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在德国现场/常规护理条件下,一项关于网络辅助自助对 ADHD 儿童父母的有效性(WASH)的三臂随机试验。

Efficacy of web-assisted self-help for parents of children with ADHD (WASH) - a three-arm randomized trial under field/routine care conditions in Germany.

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.

School for Child and Adolescent Cognitive Behavior Therapy (AKiP), University of Cologne, Faculty of Medicine and University Hospital Cologne, Pohligstr. 9, 50969, Cologne, Germany.

出版信息

BMC Psychiatry. 2020 Feb 21;20(1):76. doi: 10.1186/s12888-020-2481-0.

Abstract

BACKGROUND

Current clinical guidelines recommend parent management training (PMT) in the treatment of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). However, (a) a lack of supply and (b) structural barriers to attending and continuing face-to-face PMT restrict the access to this training. The main purpose of this study is to investigate the efficacy of online PMT in decreasing ADHD symptoms and oppositional behavior problems and to evaluate the effects of additional telephone-based support of the parents.

METHODS

The target sample size is n = 495 children with suspected or even clinical diagnosis of ADHD and current symptoms of ADHD or ODD. The study is based on a randomized three-arm parallel group design, in which the effects of treatment as usual (TAU) are compared to TAU plus web-assisted self-help (TAU+WASH) and to TAU plus web-assisted self-help and telephone-based support (TAU+WASH+SUPPORT).

DISCUSSION

The results will provide important insights into the efficacy of web-assisted self-help for parents of children with ADHD and the additional effects of telephone-based support.

TRIAL REGISTRATION

German Clinical Trials Register (DRKS) DRKS00013456. January 3rd 2018. World Health Organization Trial Registration Data Set: Universal Trial number (UTN) U1111-1205-6181. November 23rd 2017.

摘要

背景

目前的临床指南建议在治疗注意缺陷多动障碍(ADHD)和对立违抗性障碍(ODD)时采用父母管理训练(PMT)。然而,(a)缺乏供应和(b)参加和继续面对面 PMT 的结构性障碍限制了这种培训的获得。本研究的主要目的是调查在线 PMT 在减少 ADHD 症状和对立行为问题方面的疗效,并评估父母额外电话支持的效果。

方法

目标样本量为 n = 495 名疑似甚至临床诊断为 ADHD 的儿童,目前存在 ADHD 或 ODD 的症状。该研究基于随机三臂平行组设计,比较治疗性常规护理(TAU)与 TAU 加基于网络的自助式治疗(TAU+WASH)和 TAU 加基于网络的自助式治疗和基于电话的支持(TAU+WASH+SUPPORT)的效果。

讨论

结果将为网络辅助自助治疗对 ADHD 儿童父母的疗效以及基于电话的支持的额外效果提供重要的见解。

试验注册

德国临床试验注册处(DRKS)DRKS00013456。2018 年 1 月 3 日。世界卫生组织试验注册数据集中的通用试验编号(UTN)U1111-1205-6181。2017 年 11 月 23 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6727/7035664/00085ecd8531/12888_2020_2481_Fig1_HTML.jpg

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