现代化行为家长培训计划的ADHD与mHealth策略,远程健康小组和健康行为课程:一个随机试验试验
Pooja S Tandon1,2, Tess Gabert3,4, Michelle Kuhn1
1Child Health, Behavior, Development, Seattle Children's Research Institute, Seattle, WA, USA.
Journal of pediatric psychology
|September 16, 2024
概括
一个针对ADHD儿童的新远程医疗计划 (LEAP) 显示出高度的可接受性和可行性,类似于标准的家长行为管理培训 (BMT). 这两种方法都改善了ADHD症状和执行功能.
科学领域:
- 儿科心理学 儿科心理学
- 行为健康 行为健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 父母行为管理培训 (BMT) 对于治疗儿童ADHD是有效的,但未得到充分利用.
- 解决ADHD治疗中的健康差异需要可访问和创新的干预措施.
- 试点研究对于评估新型治疗方法至关重要.
研究的目的:
- 评估与标准BMT相比,一种新的,适应技术的BMT程序 (LEAP) 的可接受性和可行性.
- 调查LEAP对儿童多动症症状,执行功能和健康行为的影响.
- 在试点随机对照试验中,将LEAP的有效性与标准 BMT进行比较.
主要方法:
- 一个9个会议的远程医疗小组计划 (LEAP) 整合了儿童睡眠,媒体使用和身体活动的战略,利用活动追踪器.
- 患有多动症的6-10岁儿童及其照顾者被随机分配到LEAP或标准 BMT.
- 结果包括可接受性,可行性,ADHD症状,执行功能,睡眠时间,体力活动 (MVPA),有问题的媒体使用 (PMU) 和睡前抵抗.
主要成果:
- 在LEAP和标准 BMT组 (n=84) 中观察到高和可比的可接受性和可行性.
- 两组都显示ADHD症状显著减少,干预后执行功能有所改善,在随访时保持.
- 虽然MVPA下降,睡眠时间保持不变,但在两个治疗手臂中,PMU和睡前耐药性均有所改善.
结论:
- 对于患有多动症儿童的家庭来说,LEAP远程医疗干预非常可行和可接受.
- 在临床结果和健康行为方面,LEAP的初步改善与标准的 BMT相匹配.
- 需要进一步的研究和有针对性的策略,以有效地促进ADHD儿童的健康行为.
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