Practitioner Review: Current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder

  title={Practitioner Review: Current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder},
  author={David Daley and Saskia van der Oord and Maite Ferr{\'i}n and Samuele Cortese and Marina Danckaerts and Manfred Doepfner and Barbara J. van den Hoofdakker and David R. Coghill and Margaret Thompson and Philip J Asherson and Tobias Banaschewski and Daniel Brandeis and Jan K. Buitelaar and Ralf W. Dittmann and Chris Hollis and Martin Holtmann and Eric Konofal and Michel Lecendreux and Aribert Rothenberger and Paramala J Santosh and Emily Simonoff and Cesar Soutullo and Hans Christoph Steinhausen and Argyris K. Stringaris and Eric Taylor and Ian C. K. Wong and Alessandro Zuddas and Edmund J. S. Sonuga-Barke},
  journal={Journal of Child Psychology and Psychiatry},
BACKGROUND Behavioural interventions are recommended for use with children and young people with attention deficit hyperactivity disorder (ADHD); however, specific guidance for their implementation based on the best available evidence is currently lacking. METHODS This review used an explicit question and answer format to address issues of clinical concern, based on expert interpretation of the evidence with precedence given to meta-analyses of randomised controlled trials. RESULTS On the… 

Effects of behavioural parent training for children with attention-deficit/hyperactivity disorder on parenting behaviour: a protocol for an individual participant data meta-analysis

This study examines the effects and moderators of BPT on parenting outcomes and whether improvements in parenting mediate amelioration of behaviour and impairment in children with ADHD and performs mediation analyses where parenting outcomes are modelled as mediators of child outcomes.

Parent Training for Preschool ADHD in Routine, Specialist Care: A Randomized Controlled Trial.

Effects of a peer co-facilitated educational programme for parents of children with ADHD: a feasibility randomised controlled trial protocol

The findings of this study are expected to provide valuable knowledge about how to optimise family education and management of ADHD and will be disseminated through presentations at conferences and publication in peer-reviewed journals.

Supporting Japanese Mothers of Children at Risk for Attention Deficit Hyperactivity Disorder (ADHD): A Small Scale Randomized Control Trial of Well Parent Japan

Well Parent Japan reduced mothers’ parenting stress and increased their efficacy, and program completion also resulted in improvements in observed and reported parenting practices.

Review: Which components of behavioral parent and teacher training work for children with ADHD? - a metaregression analysis on child behavioral outcomes.

BACKGROUND This metaregression analysis examined which behavioral techniques that are commonly used in behavioral parent and teacher training programs for children with

How to Improve Behavioral Parent and Teacher Training for Children with ADHD: Integrating Empirical Research on Learning and Motivation into Treatment

This practitioner review proposes steps that can be taken to improve BPT outcomes for ADHD, based on purported causal processes underlying ADHD, and focuses on altered motivational processes (reward and punishment sensitivity), as they closely link to the instrumental processes used in BPT.

Beneficial Effects of Behavioral Parent Training on Inhibitory Control in Children With Attention-Deficit/Hyperactivity Disorder: A Small-Scale Randomized Controlled Trial

The purpose of this study was to examine whether the beneficial effects of behavioral parent training (BPT), as an indirect type of psychosocial treatment, are extended to cognitive manifestations

Practitioner Review: Assessment and treatment of preschool children with attention-deficit/hyperactivity disorder.

  • J. HalperinD. Marks
  • Psychology, Medicine
    Journal of child psychology and psychiatry, and allied disciplines
  • 2019
Acute treatments have demonstrable efficacy, but do not appear to fundamentally alter underlying mechanisms or long-term trajectories of attention-deficit/hyperactivity disorder in preschool children.

Psychosocial Interventions for Attention-Deficit/Hyperactivity Disorder: Systematic Review with Evidence and Gap Maps.

There is a considerable variability within this literature regarding combinations of treatments across outcome assessment targets, and more primary studies assessing direct comparisons of isolated and combined treatment effects of specific types of psychosocial treatments relative to control and other treatments are needed.



Parental Knowledge of Attention-Deficit Hyperactivity Disorder and Opinions of Treatment Options: Impact on Enrolment and Adherence to a 12-Month Treatment Trial

Providing information to parents regarding ADHD prior to offering treatment modalities could have a favourable impact on treatment enrolment and hence treatment adherence.

An efficacy study of a combined parent and teacher management training programme for children with ADHD

The programme, “Strategies in Everyday Life”, has, in a regular clinical setting, demonstrated promising effects on children's disruptive behaviour, and a clinical implication was to recommend involving both parents and teachers in the programme.

Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains.

Beyond symptom control for attention-deficit hyperactivity disorder (ADHD): what can parents do to improve outcomes?

Whether parenting interventions are beneficial for alternative functioning outcomes in ADHD including neuropsychological, academic and social functioning and disruptive behaviour and how parenting and familial environments may be associated with these outcomes is critically discussed.

A family-school intervention for children with ADHD: results of a randomized clinical trial.

The superiority of FSS was demonstrated even though about 40% of the participants in FSS and CARE were on an optimal dose of medication and there were significant time effects on each measure.

Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study.

Adjunctive BPT enhances the effectiveness of routine treatment of children with ADHD, particularly in decreasing behavioral and internalizing problems, but not in reducing ADHD symptoms or parenting stress, which may limit the prescription of polypharmaceutical treatment.

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs.

The results do not support the claim that NFPP addresses putative dysfunctions underlying ADHD, bringing about generalized change in ADHD, and its underpinning self-regulatory processes, and the findings support documented difficulties in achieving generalization across nontargeted settings.

Does intensive multimodal treatment for maternal ADHD improve the efficacy of parent training for children with ADHD? A randomized controlled multicenter trial.

The response in children's externalizing psychopathology did not differ between maternal treatment groups, however, multimodal treatment was associated with more improvement in maternal ADHD.

Practitioner review: current best practice in the management of adverse events during treatment with ADHD medications in children and adolescents.

Most AEs during treatment with drugs for ADHD are manageable and most of the times it is not necessary to stop medication, so that patients with ADHD may continue to benefit from the effectiveness of pharmacological treatment.

Behavioral parent training as an adjunct to routine care in children with attention-deficit/hyperactivity disorder: moderators of treatment response.

Adjunctive BPT is most useful when mothers have high parenting self-efficacy and in children with no or single-type comorbidity, while in older children ADHD symptoms tended to decrease more through BPT than in younger children.