The Incredible Years Basic Parent Training for Portuguese Preschoolers with AD/HD Behaviors: Does it Make a Difference?

Abstract

Background: Evidence-based psychosocial interventions, like parent training programs, are strongly recommended as first-line treatment for preschool-age children with or at-risk of Attention Deficit/Hyperactivity Disorder (AD/HD).Objective: Evaluate the effectiveness of the Incredible Years Basic Parent Training (IY) in hyperactive and inattentive behaviors of Portuguese preschoolers. Methods: One hundred children, between three and six years-old, with AD/HD behaviors, who were part of a larger randomized controlled trial in which participants were allocated to either an intervention or control group. In this subsample analysis, there were 52 participants in the intervention condition (IYC) and 48 in the waiting-list control condition (WLC). Multi-informants and multi-measures of child and parenting behaviors were taken before and after the 14-week intervention. Results: Medium-to-large intervention effects were found in primary caregivers' reported measures of children's AD/HD behaviors and on self-reported parenting practices. Independent observations indicated significant short-term effects on positive parenting and coaching. Primary caregivers had a high attendance rate and reported high satisfaction with the program. Additionally, 43% of children in the IYC clinically improved in the primary AD/HD outcome measure, compared with 11% in the WLC. Conclusions:Preliminary results suggest that IY parent training seems to be an effective tool, making the difference in the behavior of Portuguese preschoolers with early signs of AD/HD and their mothers.

Could scale-up of parenting programmes improve child disruptive behaviour and reduce social inequalities? Using individual participant data meta-analysis to establish for whom programmes are effective and cost-effective

“…If it were the case that ADHD rendered parenting interventions for disruptive behaviour less effective, then it might be important to consider separately treating the ADHD, for example with medication. There is evidence that these interventions directly improve ADHD as well, 68,116,117 which we test in our data set in Chapter 4.…”

“…This trial took place with children with conduct problems (3-6 years). 115,116 4. IRE: a community-based trial in Ireland, with disadvantaged communities and children with conduct problems (2-7 years).…”

Parenting interventions in tic disorders: an exploration of parents' perspectives

“…Within neurodevelopmental disorders, parent training programmes are establishing an increasing evidence base across parent and child outcomes in ADHD, autism and learning difficulties (e.g. Sofronoff et al 2004;Jones et al 2007;Whittingham et al 2009;Azevedo et al 2013;Herbert et al bs_bs_banner Child: care, health and development Original Article doi:10.1111/cch.12212 2013; Leung et al 2013). However, only one randomized controlled trial has explored parent training programmes in tic disorders.…”

Webster‐Stratton Incredible Years Basic Parent Programme (IY) in child care placements: residential staff carers' satisfaction results

“…The literature indicates that, in general, the assessment of the parents' satisfaction with IY is rated as high and very positive (Webster-Stratton 1998;Fergusson et al 2009;Larsson et al 2009;Webster-Stratton & Reid 2010b). Similar results were found in Portuguese parents' samples regarding the level of adhesion and satisfaction (Seabra-Santos & Gaspar 2008;Cabral et al 2009Cabral et al /2010Seabra-Santos et al 2011Azevedo et al 2013).…”