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Parenting Interventions for ADHD: A Systematic Literature Review and Meta-Analysis

Forfatter(e)
Coates, J. Taylor, J. A. Sayal, K.
År
2015
DOI
10.1177/1087054714535952
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.