Parent training for Attention Deficit/Hyperactivity Disorder: is it as effective when delivered as routine rather than as specialist care?

Developmental Brain Behaviour Unit, School of Psychology, University of Southampton, UK.
British Journal of Clinical Psychology (Impact Factor: 1.9). 12/2004; 43(Pt 4):449-57. DOI: 10.1348/0144665042388973
Source: PubMed

ABSTRACT The effectiveness of parent training (PT) when delivered as part of specialist tier-two services for preschool AD/HD children has been recently demonstrated.
To assess the effectiveness of the same PT programme when delivered as part of routine primary care by non-specialist nurses.
A sample of 89 3-year-old children with preschool AD/HD took part in a controlled trial of an eight-week (one hour a week), health visitor delivered, PT package. Children, allocated randomly to PT (n = 59) and waiting list control (WLC; n = 30) groups, were compared.
PT did not reduce AD/HD symptoms. Maternal well-being decreased in both PT and WLC groups.
While PT is an effective intervention for preschool AD/HD when delivered in specialized settings, these benefits do not appear to generalize when programme are delivered as part of routine primary care by non-specialist nurses.

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