实践中的创新:对患有ADHD特征损害的儿童进行简短的行为家长培训 - 一项试点研究
Marijn Nijboer1, Roos van Doornik1,2, Annabeth P Groenman1,2,3
1Accare Child Study Centre, Groningen, The Netherlands.
Child and adolescent mental health
|December 7, 2024
概括
一项针对注意力缺陷/多动症 (ADHD) 儿童的新简短行为家长培训 (BPT) 计划被证明是可行的,在日常问题行为中显著改善. 这种较短的方法可能会提高寻求ADHD干预的家庭的可访问性.
科学领域:
- 儿童心理学 儿童心理学
- 行为治疗是一种行为疗法.
- 临床干预研究 临床干预研究
背景情况:
- 行为家长培训 (BPT) 对患有注意力缺陷/多动障碍 (ADHD) 的孩子是有效的.
- 目前的BPT计划通常很长,可能会限制家庭的可访问性.
- 开发更短,更容易获得的BPT干预措施是临床需求.
研究的目的:
- 评估一个新的,简短的BPT程序的可行性和程序.
- 评估儿童日常问题行为的前后变化 (主要结果).
- 检查二次结果,包括破坏性行为,ADHD/ODD特征,障碍和家长能力.
主要方法:
- 一项非随机试点研究涉及28名患有ADHD特征的儿童 (4-12岁) 的父母.
- 评估可行性指标:治疗中断,满意度,招聘,研究保留和测量可接受性.
- 使用混合模型,比较治疗组内的前后变化和对照组的历史变化.
主要成果:
- 简短的BPT计划证明了良好的可行性,治疗中断率为14.2%,父母/治疗师满意度高.
- 观察到高招募率 (1.5名参与者/月) 和保留率 (10.7%的研究学).
- 在日常问题行为中发现了显著的群体内改善 (d=.68-.77) 和中等的群体间变化 (d=.46-.48).
结论:
- 新开发的简短BPT程序是可行的,并导致改善儿童的日常问题行为.
- 这些发现表明简短的BPT可能是一个有价值的临床选择.
- 建议在大规模随机对照试验中进一步验证.
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