Components of Behavioral Parent Training for Children With Attention-Deficit/Hyperactivity Disorder: A Series of Replicated Single-Case Experiments

Rianne Hornstra*, Patrick Onghena, Barbara J. van den Hoofdakker, Lianne van der Veen-Mulders, Marjolein Luman, Anouck I. Staff, Saskia van der Oord

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

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    Behavioral parent training (BPT) is an evidence-based treatment for children with attention-deficit/hyperactivity disorder (ADHD). Stimulus control techniques (antecedent-based techniques, e.g., clear rules, instructions) and contingency management techniques (consequent-based techniques, e.g., praise, ignore) are the most common ones that are being taught to parents in BPT. However, research into the additive effects of these techniques is scarce. In this replicated single-case experimental ABC phase design, including six children on stable medication for ADHD (8–11 years) and their parents, the added efficacy of consequent-based techniques on top of antecedent-based techniques was evaluated. After a baseline period (phase A), we randomized the commencement time of two sessions parent training in antecedent-based techniques and two sessions parent training in consequent-based techniques for each child. Children’s behaviors were assessed by daily parent ratings of selected problem behaviors and an overall behavior rating. Although visual inspection showed that behavior improved for most children in both phases, randomization tests did not demonstrate the added efficacy of the consequent-based techniques on top of the antecedent-based techniques. Limitations of the study and recommendations for future single-case experiments in this population are discussed.

    Originele taal-2English
    Pagina's (van-tot)1042 –1070
    Aantal pagina's29
    TijdschriftBehavior Modification
    Nummer van het tijdschrift5
    Vroegere onlinedatum13-apr.-2023
    StatusPublished - 2023

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