A Feasibility Study of Enhanced Group Triple P — Positive Parenting Program for Parents of Children with Attention-deficit/Hyperactivity Disorder

Hoath, Fiona E; Sanders, Matthew R.

doi:10.1375/bech.19.4.191

Cited by 130 publications

(80 citation statements)

References 50 publications

(49 reference statements)

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“…All eleven [13][14][15][16][17][18][19][20][21][22][23] studies had a child ADHD symptom outcome (assessed using clinical interview or validated parental reported questionnaire). The overall standardized mean difference in the analysis for ADHD symptoms was significant and moderate (SMD = 0.68; 95%…”

Section: Resultsmentioning

confidence: 99%

“…Heterogeneity was also significant (χ 2 =46.79; l 2 =79%; p<0.001) (see Figure A). A sensitivity analysis which removed the five studies 13,16,18,22,23 that had allowed medication not only demonstrated that these findings were independent of medication status but that the strength of the association increased (SMD = 0.77; 95% CI 0. Heterogeneity was not significant (see Figure B).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies 13,16,22 included a measure of parenting stress, all assessed using parental self-report questionnaires. The overall standardized mean difference in the analysis for parenting stress was moderate but not significant (SMD = 0.50; 95% CI -0.12,1.12)…”

Section: Insert Figure C Herementioning

confidence: 99%

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Parenting Interventions for ADHD

2014

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ObjectiveTo evaluate the evidence base relating to the effectiveness of parent-administered behavioral interventions for ADHD. MethodsA systematic review of randomized controlled trials or non-randomized but adequately controlled trials for children with ADHD or high levels of ADHD symptoms was carried out across multiple databases. For meta-analyses, the most proximal ratings of child symptoms were used as the primary outcome measure. ResultsEleven studies met inclusion criteria (603 children, age range 33-144 months). Parenting interventions were associated with reduction in ADHD symptoms (Standardized Mean Difference (SMD) = 0.68; 95% CI 0.32,1.04). There was no evidence of attenuation of effectiveness after excluding studies where medication was also used. Parenting interventions were also effective for comorbid conduct problems (SMD = 0.59; 95% CI 0.29,0.90) and parenting self-esteem (SMD = 0.83; 95% CI 0.56,1.10). ConclusionsThese findings support clinical practice guidelines and suggest that parenting interventions are effective. There is a need to ensure the availability of parenting interventions in community settings.3

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Parenting Interventions for ADHD

2014

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“…The location was unclear in the remaining studies. Psychologists were in the majority as the self-care support agent but they accounted for less than half (14/33) of the interventions; 48,69,73,83,84,91,101,102,118,119,[163][164][165]168,171,174 a range of specific (e.g. teachers and counsellors 39,90,93,110,113,136,170 ) and non-specific (e.g.…”

Section: Analysis Of the Qualitative Perceptions Datamentioning

confidence: 99%

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

Pryjmachuk

Elvey

Kirk

et al. 2014

Health Services and Delivery Research

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BackgroundThe mental health of children and young people (CYP) is a major UK public health concern. Recent policy reviews have identified that service provision for CYP with mental health needs is not as effective, responsive, accessible or child-centred as it could be. Following on from a previous National Institute for Health Research (NIHR) study into self-care support for CYP with long-term physical health needs, this study explored self-care support’s potential in CYP’s mental health.ObjectivesTo identify and evaluate the types of mental health self-care support used by, and available to, CYP and their parents, and to establish how such support interfaces with statutory and non-statutory service provision.DesignTwo inter-related systematic literature reviews (an effectiveness review with meta-analysis and a perceptions review), together with a service mapping exercise and case study.SettingGlobal (systematic reviews); England and Wales (mapping exercise and case study).Participants (case study)Fifty-two individuals (17 CYP, 16 family members and 19 staff) were interviewed across six sites.Main outcome measures (meta-analysis)A measure of CYP’s mental health symptomatology.Data sources (literature reviews)MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, All Evidence-Based Medicine (EBM) Reviews, Applied Social Sciences Index and Abstracts (ASSIA) and Education Resources Information Center (ERIC).Review methodsTitles and abstracts of papers were screened for relevance then grouped into studies. Two independent reviewers extracted data from studies meeting the inclusion criteria. A descriptive analysis and meta-analysis were conducted for the effectiveness review; descriptive analyses were conducted for the perceptions review. These analyses were integrated to elicit a mixed-methods review.ResultsSixty-five of 71 included studies were meta-analysable. These 65 studies elicited 71 comparisons which, when meta-analysed, suggested that self-care support interventions were effective at 6-month [standardised mean difference (SMD) = −0.20; 95% confidence interval (CI) −0.28 to −0.11] and 12-month (SMD = −0.12; 95% CI −0.17 to −0.06) follow-ups. However, judged against Cochrane criteria, the studies were mostly low quality. Key elements of self-care support identified in the perceptions review were the acquisition of knowledge and skills, peer support and the relationship with the self-care support agent; CYP also had different perceptions from adults about what is important in self-care support. The mapping exercise identified 27 providers of 33 self-care support services. According to the case study data, effective self-care support services are predicated on flexibility; straightforward access; non-judgemental, welcoming organisations and staff; the provision of time and attention; opportunities to learn and practise skills relevant to self-care; and systems of peer support.ConclusionsMental health self-care support interventions for CYP are modestly effective in the short to medium term. Self-care support can be conceptualised as a process which has overlap with ‘recovery’. CYP and their families want choice and flexibility in the provision of such interventions and a continued relationship with services after the nominal therapy period. Those delivering self-care support need to have specific child-centred attributes.Future workFuture work should focus on under-represented conditions (e.g. psychosis, eating disorders, self-harm); the role of technology, leadership and readiness in self-care support; satisfaction in self-care support; the conceptualisation of self-care support in CYP’s mental health; and efficacy and cost-effectiveness.Study registrationPROSPERO number (for the effectiveness review) CRD42012001981.FundingThe NIHR Health Services and Delivery Research programme.

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“…Several meta-analyses document the effectiveness of parenting programs across a range of parental and child outcomes (Barlow et al 2002;Kaminski et al 2008;Lundahl et al 2006;Serketich and Dumas 1996) such as autism (McConachie and Diggle 2007), developmental disabilities (Plant and Sanders 2007), anxiety disorders (Cartwright-Hatton et al 2011), feeding and sleeping problems (Turner et al 1994;Werle et al 1993), drug and alcohol problems (Battistich et al 2000), anti-social behavior (Scott et al 2001), attention deficit hyperactivity disorder (Hoath and Sanders 2002) and recurrent pain syndromes . Parenting programs have also been shown to improve couple interaction quality (Cowan et al 2011), parenting competence and stress (Gross et al 2003;Nixon et al 2003) and maternal depression (Sanders and McFarland 2000).…”

Section: Definition Of Parenting Programsmentioning

confidence: 99%

A Review of Parenting Programs in Developing Countries: Opportunities and Challenges for Preventing Emotional and Behavioral Difficulties in Children

Mejía

Calam

Sanders

2012

Clin Child Fam Psychol Rev

Self Cite

159

101

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Many children in developing countries are at risk of emotional and behavioral difficulties, which are likely to be elevated due to the effects of poverty. Parenting programs have shown to be effective preventative strategies in high-income countries, but to date the research on their effectiveness in lower-income countries is limited. International organizations such as the World Health Organization have called for the implementation of programs to prevent behavioral difficulties through the development of stable relationships between children and their parents. The aim of the present paper was to review the literature on parenting programs in developing countries in order to identify challenges, opportunities and directions for further research. First, reports of international organizations were reviewed in order to gain a preliminary overview of the field. In a second stage, a non-systematic review was carried out. Databases were searched in order to identify empirical evaluations of parenting programs in low-income countries. Finally, a systematic review was carried out to specifically identify evaluations of programs targeting emotional or behavioral outcomes. Only one study had a strong methodology among those designed to prevent emotional and behavioral outcomes. Opportunities for further program development and research are identified.

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A Feasibility Study of Enhanced Group Triple P — Positive Parenting Program for Parents of Children with Attention-deficit/Hyperactivity Disorder

Cited by 130 publications

References 50 publications

Parenting Interventions for ADHD

Parenting Interventions for ADHD

Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study

A Review of Parenting Programs in Developing Countries: Opportunities and Challenges for Preventing Emotional and Behavioral Difficulties in Children

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