- 幼儿:试点测试一个简短的远程医疗家长培训计划,为农村儿童诊断患有多动症和多动症
James T Craig1,2, Michael T Sanders3, Christina C Moore1,2
1Dartmouth Health, Lebanon, NH, USA.
Journal of attention disorders
|February 6, 2026
概括
一个新的远程医疗计划,ROAR-EC,显示出在农村地区治疗注意力缺陷/多动障碍 (ADHD) 的幼儿的希望. 该计划是可行的,可以接受的,并改善了家庭赋权和儿童行为.
科学领域:
- 儿童心理学 儿童心理学
- 远程医疗干预 远程医疗干预
- 神经发育障碍 神经发育障碍
背景情况:
- 注意缺陷/多动障碍 (ADHD) 影响2至4%的学龄前儿童和9%的儿童,严重影响儿童的发育.
- 行为家长培训 (BPT) 是有效的,但在农村和服务不足的社区面临进入障碍.
- 远程医疗为改善幼儿多动症治疗的可用性提供了一个潜在的解决方案.
研究的目的:
- 测试农村外展和ADHD研究-早期儿童 (ROAR-EC) 计划的可行性,可接受性和有效性.
- ROAR-EC计划是一个简短的,临床医生带领的,为患有多动症的幼儿提供7次远程医疗干预.
- 为了比较ROAR-EC计划与以农村为主的人口的通常治疗.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及44名被诊断患有多动症的儿童 (年龄3-7岁).
- 家庭被随机分配到ROAR-EC计划或通常的治疗,持续24周.
- 评估了可行性,可接受性,育儿实践,照顾者赋权,破坏性行为和ADHD症状.
主要成果:
- 发现ROAR-EC计划是可行的实施和可接受的护理人员.
- 与对照组相比,ROAR-EC组在家庭赋权和育儿实践方面观察到显著的改善.
- 此外,ROAR-EC项目还导致了总体行为问题,障碍和注意力缺失症状的减少.
结论:
- 像ROAR-EC这样的简短远程医疗计划是对患有多动症的幼儿传统BPT的有希望的替代方案.
- 该研究强调了远程医疗在农村地区接触到服务不足的人群的潜力.
- ROAR-EC证明了对ADHD儿童及其家属的可行性,可接受性和可能的益处.
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