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Short-term effect of American summer treatment program for Japanese children with attention deficit hyperactivity
Yushiro Yamashita1, Akiko Mukasa, Yuko Honda
1Department of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan. yushiro@med.kurume-u.ac.jp
Insights
The Summer Treatment Program (STP) effectively improved behavior in Japanese children with attention deficit hyperactivity disorder (ADHD). This intensive 3-week intervention showed significant positive changes across multiple functioning domains.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Psychology
- Developmental Psychology
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder affecting children.
- Behavioral interventions are a cornerstone of ADHD management.
- The Summer Treatment Program (STP) has a proven track record in North America.
Purpose of the Study:
- To evaluate the efficacy of the Summer Treatment Program (STP) for children with ADHD in Japan.
- To assess the short-term behavioral outcomes of an intensive, evidence-based intervention for pediatric ADHD.
- To determine if the STP model is effective outside of North America.
Main Methods:
- A 3-week intensive Summer Treatment Program (STP) was implemented for 36 children (ages 6-12) diagnosed with ADHD.
- The program utilized evidence-based behavioral modification techniques, including a point system, daily report cards, positive reinforcement, and time-outs.
- Parent-reported ADHD rating scales and Strength and Difficulties Questionnaires were used for assessment.
Main Results:
- Most participants demonstrated significant positive behavioral changes across multiple functional domains.
- Children showed marked improvement in daily points earned, reflecting reduced behavior frequencies.
- Statistically significant improvements were observed in ADHD symptoms, oppositional defiant disorder symptoms, and hyperactivity/inattention.
Conclusions:
- The 3-week intensive Summer Treatment Program (STP) is an effective short-term intervention for Japanese children with ADHD.
- The program's intensive nature (105 hours over 3 weeks) yielded positive behavioral outcomes comparable to longer programs.
- The findings support the adaptability and effectiveness of the STP model in diverse cultural contexts.
Abstract:
We reported the results of the 3-week summer treatment program (STP) for children with attention deficit hyperactivity disorder (ADHD) in 2006. The STP was based on methods established by Professor Pelham in Buffalo, NY and has been used in a number of studies and at a number of sites in the U.S. This is the first STP outside North America. Thirty-six children age 6-12 years with ADHD participated. The collection of evidence-based behavioral modification techniques that comprises the STP's behavioral program (e.g., point system, daily report card, positive reinforcement, time out) was used. Most children showed positive behavioral changes in multiple domains of functioning, demonstrated by significant improvement in points earned daily, which reflect behavior frequencies. Only one child with ADHD co-morbid with pervasive developmental disorder required an individualized program for excessive time outs. The ADHD rating scale, symptoms of oppositional defiant disorder, and hyperactivity/inattention in Strength and Difficulties Questionnaires evaluated by parents significantly improved after STP. Although the 3-week STP was much shorter than most STPs run in the U.S., the program is more intensive than typical outpatient treatment, providing 105h of intervenion in 3 weeks. The short-term effect of the STP was demonstrated for Japanese children with ADHD.
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