Parent training for attention deficit/hyperactivity disorder: is it as effective when delivered as routine rather than as specialist care?

Sonuga-Barke, Edmund.J.S., Thompson, Margaret, Daley, David and Laver-Bradbury, Cathy (2004) Parent training for attention deficit/hyperactivity disorder: is it as effective when delivered as routine rather than as specialist care? British Journal of Clinical Psychology, 43 (4), 449-457. (doi:10.1348/0144665042388973).

Abstract

Background: The effectiveness of parent training (PT) when delivered as part of specialist tier-two services for preschool AD/HD children has been recently demonstrated.
Aims: To assess the effectiveness of the same PT programme when delivered as part of routine primary care by non-specialist nurses.
Method: A sample of 89 3-year-old children with preschool AD/HD took part in a controlled trial of an eight-week (one hour a week), health visitor delivered, PT package. Children, allocated randomly to PT (n = 59) and waiting list control (WLC; n = 30) groups, were compared.
Results: PT did not reduce AD/HD symptoms. Maternal well-being decreased in both PT and WLC groups.
Conclusions: While PT is an effective intervention for preschool AD/HD when delivered in specialized settings, these benefits do not appear to generalize when programme are delivered as part of routine primary care by non-specialist nurses.

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