Related Experiment Video
Updated: Aug 20, 2026
The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
Treating parents with ADHD and their children (TPAC): a hybrid effectiveness-implementation, randomized controlled
Andrea Chronis-Tuscano1, Nadia Bounoua1, Christina M Danko1
1Department of Psychology, University of Maryland, College Park, MD, USA.
Background:
Attention-Deficit/Hyperactivity Disorder (ADHD) is highly heritable; thus, parents and children frequently experience ADHD-related impairments. Parent ADHD is associated with poorer developmental and treatment outcomes for children with ADHD, in part due to executive functioning and emotion regulation difficulties that interfere with parenting and treatment follow-through. Few studies have evaluated multi-modal, family-based approaches that directly address both parent ADHD and parenting to ultimately improve child outcomes.
Methods:
We compared a telehealth-delivered, integrated behavioral parent training program (I-BPT) alone or preceded by a parent stimulant medication titration (PSM + I-BPT) for parents with ADHD (N = 120; 25% fathers; 27% Black/African-American; 11% Hispanic) and their 3-8-year-old, stimulant-naïve children. I-BPT dually targeted parenting and parent ADHD and was implemented by providers in urban pediatric clinics.
Trial Registration:
ClinicalTrials.gov identifier NCT04240756; Treating Parents with ADHD and Their Young Children Via Telehealth: a Hybrid Type I Effectiveness-Implementation Trial. Registered at https://clinicaltrials.gov/study/NCT04240756 on 01/21/2020.
Results:
Children whose parents received PSM + I-BPT showed significantly steeper declines in Clinical Global Impressions ratings than those receiving I-BPT alone (d = 0.37; p = .001). Parents receiving PSM + I-BPT also demonstrated faster reductions in their own CGI-S ratings (d = 0.33) and reported greater improvements in inconsistent discipline (d = 0.22) and positive parenting (d = 0.24). Self-reported punitive parenting and observed parenting behaviors improved similarly across I-BPT groups.
Conclusions:
PSM + I-BPT led to benefits on parent and child clinical severity and targeted parenting skills compared to I-BPT without parental ADHD medication; broader parenting improvements occurred across both I-BPT conditions. Addressing parent ADHD pharmacologically may enhance the effectiveness of parenting interventions for multiplex ADHD families.
More Related Videos
13:09Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
10:02Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)
Published on: March 12, 2020
Related Concept Videos
01:30Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
01:26Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
01:30Family Therapy
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
01:19Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
01:28Drug Therapy
Antianxiety Medications