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Compliance training in a child with attention deficit-hyperactivity disorder: a case study
C M Johnson1, J F Yehl, J M Stack
1Department of Psychology, Central Michigan University, Mount Pleasant 48859.
Family Practice Research Journal
|January 1, 1989
Summary
Parenting training significantly improved compliance in a 6-year-old girl with attention deficit-hyperactivity disorder (ADHD). The child’s positive behavior was sustained over two years, even after medication discontinuation.
Area of Science:
- Pediatric Psychology
- Behavioral Therapy
- Neurodevelopmental Disorders
Background:
- Attention deficit-hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
- Methylphenidate is a first-line pharmacological treatment for ADHD, but treatment response varies.
- Parental involvement in treatment is crucial for managing childhood behavioral conditions.
Observation:
- A 6-year-old girl with ADHD showed poor response to methylphenidate.
- Compliance management training was provided to the child's mother.
- The child's behavior was monitored during and after the intervention.
Findings:
- Maternal compliance management training improved the child's compliance from 13% to over 80%.
- Discontinuation of methylphenidate during training coincided with improved behavior in one setting and a temporary decrease in another.
- Positive child behavior was maintained at a two-year follow-up.
Implications:
- Parenting training can be an effective intervention for improving ADHD symptoms and compliance.
- Behavioral interventions may offer an alternative or adjunct to pharmacotherapy in pediatric ADHD.
- Long-term positive outcomes are achievable with sustained behavioral support in ADHD management.