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注意力缺陷多动障碍在线家长培训后预期的育儿方式变化。

Expected changes in parenting after an online parent training for ADHD.

作者信息

Rahali M, Fongaro E, Franc N, Nesensohn J, Purper-Ouakil D, Kerbage H

机构信息

Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France.

Médecine Psychologique de l'Enfant et de l'Adolescent MPEA1, Hôpital Saint-Éloi, CHU de Montpellier, 80, avenue Augustin-Fliche, 34090 Montpellier, France; CESP, Inserm U 1018, UVSQ Psychiatry Development and Trajectories, Villejuif, France.

出版信息

Encephale. 2024 Feb;50(1):59-67. doi: 10.1016/j.encep.2023.01.007. Epub 2023 Mar 31.

Abstract

BACKGROUND

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children and adolescents. Treatments for this population should be multidisciplinary and must be initiated as early as possible. Non-pharmacological interventions for ADHD include psychoeducation, parent behavioural training programs and school interventions and accommodations. In response to the COVID-19 pandemic, we developed an online version of a combined psychoeducation and behavioural training program to facilitate access to mental health treatment and ensure continuity of care.

OBJECTIVE

The study assessed the acceptability of this online parent training program, among parents and caretakers of children and adolescents with ADHD.

METHODS

The program consisted of ten online sessions over the course of two consecutive days (five sessions a day). Satisfaction, usefulness and general comments about the program were assessed with open-ended questions and visual-analogous scales. Parents/caretakers' use of strategies to manage behavioural problems was assessed using the Parenting and Family Adjustment Scales.

RESULTS

A total of 206 parents participated in the online program 175 of whom completed the evaluation. Participants were satisfied with the content of the program. More than half of participants had already started using strategies included in the program. The engagement was high and no major obstacles were identified other than some internet connection issues.

DISCUSSION

In our survey, online delivery was described as more convenient, and participants were satisfied with the content of the program finding it beneficial for their child. Despite this, some difficulties in implementing new strategies were observed. Online BTP increased access to the BTP programs while being effective on ADHD symptoms and behavioural disturbances.

CONCLUSIONS

With these measures, we hope to improve engagement in online psychoeducation and behavioural therapy programs. Future research evaluating online behavioural training programs should focus on ways to make them more accessible and adaptable to families' obstacles.

摘要

背景

注意力缺陷多动障碍(ADHD)是儿童和青少年中常见的神经发育障碍。针对这一人群的治疗应是多学科的,并且必须尽早开始。ADHD的非药物干预措施包括心理教育、家长行为训练计划以及学校干预和调适。为应对新冠疫情,我们开发了一个在线版的心理教育与行为训练相结合的计划,以方便获得心理健康治疗并确保护理的连续性。

目的

本研究评估了该在线家长培训计划在患有ADHD的儿童和青少年的家长及照料者中的可接受性。

方法

该计划在连续两天内包括十个在线课程(每天五个课程)。通过开放式问题和视觉模拟量表评估对该计划的满意度、实用性和总体评价。使用育儿与家庭调适量表评估家长/照料者对管理行为问题策略的运用。

结果

共有206位家长参与了该在线计划,其中175位完成了评估。参与者对计划内容感到满意。超过一半的参与者已经开始使用计划中包含的策略。参与度很高,除了一些网络连接问题外,未发现重大障碍。

讨论

在我们的调查中,在线授课被描述为更方便,参与者对计划内容感到满意,认为对他们的孩子有益。尽管如此,在实施新策略时还是观察到了一些困难。在线行为训练计划增加了获得行为训练计划的机会,同时对ADHD症状和行为障碍有效。

结论

通过这些措施,我们希望提高对在线心理教育和行为治疗计划的参与度。未来评估在线行为训练计划的研究应侧重于使其更易于获得并适应家庭障碍的方法。

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