Objective

To evaluate the effectiveness of parenting training on emotional and behavioral problems of first through fourth grade Thai children with ADHD compared with routine clinical care in a university hospital in southern Thailand.

Material and methods

Caregivers of the children were invited and assessed for eligibility. Eighty children with ADHD were randomly assigned to either a parenting training group or a routine clinical care group. The primary caregivers of the parenting training group participated in 6 120-minute weekly sessions in addition to routine clinical care. Caregiver and teacher ADHD ratings and oppositional-defiant disorder ratings were collected at the time of enrollment and after the 6 weeks of training in both groups. The differences in scores in both groups were analyzed using a mixed model ANOVA.

Results

Each arm had 40 participants. The mean (SD) age of the children was 8.3 (1.1) years and their mean (SD) age at the first diagnosis of ADHD was 6.8 (1.3) years. Most of them were receiving methylphenidate for treatment of their ADHD. The mother was the primary caregiver for 83.5% of the children. The ADHD symptoms and oppositional-defiant symptoms showed significant improvement after receiving the treatment in both groups; however, no significant differences were found between groups.

Conclusion

Adding parenting training to the routine clinical care for children with uncomplicated ADHD who are being medicated was not more effective than the routine clinical care alone. However, the power of this study is limited, and follow-up is needed to evaluate the long-term effectiveness.

中文翻译：

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育儿训练对泰国多动症一年级至四年级儿童情绪和行为问题的有效性：一项随机对照研究

客观的

与泰国南部一所大学医院的常规临床护理相比，评估育儿培训对患有 ADHD 的一年级至四年级泰国儿童的情绪和行为问题的有效性。

材料与方法

邀请儿童的看护人并对其进行资格评估。80 名患有 ADHD 的儿童被随机分配到育儿训练组或常规临床护理组。除常规临床护理外，育儿培训组的主要照顾者每周参加 6 120 分钟的课程。照料者和教师的 ADHD 评分和对立违抗障碍评分在两组的入学时和 6 周训练后收集。使用混合模型ANOVA分析两组的得分差异。

结果

每组有 40 名参与者。儿童的平均 (SD) 年龄为 8.3 (1.1) 岁，首次诊断为 ADHD 时的平均 (SD) 年龄为 6.8 (1.3) 岁。他们中的大多数人正在接受哌醋甲酯治疗他们的多动症。母亲是 83.5% 孩子的主要照顾者。两组治疗后多动症症状和对立违抗症状均有明显改善；然而，两组之间没有发现显着差异。

结论

在接受药物治疗的单纯性多动症儿童的常规临床护理中增加育儿培训并不比单独的常规临床护理更有效。然而，这项研究的力量是有限的，需要后续评估长期有效性。