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Behavioral Parent Training (BPT) is a well-established intervention for children with Attention-Deficit/Hyperactivity Disorder (ADHD). Research is now focused on understanding how to modify these treatments to meet the needs of special or vulnerable populations. Given the many barriers of living in rural Appalachia, children with ADHD in this region constitute a particularly vulnerable group. The present study describes the impact of a 6-week group BPT program for 14 caregivers of children with ADHD. Using a pre-post design, we examine the intervention impact on the outcomes of child ADHD symptoms/impairment and parent self-reported stress, satisfaction, and self-efficacy. Results revealed small-to-medium positive effects across all study variables. Results are discussed in the context of this unique population and setting Public Health Significance StatementParenting interventions for childhood behavior problems, such as Attention-Deficit/ Hyperactivity Disorder, have been shown to be effective in reducing problem behavior and parenting stress; however, these programs are not readily available in many communities. When parenting interventions are available, there are often barriers to parents getting involved with or completing the programs, such as time constraints, transportation issues, or insurance limits. This study provides preliminary evidence for the effectiveness of a short group-delivered parenting program for families in Central Appalachia and offers suggestions for future research in this area.