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Comparison of brief group behavioural parent training with individual parent training for preschool children with
Sivapriya Vaidyanathan1,2, Venkatesh Chandrasekaran3, Preeti Kandasamy1,4
1Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Insights
Group parent training (BPT) is effective for preschool ADHD, offering a cost-effective alternative in low-resource settings. This study found group BPT non-inferior to individual BPT in reducing ADHD severity and parental stress.
Area of Science:
- Child Psychology
- Behavioral Therapy
- Public Health
Background:
- Behavior Parent Training (BPT) is a primary treatment for preschool ADHD.
- Group BPT presents a cost-effective option for resource-limited settings.
- This study evaluated group BPT against individual BPT for preschool ADHD.
Purpose of the Study:
- To compare the feasibility and efficacy of group BPT versus individual BPT.
- To assess the impact on ADHD severity over 12 weeks.
- To evaluate effects on parental stress and coping strategies.
Main Methods:
- A randomized controlled trial with 56 preschool children (2.5-6 years) diagnosed with ADHD.
- Interventions included psychoeducation, routine structuring, attention tasks, and behavioral parenting techniques.
- ADHD severity and parental stress were assessed at baseline and at 4, 8, and 12 weeks.
Main Results:
- Both group and individual BPT significantly reduced ADHD severity and parental stress.
- Group BPT was found to be non-inferior to individual BPT in reducing ADHD severity.
- High attendance and fidelity rates were observed for the group intervention.
Conclusions:
- Group BPT is a promising and effective treatment for ADHD in preschool children.
- It offers a viable and resource-efficient approach, particularly in low- and middle-income countries.
- The findings support the scalability of group BPT for managing early childhood ADHD.
Background:
Behaviour parent training (BPT) is first-line treatment for preschool attention deficit hyperactivity disorder (ADHD). BPT in a group format can be a cost- and time-effective alternative in low and middle-income countries (LMIC) settings with limited resources. We conducted a randomized controlled trial to compare the feasibility and efficacy of group BPT with individual BPT in improving ADHD severity in the preschool age group over 12 weeks.
Methods:
After approval by the ethical committee, the study was conducted in the child guidance clinic, JIPMER. Fifty-six children aged 2.5 to 6 years diagnosed with ADHD according to DSM5 were recruited. Children with autism spectrum disorder and a social quotient less than 50 were excluded. Block randomization parallel design was done. Group interventions were delivered with 4-8 parents per group, focusing on psychoeducation, structuring of routine, attention enhancing tasks, behavioural parenting techniques, and TAU. ADHD severity was assessed using Conner's abbreviated behaviour rating scale at baseline, 4, 8, and 12 weeks. Parental stress was estimated by FISC-MR adapted for ADHD. Statistical analysis included repeated measures ANOVA.
Results:
Significant improvement was noticed for both groups (F = 20.261, p < .001, ES (η2 ) = 0.539). Group intervention was not inferior to individual BPT in reducing ADHD severity (F = 0.860, p = .468, ES (η2 ) = 0.047). There was a statistically significant difference from baseline to 12 weeks of intervention in the reduction of parental stress (F = 20.80, p < .001, ES (η2 ) = 0.278) and enhancement of the coping strategies (F = 64.4, (p < .001), ES (η2 ) = 0.78). The intervention had high attendance and fidelity rates.
Conclusion:
Group BPT was promising in treating ADHD in low-resource settings.
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