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学科主题: 公共卫生
题名:
Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms
作者: 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
发表日期: 2015
DOI: 10.2147/NDT.S88625
卷: 11, 页:2721-2735
收录类别: SCI ; SSCI
文章类型: Article
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
英文摘要:

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.

语种: 英语
所属项目编号: 2011-4024-04 ; 2014CB846100 ; 81471381 ; 2015BAI13B01
项目资助者: 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
WOS记录号: WOS:000363218700001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62379
Appears in Collections:北京大学公共卫生学院_期刊论文

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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

Recommended Citation:
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.
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