Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial / Manfred DOPFNER in Journal of Child Psychology and Psychiatry, 66-9 (September 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Titre : Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÜHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÜRMANN, Auteur ; Christina DOSE, Auteur Article en page(s) : p.1320-1332 Langues : Anglais (eng) Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6?12?years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12?months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6?months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p?=?.017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p?=?.029, d?=??0.28, 95% CI [?0.54, ?0.03]; WASH+S+TAU vs. TAU: p?=?.009, d?=?0.34 [?0.59, ?0.09]). At 12?months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p?=?.035). Secondary analyses revealed an overall effect on child functional impairment at 12?months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6?months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 [article] Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial [Texte imprimé et/ou numérique] / Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÜHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÜRMANN, Auteur ; Christina DOSE, Auteur . - p.1320-1332. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6?12?years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12?months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6?months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p?=?.017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p?=?.029, d?=??0.28, 95% CI [?0.54, ?0.03]; WASH+S+TAU vs. TAU: p?=?.009, d?=?0.34 [?0.59, ?0.09]). At 12?months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p?=?.035). Secondary analyses revealed an overall effect on child functional impairment at 12?months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6?months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566

Telephone-assisted self-help for parents of children with attention-deficit/hyperactivity disorder who have residual functional impairment despite methylphenidate treatment: a randomized controlled trial / Christina DOSE in Journal of Child Psychology and Psychiatry, 58-6 (June 2017)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 58-6 (June 2017) . - p.682-690 Titre : Telephone-assisted self-help for parents of children with attention-deficit/hyperactivity disorder who have residual functional impairment despite methylphenidate treatment: a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Christina DOSE, Auteur ; Christopher HAUTMANN, Auteur ; Mareike BUERGER, Auteur ; Stephanie SCHUERMANN, Auteur ; Katrin WOITECKI, Auteur ; Manfred DOEPFNER, Auteur Article en page(s) : p.682-690 Langues : Anglais (eng) Mots-clés : Attention-deficit/hyperactivity disorder  functional impairment  school-aged children  methylphenidate  self-help parenting intervention Index. décimale : PER Périodiques Résumé : Background Self-help parenting interventions have been shown to be effective in the management of children with attention-deficit/hyperactivity disorder (ADHD) and may be useful when there are barriers to face-to-face therapist-led parent trainings. Previous studies indicate that behavioral interventions might be a useful adjunct to medication in children with residual ADHD symptoms, and regarding comorbid oppositional symptoms and multiple domains of functional impairment. In the present study, we examined whether a telephone-assisted self-help (TASH) parenting behavioral intervention (written materials plus telephone counseling) enhanced the effects of methylphenidate treatment in children with ADHD. Methods In this randomized controlled trial, parents of 103 school-aged children with ADHD and residual functional impairment despite methylphenidate treatment were randomly assigned to either the enhancement group, which received the TASH intervention as adjunct to routine clinical care (including continued medication), or to the active control group, which received routine clinical care only (including continued medication). Parent-completed outcome measures at baseline and at 12 months (postassessment) included functional impairment, ADHD symptoms, oppositional defiant disorder (ODD) symptoms, parenting behavior, and parental satisfaction with the intervention (ClinicalTrials.gov: NCT01660425; URL: https://clinicaltrials.gov/ct2/show/NCT01660425). Results Intention-to-treat analyses of covariance (ANCOVAs), which controlled for baseline data, revealed significant and moderate intervention effects for ODD symptoms and negative parenting behavior at the postassessment, whereas per-protocol analyses additionally showed significant and moderate effects on functional impairment (primary outcome). Parents expressed high satisfaction with the program. Conclusions The TASH program enhances effects of methylphenidate treatment in families who complete the intervention. The discontinuation rate of about 30% and comparison between completing and discontinuing families suggest that the program may be more suitable for families with a higher educational level and fewer additional stresses. En ligne : http://dx.doi.org/10.1111/jcpp.12661 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308 [article] Telephone-assisted self-help for parents of children with attention-deficit/hyperactivity disorder who have residual functional impairment despite methylphenidate treatment: a randomized controlled trial [Texte imprimé et/ou numérique] / Christina DOSE, Auteur ; Christopher HAUTMANN, Auteur ; Mareike BUERGER, Auteur ; Stephanie SCHUERMANN, Auteur ; Katrin WOITECKI, Auteur ; Manfred DOEPFNER, Auteur . - p.682-690. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 58-6 (June 2017) . - p.682-690 Mots-clés : Attention-deficit/hyperactivity disorder  functional impairment  school-aged children  methylphenidate  self-help parenting intervention Index. décimale : PER Périodiques Résumé : Background Self-help parenting interventions have been shown to be effective in the management of children with attention-deficit/hyperactivity disorder (ADHD) and may be useful when there are barriers to face-to-face therapist-led parent trainings. Previous studies indicate that behavioral interventions might be a useful adjunct to medication in children with residual ADHD symptoms, and regarding comorbid oppositional symptoms and multiple domains of functional impairment. In the present study, we examined whether a telephone-assisted self-help (TASH) parenting behavioral intervention (written materials plus telephone counseling) enhanced the effects of methylphenidate treatment in children with ADHD. Methods In this randomized controlled trial, parents of 103 school-aged children with ADHD and residual functional impairment despite methylphenidate treatment were randomly assigned to either the enhancement group, which received the TASH intervention as adjunct to routine clinical care (including continued medication), or to the active control group, which received routine clinical care only (including continued medication). Parent-completed outcome measures at baseline and at 12 months (postassessment) included functional impairment, ADHD symptoms, oppositional defiant disorder (ODD) symptoms, parenting behavior, and parental satisfaction with the intervention (ClinicalTrials.gov: NCT01660425; URL: https://clinicaltrials.gov/ct2/show/NCT01660425). Results Intention-to-treat analyses of covariance (ANCOVAs), which controlled for baseline data, revealed significant and moderate intervention effects for ODD symptoms and negative parenting behavior at the postassessment, whereas per-protocol analyses additionally showed significant and moderate effects on functional impairment (primary outcome). Parents expressed high satisfaction with the program. Conclusions The TASH program enhances effects of methylphenidate treatment in families who complete the intervention. The discontinuation rate of about 30% and comparison between completing and discontinuing families suggest that the program may be more suitable for families with a higher educational level and fewer additional stresses. En ligne : http://dx.doi.org/10.1111/jcpp.12661 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308

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