Evaluating the outcome of a family empowerment program on parenting practices and child behavior in attention deficit hyperactivity disorder
Keywords:
ADHD (Attention Deficit Hyperactivity Disorder), SNAPPE-II, Family empowerment, Behavior modificationAbstract
Background: Attention Deficit Hyperactivity Disorder (ADHD) is the most common mental health disorder in childhood and adolescence. The symptoms, particularly if not adequately treated, can have significant negative impacts on the patients’ school, family, and social functioning. Behavior modification is necessary care but still lack of effective model.
Objective: To evaluate the outcome of parent training for family empowerment program on parenting practices in children with ADHD.
Methods: The study was pretest and posttest experimental design with control group. There were 56 caregivers of children with ADHD randomly assigned the random numbers to the control and experimental groups. Training program entitled family empowerment for behavioral modification in ADHD was applied on experimental group. Parents were assessed with Swanson, Nolan and Pelham IV Scale (SNAP-IV) and parenting practice test at baseline and 3 months after the intervention. Independent t test, Chi-square test and Generalized Estimating Equation (GEE) were used for data analysis.
Results: After 3-month training program, experimental group had significantly lower scores in inattention score, hyperactivity/impulsivity score and total score of SNAP – IV scale and higher score of parenting practice test. However, SNAP – IV and parenting practice test after the program intervention did not differ significantly between experimental group and control group.
Conclusion: Parent training for family empowerment program on parenting practices could help parent gain knowledgs to modify behavior in children with ADHD.
Downloads
References
Dretzke J, Frew E, Davenport C, Barlow J, Stewart-Brown S, Sandercock J, et al. The effectiveness and cost-effectiveness of parent training/education programms for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technol Assess. 2005;9:1-233.
Polanczk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: A systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942-8.
Wacharasindhu A, Panyyayong B. Psychiatric disorders in Thai school-aged children: I prevalence. J Med Assoc Thai. 2002;85:25-36.
Visauyothin T, Pavasuthipaisit C, Wachiradilok P, Annunruang P, Buranasuksakul T. The prevalence of attention deficit/hyperactivity disorder in Thailand. J Ment Health Thai. 2013;21:66-75.
แนวทางเวชปฏิบัติการดูแลรักษาผู้ป่วยโรคสมาธิสั้นระดับโรงพยาบาลจังหวัดสําหรับกุมารแพทย์.
[อินเทอร์เน็ต]. กรุงเทพฯ: ราชวิทยาลัยกุมารแพทย์; 2553 [เข้าถึงเมื่อ 18 พ.ค. 2566]. เข้าถึงได้จาก: http://www.thaipediatrics.org/Media/media-20161208151415.pdf.
Barkley RA. Psychosocial treatments for attention-deficit/hyperactivity disorder in children. J Clin Psychiatry. 2002; 63:36-43.
Heath CL. Curtis DF, Fan W, McPherson R. The association between parenting stress, parenting self-efficacy, and the clinical significance of child ADHD symptom change following behavior therapy. Child Psychiatry Hum Dev. 2015;46:118-29.
Puttisri S, Punpanivh P, Pantungtong T, Sungprasit M. A depression in mothers of children with ADHD. J Psychiatr Assoc Thailand. 2006;51:213-23.
Agha SS, Zammit S, Thapar A, Langley K. Maternal psychopathology and offspring clinical outcome: A four-year follow-up of boys with ADHD. Eur Child Adolesc Psychiatry. 2017;26:253-62.
Whalen CK, Odgers CL, Reed PL, Henker B. Dissecting daily distress in mothers of children with ADHD: An electronic diary study. J Fam Psychol. 2011;25:402-11.
Finzi-Dottan R, Triwitz YS, Golubchik P. Predictors of stress-related growth in parents of children with ADHD. Res Dev Disabil. 2011; 32: 510-9.
Pityaratstian N, Booranasuksakul T, Juengsiragulwit D, Benyakorn S. ADHD screening properties of the Thai version of Swanson, Nolan, and Pelham IV Scale (SNAP-IV) and strengths and difficulties questionnaire (SDQ). J Psychiatr Assoc Thailand. 2014;59:97-110.
ดุษฎี จึงศิรกุลวิทย์, ชาญณรงค์ ชัยอุดมสม, ปาณิสรา เรือง และชนัฐดา ภูวิชัย. การศึกษานำร่องเรื่อง
ประสิทธิภาพของโปรแกรมกลุ่มฝึกทักษะครูในการปรับพฤติกรรมเด็กวัยเรียนกลุ่มเสี่ยง. วารสารสมาคมจิตแพทย์แห่งประเทศไทย. 2561;63:115-26.
ชาญวิทย์ พรนภดล. คู่มือวิทยากรการฝึกอบรมผู้ปกครองวิธีปรับเปลี่ยนพฤติกรรมเด็ก. นครปฐม; คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล; 2548.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Royal College of Pediatricians Of Thailand

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.