|Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms|
|Bai, Guan-nan1; Wang, Yu-feng2,3; Yang, Li2,3; Niu, Wen-yi1|
|关键词||attention deficit hyperactivity disorder theory of planned behavior|
|刊名||NEUROPSYCHIATRIC DISEASE AND TREATMENT|
|收录类别||SCI ; SSCI|
|WOS标题词||Science & Technology|
|类目[WOS]||Clinical Neurology ; Psychiatry|
|研究领域[WOS]||Neurosciences & Neurology ; Psychiatry|
|关键词[WOS]||ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER ; DEFICIT HYPERACTIVITY DISORDER ; CONTROLLED-TRIAL ; FOLLOW-UP ; ADOLESCENTS ; INTERVENTION ; ASSOCIATION ; FAMILIES ; BARRIERS ; OUTCOMES|
Objective: To evaluate the efficacy of a psychoeducation program for parents of children with ADHD in enhancing adherence to pharmacological treatment and improving clinical symptoms.
Methods: We developed a psychoeducation program based on the theory of planned behavior (TPB). Eighty-nine children with ADHD were cluster randomly assigned for their families to receive 3 months of well-structured psychoeducation (intervention group, n=44) or only general clinical counseling (control group, n=45). Parents in the intervention group were given an expert lecture (with slides and a parent manual), attended two expert-guided parent group sessions, and were invited to join a professional-guided online community. Measurement of parents′ knowledge about ADHD, components of the TPB model, and child ADHD symptoms were taken before and after intervention. Medication adherence was assessed thoroughly at the end of the first and third months. Satisfaction with the psychoeducation program was assessed only in the intervention group. Two-independent-samples t-test, ANOVA, and chi-square test were employed to compare differences between groups.
Results: Compared to the control group, medication adherence in the intervention group was significantly higher after 1 and 3 months (97.7% intervention vs 75.6% control, P=0.002, and 86.4% intervention vs 53.3% control, P=0.001, respectively). Accordingly, the ADHD rating scale scores were lower in the intervention group than the control group after intervention (33.7 +/- 5.4 vs 45.1 +/- 7.9, P=0.008). Greater improvements in parents′ knowledge about ADHD and many components of the TPB model were observed in the intervention group, especially increased intention to adhere to medication, compared to the control group (P<0.001).
Conclusion: This psychoeducation program had a positive impact on both medication adherence and clinical symptoms of ADHD children. It could be considered as a potential beneficial supplement to clinical practice.
|项目编号||2011-4024-04 ; 2014CB846100 ; 81471381 ; 2015BAI13B01|
|资助机构||Capital Health Development Research Fund ; Major State Basic Research Development Program of China ; National Natural Science Foundation of China ; National Key Technology Research and Development Program of the Ministry of Science and Technology of China|
|作者单位||1.Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Beijing 100191, Peoples R China|
2.Peking Univ, Hosp 6, Inst Mental Hlth, Key Lab Mental Hlth,Minist Hlth, Beijing 100191, Peoples R China
3.Peking Univ, Hosp 6, Natl Clin Res Ctr Mental Disorders, Beijing 100191, Peoples R China
|Bai, Guan-nan,Wang, Yu-feng,Yang, Li,et al. Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms[J]. NEUROPSYCHIATRIC DISEASE AND TREATMENT,2015,11:2721-2735.|
|APA||Bai, Guan-nan,Wang, Yu-feng,Yang, Li,&Niu, Wen-yi.(2015).Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms.NEUROPSYCHIATRIC DISEASE AND TREATMENT,11,2721-2735.|
|MLA||Bai, Guan-nan,et al."Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms".NEUROPSYCHIATRIC DISEASE AND TREATMENT 11(2015):2721-2735.|