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Child ViReal Support Program: A Randomized Controlled Trial Study for Effective Support of Parents Raising Children
Iouliani Pachiti1,2, Fotios S Milienos3, Panagiota Dimitropoulou1,2
1Department of Psychology, University of Crete, 74150 Rethymno, Greece.
Insights
A multimodal intervention program effectively reduced parenting stress and improved parental self-efficacy for parents of children with Attention Deficit Hyperactivity Disorder (ADHD). The program also decreased ADHD symptoms like inattention and hyperactivity.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) significantly impacts children's functioning and family dynamics.
- Parents of children with ADHD often experience elevated parenting stress, lower self-efficacy, and utilize less optimal parenting styles.
- Existing interventions may not fully address the complex needs of both children with ADHD and their parents.
Purpose of the Study:
- To evaluate the efficacy of the "Child ViReal Support Program," a multi-level, evidence-based intervention.
- To assess the program's impact on parenting stress, parental self-efficacy, parenting practices, and core ADHD symptoms in children.
- To determine if a comprehensive program can meet the dual demands of children's and parents' needs within the family context.
Main Methods:
- A randomized controlled trial with a cross-over design involving 16 families with a child diagnosed with ADHD.
- Families were allocated to two groups: Parent Training and Child Training (PC) or Child Training and Parent Training (CP).
- Standardized assessments including the Parenting Stress Index, Parenting Sense of Competence Scale, Parenting Styles and Dimensions Questionnaire, and ADHD Rating Scale-IV were administered at four time points.
Main Results:
- Parents in both groups showed significant reductions in parenting stress following parent training.
- Parental self-efficacy significantly increased, and the use of democratic parenting practices was enhanced.
- Parents reported a notable decrease in their children's inattention and impulsivity/hyperactivity symptoms.
Conclusions:
- Evidence-based, multi-level intervention programs like "Child ViReal Support Program" can yield positive outcomes for both children with ADHD and their parents.
- Comprehensive programs incorporating effective, context-specific methods are crucial for addressing the multifaceted challenges faced by families with ADHD.
- Interventions should holistically support families by targeting parental well-being and child symptom management simultaneously.
Abstract:
Attention deficit hyperactivity disorder (ADHD) results in various functioning impairments in children's lives and families. Parents of children with ADHD report high levels of parenting stress, low levels of parental self-efficacy, and use of more authoritarian and/or permissive parenting practices than parents of typically developing children. Intervention programs need to address both children's and parents' needs and multimodal intervention programs could cover this demand. The aim of this study was to examine the efficacy of "Child ViReal Support Program"-a multi-level evidence-based comprehensive program-on parenting stress, parental self-efficacy, parenting practices, and the core symptoms of children's ADHD. Families with a child diagnosed with ADHD (n = 16) were randomly allocated to two groups (PC and CP; P = parent training, C = child training), and a cross-over design was utilized. Participating parents completed, in four different times during the study, the Parenting Stress Index-Short Form, the Parenting Sense of Competence Scale, the Parenting Styles and Dimensions Questionnaire-Short Version, and the parent form of the ADHD Rating Scale-IV. Parents from both groups, after their participation in the parent training, demonstrated reduced parenting stress, enhanced parental self-efficacy, and increased the employ of democratic parenting practices. More than that, they reported decreased levels of inattention and impulsivity/hyperactivity for their children. Evidence-based multi-level intervention programs could produce positive effects on parents and children by incorporating effective methods and tools in accordance with the needs and the demands of the family context.
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