacy of Cognitive-Functional (Cog-Fun) Occupational Therapy Intervention Among Children With ADHD: An RCT

Efficacy of Cognitive-Functional (Cog-Fun) Occupational Therapy Intervention Among Children With ADHD: An RCT

Parents and Teachers Intervention for Children with Attention Deficit Hyperactivity Disorder Abstract

Comparison of brief group behavioural parent training with individual parent training for preschool children with attention deficit hyperactivity disorder: A randomized feasibility study

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