Self-directed or therapist-led parent training for children with attention deficit hyperactivity disorder? A randomized controlled non-inferiority pilot trial

Simone Breider*, Annelies de Bildt, Maaike H. Nauta, Pieter J. Hoekstra, Barbara J. van den Hoofdakker

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)
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Abstract

Background and objectives: Therapist-led behavioral parent training is a well-established treatment for behavior problems in children with attention-deficit/hyperactivity disorder (ADHD). However, parental attrition is high; self-directed forms of parent training may be a promising alternative. To date, no studies have compared these two forms of parent training in referred children with ADHD. The objectives of this pilot study were to examine the non-inferiority of a blended parent training (i.e. online program + supportive therapist contact) in comparison to its therapist-led equivalent (i.e. face-to-face parent training) regarding effects on behavioral problems, and to compare attrition rates, parental satisfaction, and therapist-time between both treatments.

Methods: 21 school-aged children with ADHD and behavioral problems, who had been referred to an outpatient mental health clinic, were randomized to blended (n = 11) or face-to-face (n = 10) parent training. Behavior problems were measured with the Child Behavior Checklist. Treatment completers and dropouts were included in the analyses.

Results and conclusions: Blended parent training was not found to be non-inferior to face-to-face parent training in the reduction of behavior problems. Parents in the blended condition dropped out of treatment significantly earlier than parents in the face-to-face condition and were less satisfied. Therapists in the blended condition spent significantly less time on parent training than therapists in the face-to-face condition.

Original languageEnglish
Article number100262
Number of pages9
JournalInternet interventions-The application of information technology in mental and behavioural health
Volume18
DOIs
Publication statusPublished - Dec-2019
Event10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII) - Auckland, New Zealand
Duration: 13-Feb-201915-Feb-2019

Keywords

  • Online
  • Blended
  • Face-to-face
  • Non-inferiority
  • Attrition
  • Behavior problems
  • TRIPLE P ONLINE
  • BEHAVIOR PROBLEMS
  • YOUNG-CHILDREN
  • INTERVENTIONS
  • PROGRAM
  • ADHD
  • FAMILIES
  • BARRIERS
  • METAANALYSIS
  • CHILDHOOD

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