Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care-An Observational Study

Manfred Döpfner1,2, Hannah Liebermann-Jordanidis1, Claudia Kinnen1

  • 1University Hospital Cologne, Germany.

Insights

Guided self-help for children with Attention-Deficit/Hyperactivity Disorder (ADHD) improved behavior long-term. Telephone-assisted interventions showed sustained benefits for child ADHD symptoms and behavioral issues.

Area of Science:

  • Child Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Attention-Deficit/Hyperactivity Disorder (ADHD) significantly impacts children's behavior and quality of life.
  • Effective, accessible interventions are crucial for managing ADHD symptoms in routine care.
  • Parent-administered behavioral interventions offer a scalable approach to support children with ADHD.

Purpose of the Study:

  • To evaluate the long-term effectiveness of a guided, telephone-assisted, parent-administered behavioral intervention for children with ADHD.
  • To assess the sustained impact of the intervention on ADHD symptoms, oppositional defiant disorder (ODD) symptoms, overall behavioral problems, and quality of life.
  • To determine if improvements observed during the intervention period are maintained at a 1-year follow-up.

Main Methods:

  • An observational study involving 136 families of children aged 6-12 diagnosed with ADHD.
  • A 1-year telephone-assisted, parent-administered behavioral intervention.
  • Repeated measures ANOVA and reliable change index analysis for pre-, post-, and follow-up data.

Main Results:

  • Significant improvements were noted in child ADHD symptoms, ODD symptoms, overall behavioral problems, and quality of life during the intervention.
  • ADHD symptoms showed further improvement at follow-up, with a medium effect size.
  • Sustained improvements in ODD symptoms, overall behavioral problems, and quality of life were observed at follow-up.

Conclusions:

  • Telephone-assisted, guided self-help interventions demonstrate long-term effectiveness in reducing child behavior problems associated with ADHD.
  • The intervention provides a sustainable and beneficial approach for managing ADHD symptoms and related behavioral challenges.
  • These findings support the use of remote, parent-guided behavioral interventions in routine pediatric care for ADHD.

Related Concept Videos

Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
12.8K
Observational Studies01:11

Observational Studies

Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
11.1K
Parenting Styles01:27

Parenting Styles

Diana Baumrind's four parenting styles — authoritarian, authoritative, neglectful, and permissive — each influence children's socio-emotional development differently.
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
672
Relationship with Parents: Attachment01:28

Relationship with Parents: Attachment

Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
263
Naturalistic Observations02:30

Naturalistic Observations

If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
17.2K
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
222