Supporting Japanese Mothers of Children with <scp>ADHD</scp>: Cultural Adaptation of the New Forest Parent Training Programme

Shimabukuro, Shizuka; Daley, David; Thompson, Margaret; Laver-Bradbury, Cathy; Nakanishi, Emi; Tripp, Gail

doi:10.1111/jpr.12140

Cited by 14 publications

(28 citation statements)

References 31 publications

(33 reference statements)

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“…These extra sessions include further psychoeducation about ADHD, stress management training (also a problem highlighted by parents in Hong Kong), cognitive restructuring, and teaching of effective communication and problem‐solving skills. An initial proof‐of‐concept study using a simple before‐and‐after design indicates a positive response in Japanese mothers to the modified NFPP (Shimabukuro et al, ). In our ongoing RCT, the content of the six‐session NFPP sessions has been extended over eight sessions to accommodate the need for additional explanations and practice.…”

Section: Specific Examples Of Culture‐specific Implementationsmentioning

confidence: 99%

Adapting an attention‐deficit hyperactivity disorder parent training intervention to different cultural contexts: The experience of implementing the New Forest Parenting Programme in China, Denmark, Hong Kong, Japan, and the United Kingdom

Thompson

Laver-Bradbury

et al. 2017

PsyCh Journal

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Abstract:The New Forest Parenting Programme (NFPP) is a parenting program developed for parents who have a child with attentiondeficit hyperactivity disorder (ADHD). It is a manualized program that is delivered in a parent's home over 8 weeks, or in a group format, or through a self-help manual. Three randomized controlled trials have been carried out in the United Kingdom. The NFPP group has adapted the program according to feedback from parents and therapists, and for use with different populations, both within the United Kingdom and internationally. The first international trial took place in New York, United States. Trials in Denmark, Hong Kong, and Japan followed. More recently, a trial of the self-help manual has been carried out in mainland China. This paper will outline the adaptions that were needed in order to be able to deliver the program in different countries with their own expectations of parenting, culture, and language. Training had to be differently focused; manuals and handouts had to be revised, translated and back-translated; and supervision had to be delivered at a distance to maintain the fidelity of the program. The international group will outline their experience of running trials in their own countries with the NFPP in a face-to-face format (Denmark), a group format (Hong Kong and Japan), and a self-help format (mainland China). Attention-deficit hyperactivity disorder (ADHD) is a highly prevalent disorder affecting around 4% of preschool and school-aged children worldwide (Egger & Angold, 2006;Polanczyk, de Lima, Horta, Biederman, & Rohde, 2007). The presence of ADHD in preschool-aged children is associated with a clear risk of later educational difficulties (Washbrook, Propper, & Sayal, 2013) and ADHD leads to family-borne costs (e.g. time off work, cost of damage in the home) as well as increased health and education costs (Chorozoglou et al., 2015). The challenges of bringing up a child with ADHD are compounded when parents lack social and educational resources to cope with and manage that child's difficult and challenging behavior (Larsson, Sariaslan, Långström, D'Onofrio, & Lichtenstein, 2014). KeywordsParents who have ADHD themselves (Sonuga-Barke, Dalen, Daley, & Remington, 2002) or mental illness will find parenting a child with ADHD more difficult (Chronis et al., 2007).One of the main targets of the New Forest Parenting Programme (NFPP) is working with the parent to improve self-regulation in their child. Thus, it was important to discuss with the group leaders in each country in which we were going to train, what the influences were behind the development of self-regulation in the children in their culture. Parenting children with ADHD: Enhancing the development of self-regulationSelf-regulation develops over the first 4 years of a child's life as they gradually learn to comply with parental commands ("Do" commands and "Don't" commands), internalize social rules, and develop effortful control to control their impulses, emotions, and actions (Keller et al., 2004;Kochanska, C...

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Section: Specific Examples Of Culture‐specific Implementationsmentioning

confidence: 99%

Adapting an attention‐deficit hyperactivity disorder parent training intervention to different cultural contexts: The experience of implementing the New Forest Parenting Programme in China, Denmark, Hong Kong, Japan, and the United Kingdom

Thompson

Laver-Bradbury

et al. 2017

PsyCh Journal

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“…Effective interventions for children with ADHD and their families are a high priority (Shaw et al 2012). The limited research available regarding the impact of ADHD on Japanese families would suggest they experience similar levels of symptoms, problems and impairments (Shimabukuro et al 2017).…”

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“…The availability of psychosocial interventions for ADHD in Japan is limited (Takayama 2008). Two parenttraining programmes have been widely implemented in Japan, the Hizen Parenting Skills Training developed in Japan for children with Autism and Intellectual Disability (HPST, Okuma and Ito 2005), and the Seiken parenting program (Iwasaka 2012) which was adapted from American interventions (Barkley 2013;Whitham 1998) which focused on more generic aspects of parenting (see Shimabukuro et al 2017). Both programmes are used in the management of a wide range of disorders/disabilities, including ADHD.…”

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confidence: 99%

“…Feedback from Japanese mothers of children with ADHD, who participated in a pilot study of a standard behavioural intervention coupled with two parent support sessions, indicated that they approved the group format, while preferring it to be limited to mothers to promote honest discussion; perceived a need for additional psychoeducation about ADHD to help reduce self-blame and understand why their children behave in the ways they do; requested additional specific parent support sessions, and training methods to address their child's ADHD related difficulties, e.g., poor working memory; and believed role play was helpful in supporting their acquisition of key skills. Group leaders perceived a need for additional explanation of behavioural strategies especially those inconsistent with Japanese parenting practices, e.g., the importance of using praise, and a need to enhance mothers communication skills (Shimabukuro et al 2017).…”

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confidence: 99%

“…In response to this feedback we adapted and extended the New Forest Parenting Programme (NFPP) for use with Japanese mothers of children with ADHD (Shimabukuro et al 2017). The NFPP was chosen as it was specifically developed for the management of ADHD including ADHD specific psychoeducation and skill training to address ADHD related deficits, addressing important concerns of Japanese mothers (Shimabukuro et al 2017).…”

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Supporting Japanese Mothers of Children at Risk for Attention Deficit Hyperactivity Disorder (ADHD): A Small Scale Randomized Control Trial of Well Parent Japan

et al. 2020

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Objectives Guidelines recommend parent management training in the multi-modal treatment of attention deficit hyperactivity disorder (ADHD). The availability of such interventions in Japan is limited. This study evaluated the effects of Well Parent Japan, a hybrid intervention including a group Japanese language adaptation of the New Forest Parenting Programme for ADHD (NFPP) augmented with strategies to improve parent's psychological wellbeing and enhance confidence in their ability to implement change. Methods Mothers of children aged 6-12 years displaying marked symptoms of ADHD were randomly assigned to the intervention (n = 28) or a waitlist control condition (n = 24). Measures were completed at baseline and again 14 weeks later. Parenting stress was the primary outcome. Other outcomes included maternal depression, parenting self-efficacy, reported and observed parenting behaviour, and maternal ratings of child ADHD, oppositional defiant disorder (ODD) symptoms, and internalizing problems. Results Analysis of covariance (ANCOVA) compared the groups post intervention. Intervention mothers reported significantly less parenting stress, higher parenting self-esteem and use of more effective parenting strategies compared with controls, including a reduction in observed negative parenting, post intervention. These mothers also reported lower levels of child aggression and internalizing problems post intervention together with a trend (p < 0.05) toward reduced symptoms of inattention. Conclusions Well Parent Japan is an effective psychosocial intervention for parents of children with ADHD in Japan. The group format and the session content is well tolerated. This is the first randomized control trial (RCT) of a psychosocial intervention targeting ADHD in Japan.

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Neural and behavioral effects of parent training on emotion recognition in mothers rearing children with attention-deficit/hyperactivity disorder

Makita

Yao

Shimada

et al. 2023

Brain Imaging and Behavior

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This randomized controlled study examined neurological changes in socioemotional processing skills through parent training in caregivers of children with attention-deficit/hyperactivity disorder. Thirty mothers of children with attention-deficit/hyperactivity disorder were stratified into parent training and non-parent training groups. Functional magnetic resonance imaging was performed during the “Reading the Mind in the Eyes” test, and parenting difficulties were evaluated using the Parenting Stress Index and the Parenting Scale, twice (before and after parent training). Only mothers in the parent training group showed a significant decrease in Parenting Stress Index and Parenting Scale scores. They also demonstrated increased activity in the left occipital fusiform gyrus during the task of estimating emotions from facial pictures. We presumed that these changes might reflect the potential impact of enrollment in parent training in reducing stress, which might have increased activation of the fusiform gyrus.

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Supporting Japanese Mothers of Children with ADHD: Cultural Adaptation of the New Forest Parent Training Programme

Cited by 14 publications

References 31 publications

Adapting an attention‐deficit hyperactivity disorder parent training intervention to different cultural contexts: The experience of implementing the New Forest Parenting Programme in China, Denmark, Hong Kong, Japan, and the United Kingdom

Adapting an attention‐deficit hyperactivity disorder parent training intervention to different cultural contexts: The experience of implementing the New Forest Parenting Programme in China, Denmark, Hong Kong, Japan, and the United Kingdom

Supporting Japanese Mothers of Children at Risk for Attention Deficit Hyperactivity Disorder (ADHD): A Small Scale Randomized Control Trial of Well Parent Japan

Neural and behavioral effects of parent training on emotion recognition in mothers rearing children with attention-deficit/hyperactivity disorder

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