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A parent-based intervention programme involving preschoolers with AD/HD behaviours: are children's and mothers'
Andreia Fernandes Azevedo1, Maria João Seabra-Santos, Maria Filomena Gaspar
1Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal, aazpsi@gmail.com.
Insights
The Incredible Years (IY) parent training program significantly reduced ADHD behaviors in preschoolers and improved maternal parenting over 12 months. These positive outcomes were sustained, indicating long-term benefits for early intervention.
Area of Science:
- Child Psychology
- Developmental Psychology
- Behavioral Intervention
Background:
- Preschoolers with early hyperactive and inattentive behaviors (AD/HD behaviors) benefit from parent-based interventions.
- The Incredible Years (IY) program is a parent training model designed to improve child behavior and parenting skills.
Purpose of the Study:
- To evaluate the 12-month efficacy of the Incredible Years (IY) parent training program.
- To assess the impact of IY on children's AD/HD behaviors and mothers' parenting practices and competence.
Main Methods:
- A sample of 52 Portuguese preschoolers with early AD/HD behaviors and their mothers participated.
- Mothers received the Incredible Years basic parent training (IY).
- Children's and mothers' outcomes were assessed at baseline, 6 months, and 12 months using reported and observational measures.
Main Results:
- Significant reductions in children's reported AD/HD behaviors at home and school were observed at 12 months.
- Mothers showed decreased dysfunctional parenting practices and improved sense of competence and observed positive parenting.
- Improvements in coaching skills observed at 6 months decreased by 12 months, but other gains were maintained with small effect sizes.
Conclusions:
- The Incredible Years (IY) program demonstrates sustained 12-month efficacy for reducing AD/HD behaviors in preschoolers and enhancing maternal parenting.
- The findings support the long-term benefits of IY as an early preventive intervention for children exhibiting early AD/HD behaviors.
- Policy makers and professionals in Portugal should consider implementing IY for early intervention.
Abstract:
To evaluate the 12-month efficacy of a parent-based intervention programme on children's and mothers' outcomes in a sample of Portuguese preschoolers displaying early hyperactive and inattentive behaviours (AD/HD behaviours), 52 preschool children whose mothers had received the Incredible Years basic parent training (IY) were followed from baseline to 12 months of follow-up. Reported and observational measures were used. Effects were found in the children's reported AD/HD behaviours at home and at school after 12 months. Large effect sizes were also found in mothers' variables: a decrease in self-reported dysfunctional parenting practices and an improved sense of competence and observed positive parenting. However, the improvements in coaching skills that have been observed after 6 months of follow-up decreased over time. No other significant differences were found between 6 and 12 months follow-up, with small effect sizes indicating that the significant post-intervention changes in child and parenting measures were maintained. After 12 months of follow-up, there was a clinically important reduction of over 30 % in reported AD/HD behaviours in 59 % of children. The sustained effects observed both for children and their mothers suggest long-term benefits of IY. Therefore, efforts should be made by Portuguese policy makers and professionals to deliver IY as an early preventive intervention for children displaying early AD/HD behaviours.
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