Supporting Parents of Children with ADHD During COVID-19 School Closures: A Multiple-Baseline Trial of Behavioral Parent Training for Home Learning

Abstract

During the COVID-19 pandemic, schools rapidly changed from in-class instruction to remote learning. Parent involvement and management of the home learning situation was greatly emphasized, and this presented challenges and opportunities for parents of children with attention-deficit/hyperactivity disorder (ADHD). There was an urgent need for effective parent support in the home learning situation, particularly for parents of youth with ADHD. The current study implemented a behavioral parent training (BPT) program, an evidence-based intervention for childhood ADHD, modified to target home learning and be delivered via telehealth. The intervention was evaluated in a multiple baseline trial across families of youth with ADHD ( n = 3). The primary outcome was daily, parent-reported academic engagement during home learning. Parents also completed daily ratings of their child’s respectful and disruptive behavior, and remote, home observations of academic tasks were recorded at baseline and post-treatment. Based on visual analysis of baseline, treatment and post-treatment daily ratings, two of the three participants had a positive response to treatment indicated by improved academic engagement. These findings provide preliminary support for the home-learning, telehealth-delivered BPT program in supporting families during the COVID pandemic. Supplementary Information The online version contains supplementary material available at 10.1007/s12310-023-09569-y.

The Family Game to support parents with intellectual disability in managing challenging behaviours: A replication

“…Staggering the introduction of the intervention provides control over confounding variables, mainly history and maturation. The multiple baseline design is commonly used to assess the effects parenting skills training (e.g., Lees & Ronan, 2008; Merrill et al, 2023; Tahir et al, 2015). Each parent completed their training sessions separately (i.e., when the other parent was not present).…”

Telemedicine use in the managment of ADHD patients.

“…Взрослые пациенты в исследовании UNCOVER также отмечали негативное влияние пандемии на течение СДВГ, в том числе увеличение трудностей, связанных с получением рецептов на ЛС [14]. В связи с описанными факторами многие психиатрические телемедицинские службы начали формироваться и развиваться во время пандемии, однако их актуальность не уменьшилась после окончания карантинных ограничений [15][16][17].…”

“…и соавт. разработали программу поведенческого обучения родителей, которая была направлена на помощь с вовлечением детей с СДВГ в дистанционное посещение школьных занятий и коррекцию их поведения [15].…”

Impact of COVID-19 on Physical Activity in Families Managing ADHD and the Cyclical Effect on Worsening Mental Health

“…Unfortunately, recent work has demonstrated that the physical activity levels of caregivers were also negatively impacted during the pandemic [ 52 ]. Caregivers of children with ADHD had to adopt additional roles of teacher and fulltime homekeeper, on top of existing roles and stressors such as a lack of access to therapeutic resources, greater financial hardship and uncertainty compared to other families, and compounding mental health issues [ 53 , 54 ]. It is unsurprising that caregivers could not participate in regular physical activity under such high-stress circumstances, moving these vulnerable individuals even further away from the benefits of physical activity and other self-care behaviours.…”