Effects of Behavioral Training Groups for Parents of Children With Attention Deficit Hyperactivity Disorder
Condition: Deficit; Attention
MeSH terms: Attention Deficit Disorder with Hyperactivity
Study type: Interventional

Summary: 
      The therapeutic care of Attention Deficit Hyperactivity Disorder (ADHD) children focuses on
      the child but also on his environment and in particular his family. This type of approach has
      long existed in Anglo-Saxon countries. This project aims to collect preliminary data to build
      study to valid efficacy of a parenting skills program for parents of ADHD children in France
      and on the child's hyperactivity.
    

Detailed description: 
      Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting
      approximately 3-5% of an age group in France. Its manifestations affect individual in its
      everyday life. In 2014, the High Authority of the Health proposes recommendations for the
      children and the teenagers susceptible to present ADHD both for the screening and for the
      therapeutic. In this document, an important place is given to the family of these patients.
      Strong links are found between negative parental behaviours and a negative trajectory of ADHD
      symptomatology.

      It seems essential to support and to guide these parents of children working in a different
      way, and for whom the specific educational approaches are known. Numerous counseling and
      parent training programs have been launched in the Anglo-Saxon countries since the 1980s. One
      of the most common methods is that proposed, which consists of a short therapy group,
      centered around a pedagogy on ADHD and its ecological consequences, as well as on the
      transmission of tools from behavioral theories aimed at reducing negative manifestations with
      the aim of improving relations between the ADHD children and his parents. This method come
      from a society different from ours and adaptation to French families is necessary. After
      several years of clinical experience in the care of ADHD children and their families, we
      developed a new program that draws heavily on the Barkley program for its beneficial effects,
      but combines the teaching of other recognized methods. We have been experimenting this
      program in current practice for 4 years at the CHU Toulouse at the rate of one session per
      year. At the moment, we only have family satisfaction evaluations. Nevertheless, the various
      Anglo-Saxon cognitive and behavioural programmes mentioned above show an overall improvement
      in the quality of life of families and in particular in the acceptance and management of
      everyday disorders.

      The classically found effects are an improvement in the quality of life of families and in
      particular in the acceptance and management of disorders on a daily basis. Few or no effects
      are observed directly on the child using conventional assessment methods.

      The main goal of this study is to collect preliminary data of the effects of the PENDAH
      Workshops on motor activity ADHD children.
    

Intervention name(s): Behavioral Parent Training
Intervention type(s): Behavioral
Intervention description(s): 10 thematic sessions aimed at changing the parent's view of their child by encouraging them to focus on appropriate behaviors. The sessions focus on specific themes such as positive attention, the principle of reinforcement, or even homework management.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Intervention model description: Non-pharmacological treatments focusing on parenting skills are found in many recommendations.
Programs for families of children with behavioral problems (attention deficit hyperactivity disorder, oppositional defiant disorder or conduct disorder) have been developed in several countries and adapted to ADHD. These programs take a similar approach: providing information about the disorder, changing in parents' view of their child's disorders, and didactic techniques that are known to be effective. These treatments enable parents to regain confidence in their parenting role, thanks to means of analysis (ABC model) and action (behavioral tools, such as reinforcement practice, token economy, time-out).
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: behavioral parent training