Parenting Interventions for ADHD: A Systematic Literature Review and Meta-Analysis
- Forfatter(e)
- Coates, J. Taylor, J. A. Sayal, K.
- År
- 2015
- Tidsskrift
- Journal of Attention Disorders
- Sider
- 831-43
- Kategori(er)
- ADHD
- Tiltakstype(r)
- Foreldreveiledning/-terapi
- Abstract
OBJECTIVE: To evaluate the evidence base relating to the effectiveness of parent-administered behavioral interventions for ADHD.
METHOD: A systematic review of randomized controlled trials or non-randomized but adequately controlled trials for children with ADHD or high levels of ADHD symptoms was carried out across multiple databases. For meta-analyses, the most proximal ratings of child symptoms were used as the primary outcome measure.
RESULTS: Eleven studies met inclusion criteria (603 children, age range = 33-144 months). Parenting interventions were associated with reduction in ADHD symptoms (Standardized Mean Difference [SMD] = 0.68; 95% confidence interval [CI] [0.32, 1.04]). There was no evidence of attenuation of effectiveness after excluding studies where medication was also used. Parenting interventions were also effective for comorbid conduct problems (SMD = 0.59; 95% CI [0.29, 0.90]) and parenting self-esteem (SMD = 0.93; 95% CI [0.48, 1.39]).
CONCLUSION: These findings support clinical practice guidelines and suggest that parenting interventions are effective. There is a need to ensure the availability of parenting interventions in community settings.
Copyright © 2014 SAGE Publications.