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ROAR-Early Childhood: Pilot Testing a Brief Telemedicine Parent Training Program for Rural Children Diagnosed with

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Summary

A new telemedicine program, ROAR-EC, shows promise for treating young children with Attention Deficit/Hyperactivity Disorder (ADHD) in rural areas. The program was feasible, acceptable, and improved family empowerment and child behavior.

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Area of Science:

  • Child Psychology
  • Telemedicine Interventions
  • Neurodevelopmental Disorders

Background:

  • Attention Deficit/Hyperactivity Disorder (ADHD) affects 2-4% of preschoolers and 9% of all children, significantly impairing development.
  • Behavioral Parent Training (BPT) is effective but faces access barriers in rural and underserved communities.
  • Telemedicine offers a potential solution to improve treatment accessibility for ADHD in young children.

Purpose of the Study:

  • To test the feasibility, acceptability, and effectiveness of the Rural Outreach and ADHD Research-Early Childhood (ROAR-EC) program.
  • The ROAR-EC program is a brief, clinician-led, 7-session telemedicine intervention for young children with ADHD.
  • To compare the ROAR-EC program with treatment as usual in a predominantly rural population.

Main Methods:

  • A pilot randomized controlled trial (RCT) involving 44 children (ages 3-7) diagnosed with ADHD.
  • Families were randomized to either the ROAR-EC program or treatment as usual for 24 weeks.
  • Feasibility, acceptability, parenting practices, caregiver empowerment, disruptive behaviors, and ADHD symptoms were assessed.

Main Results:

  • The ROAR-EC program was found to be feasible to implement and acceptable to caregivers.
  • Significant improvements were observed in the ROAR-EC group compared to the control group for family empowerment and parenting practices.
  • The ROAR-EC program also led to reductions in total behavior problems, impairment, and inattentive symptoms.

Conclusions:

  • Brief telemedicine programs like ROAR-EC are a promising alternative to traditional BPTs for young children with ADHD.
  • The study highlights the potential of telemedicine to reach underserved populations in rural areas.
  • ROAR-EC demonstrates feasibility, acceptability, and likely benefits for children with ADHD and their families.