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Published on: June 12, 2020
Long-term effectiveness of behavioural intervention in preschool children with attention deficit hyperactivity
Xin-Xin Huang1, Ping Ou2, Qin-Fang Qian3
1The ministry of health, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, 18 Daoshan Road, Fuzhou, 350001, Fujian Province, People's Republic of China.
Insights
Behavioral intervention effectively improves behavior and ADHD symptoms in preschoolers. These positive effects, including better attention and reduced hyperactivity, were sustained for at least six months post-intervention.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Behavioral Science
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a prevalent behavioral disorder in preschool children.
- Behavioral intervention is a recognized effective non-drug therapy for ADHD in young children.
- This study evaluates the long-term efficacy of behavioral interventions for preschool ADHD.
Purpose of the Study:
- To assess the long-term effectiveness of behavioral intervention compared to conventional therapy in preschoolers with ADHD.
- To determine if behavioral interventions provide sustained improvements in ADHD symptoms.
- To evaluate the impact on attention, impulsivity, and hyperactivity.
Main Methods:
- A prospective, randomized controlled trial involving 201 preschoolers diagnosed with ADHD.
- Two groups: behavioral intervention (parental training, therapy, attention, relief, game) and conventional therapy.
- Outcomes measured using attention time, Conners PSQ, FAQ, and FRCQ at baseline, 12 months, and 6 months post-intervention.
Main Results:
- Significant improvements over time in attention time, impulsivity/hyperactivity, FAQ, and FRCQ for both groups.
- The behavioral intervention group showed significantly greater improvements than the conventional group.
- These improvements were sustained for at least six months post-intervention.
Conclusions:
- Behavioral intervention is effective in improving behavior management and reducing ADHD symptoms in preschoolers.
- The positive effects of behavioral intervention demonstrate lasting efficacy for at least six months.
- This non-drug approach offers a promising strategy for enhancing clinical outcomes in preschool children with ADHD.
Background:
Attention-deficit hyperactivity disorder (ADHD) is the most common behavioral disorder. Behavioural intervention in preschool children with ADHD is considered effective. This study discussed the long-term effectiveness of behavioural intervention in the context of nondrug therapy.
Methods:
The study was a prospective, randomised controlled trial in which 201 preschoolers diagnosed with ADHD who were not receiving any treatment were assigned to two groups from January 2018 to May 2019, 101 were assigned to the conventional group and 100 to the behavioural intervention group. The behavioural intervention group included parental training, behavioural therapy, attention training, relief therapy and game therapy, in addition to the conventional group offerings. Children were evaluated at a baseline, at the end of the 12-month intervention and six months after the intervention. The primary and secondary outcome variables included attention time, the impulse-hyperactivity and hyperactivity index from Conners parent symptom questionnaire (PSQ), full-scale attention quotient (FAQ) and full-scale response control quotient (FRCQ) from integrated visual and auditory comprehensive continuous performance tests. The attention time was observed and recorded by parents, and others were performe(PSQ)d by physicians in the clinic. All statistical analyses were conducted using SPSS V26.0 (IBM), including the descriptive statistics and mixed-effects models and so on.
Results:
The participants' mean age was (66.17±9.00) months in the behavioural group and (67.54±6.22) months in the conventional group .A total of 190 participants completed a follow-up six months after the intervention. The attention time, Conners parent symptom questionnaire (PSQ), full-scale attention quotient (FAQ) and full-scale response control quotient (FRCQ) increased significantly over time, and the behavioural group improvements were higher than those of conventional group. There was a significant main effect of time (pretest/posttest/follow-up) and group on all outcome measures (t =-12.549-4.069, p<0.05), and a significant interaction of time and group on attention time, impulsivity/hyperactivity, FAQ and FRCQ (t =-3.600-3.313, p<0.05).
Conclusion:
Behavioural intervention can effectively improve behaviour management and relieve symptoms in children with ADHD. These effects lasted at least six months. This study provides a promising approach for improving clinical efficacy with preschool children with ADHD.
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