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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
2015
DOI10.2147/NDT.S88625
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
WOS记录号WOS:000363218700001
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
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62379
专题北京大学公共卫生学院
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
推荐引用方式
GB/T 7714
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.
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