A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder

Thompson, Margaret; Laver-Bradbury, Cathy; Ayres, M.; Poidevin, Emma Le; Mead, Sarah; Dodds, Catherine; Psychogiou, Lamprini; Bitsakou, Paraskevi; Daley, David; Weeks, Anne; Brotman, Laurie Miller; Abikoff, Howard; Thompson, Penny; Sonuga‐Barke, Edmund

doi:10.1007/s00787-009-0020-0

Cited by 133 publications

(150 citation statements)

References 36 publications

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“…51,107,133 There were no studies on psychosis. Most (31/71) of the studies concerned interventions that could be classified as treatments (see Chapter 1, Intervention levels), [48][49][50][51][52]55,65,66,70,71,74,77,78,81,[83][84][85][86]91,[94][95][96][97][98][101][102][103][104]106,111,112,[121][122][123][124][125][126][127][129][130][131]133,135,139 with the remainder focusing equally on indicated (n = 11), 53,58,59,…”

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

“…Sixteen of the interventions were individual child/young person or individual family interventions; 48,65,[69][70][71]74,[83][84][85][86][87][95][96][97][98]111,[121][122][123][124][125][126][127][129][130][131]133,135 the remainder were group interventions or group interventions with occasional individual sessions. Of those studies where a delivery location was given, most of the interventions (33/71) took place in a school setting, 39,[45][46][47]49,50,53,[57][58][59][60]62,63,65,73,82,[90][91][92][93][94]…”

Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

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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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Section: Description Of the Included Effectiveness Studiesmentioning

confidence: 99%

Section: Description Of the Included Effectiveness Studiesmentioning

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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“…It is difficult to recognise inattentive behaviours in preschoolers and there is a far wider variation in normal behaviour at this age. It is also the case that non-pharmacological behavioural interventions have been demonstrated to be effective in this age group and are likely to be safer especially where diagnostic uncertainty is present [138,139].…”

Section: Is There Any Evidence That Age Is a Moderator Of Stimulant Ementioning

confidence: 99%

Stimulant Drug Effects on Attention Deficit/Hyperactivity Disorder: A Review of the Effects of Age and Sex of Patients

Cornforth¹,

Sonuga‐Barke²,

Coghill³

2010

CPD

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Objective: Because dopamine functioning varies by sex and age it might be expected that the effects of methylphenidate or amfetamine, the psychostimulants used for the treatment of Attention Deficit /Hyperactivity Disorder (ADHD), will also be moderated by these factors.Here we review the published literature on whether stimulant effects in ADHD symptoms vary by age and sex. Results: Randomised controlled trials confirm that stimulant medication is efficacious for, and well tolerated by, males and females and patients across the age range; although preschoolers appear to have a less beneficial response and more side effects. Few studies that specifically examined the moderating effect of age and/or sex were identified. For sex, no effects on overall response were found, although one study reported that sex moderated methylphenidate pharmacodynamics. The few effects found for age were small and inconsistent. Conclusions:The available evidence suggests that stimulant medication, when appropriately administered, has efficacy as an ADHD treatment for both sexes and across all ages. There are currently too few published papers examining the effects of sex and age to draw strong conclusions about moderation. Further studies of the pharmacodynamics of stimulants on ADHD MEDICATION MODERATORS 3 symptoms measured using objective tests in the laboratory or classroom setting need to be undertaken.

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“…Originalmente concebida para avaliar os comportamentos em diferentes contextos (31 itens referentes a situações em casa e na escola; Werry, 1968), a Escala WWP foi posteriormente modificada e direcionada para a avaliação de comportamentos em contexto familiar (22 itens). O estudo da Escala foi retomado por Routh (Routh, 1978;Routh et al, 1974;), que chegou a uma versão composta por 27 itens que se combinam num resultado total único, versão esta que tem sido utilizada em inúmeras pesquisas internacionais (McCann et al, 2014;McGilloway et al, 2009;Perez, Turner, Fisher, Lockwood, & Daley, 2014;Thompson et al, 2009). Essa é, igualmente, a versão que serve de base à presente pesquisa.…”

Section: Escala De Atividade Werry-weiss-petersunclassified

“…Alguns estudos, utilizam a WWP também como medida de triagem dos sintomas de PH/DA (McCann et al, 2014;Perez et al, 2014;Thompson et al, 2009 (Fonseca, Rebelo, Simões, & Ferreira, 1995) e de 4.6% em crianças portuguesas de idade escolar (Melo, 2003). A escassez de estudos portugueses com instrumentos direcionados para as idades pré-escolar e escolar reforça a necessidade de investirmos nesta área e de tornar disponível para os clínicos e investigadores outras ferramentas de trabalho.…”

Section: Escala De Atividade Werry-weiss-petersunclassified

Qualidades Psicométricas Da Escala De Atividade De Werry-Weiss-Peters: Estudo Preliminar Da Versão Portuguesa

Seabra‐Santos¹,

Azevedo²,

Gaspar³

et al. 2017

Rev. Iberoam. Diagn. Eval.-Aval. P.

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ResumoO rastreio e encaminhamento precoces de crianças em risco de Perturbação de Hiperatividade/ Défice de Atenção constituem desafios para médicos de cuidados primários, pediatras, psicólogos e pedopsiquiatras, interessados em interromper trajetórias de desenvolvimento desadaptativas. Este artigo analisa características psicométricas da versão portuguesa da Werry-Weiss-Peters Activity Scale (Routh, 1978), que avalia o nível de atividade de crianças em contexto familiar. Com base numa amostra normativa de 340 crianças (3-11 anos) e numa amostra de 157 crianças (3-6 anos) em risco de problemas de comportamento disruptivo, foi demonstrada a validade de uma pontuação única para o conjunto da escala, elevada consistência interna, estabilidade temporal e capacidade para discriminar entre crianças com e sem problemas de comportamento. Os resultados foram analisados em função do sexo e idade. A versão portuguesa da Escala WWP demonstrou bons índices de precisão e validade, sendo um instrumento de rastreio da hiperatividade potencialmente útil para profissionais e investigadores. Palavras-chave:Werry-Weiss-Peters Activity Scale, rastreio, Perturbação de Hiperatividade/Défice de Atenção, propiedades psicométricas AbstractEarly screening and referral of children at risk for Attention Deficit/ Hyperactivity Disorder are a challenge for primary care physicians, pediatricians, psychologists, and child psychiatrists aiming to interrupt deviant developmental trajectories. This paper analyses psychometric characteristics of the Portuguese version of the Werry-Weiss-Peters Activity Scale (Routh, 1978), that assesses children's activity level in family context. Based on a normative sample of 340 children aged 3 to 11, and a sample of 157 children aged 3 to 6 at risk for disruptive behavior problems, the validity of a single scale score was demonstrated, as well as high internal consistency, stability across time and capacity to discriminate between children with and without disruptive behavior. Results were analyzed according to children's gender and age. The Portuguese version of the WWP Scale shows evidence of good reliability and validity, and may therefore be a potentially useful screening measure of hyperactivity for professionals and researchers.Keywords: Werry-Weiss-Peters Activity Scale, screening, Attention Deficit Hyperactivity Disorder, psychometric properties Este trabalho foi parcialmente apoiado pela Fundação para a Ciência e Tecnologia e pelo FEDER-COMPETE através do projeto financiado

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A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder

Cited by 133 publications

References 36 publications

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

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

Stimulant Drug Effects on Attention Deficit/Hyperactivity Disorder: A Review of the Effects of Age and Sex of Patients

Qualidades Psicométricas Da Escala De Atividade De Werry-Weiss-Peters: Estudo Preliminar Da Versão Portuguesa

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