A Study on the Effectiveness of Videoconferencing on Teaching Parent Training Skills to Parents of Children with ADHD

被引:78
作者
Xie, Yuhuan [1 ,2 ,3 ]
Dixon, J. Faye [4 ,5 ]
Yee, Ong Min [1 ]
Zhang, Junshun [6 ]
Chen, Y. Ann [7 ]
DeAngelo, Sascha [4 ]
Yellowlees, Peter [4 ]
Hendren, Robert [8 ]
Schweitzer, Julie B. [4 ,5 ]
机构
[1] Agcy Sci Technol & Res, Biomed Sci Inst Singapore, Inst Clin Sci, Brenner Ctr Mol Med, Singapore, Singapore
[2] Inst Mental Hlth, Dept Child & Adolescent Psychiat, Singapore, Singapore
[3] Duke Natl Univ Singapore, Off Clin Sci, Singapore, Singapore
[4] Univ Calif Davis, Sch Med, Dept Psychiat & Behav Sci, Sacramento, CA 95817 USA
[5] Univ Calif Davis, Sch Med, MIND Inst, Sacramento, CA 95817 USA
[6] Univ S Florida, Dept Math & Stat, Tampa, FL USA
[7] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Biostat, Tampa, FL 33682 USA
[8] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA
关键词
videoconference; parent training; telemedicine; children; attention deficit hyperactivity disorder; PERSPECTIVE; ADOLESCENTS; SCALE;
D O I
10.1089/tmj.2012.0108
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: Many geographic locations are without services and staff available to provide treatment for children with attention deficit hyperactivity disorder (ADHD). This is a randomized controlled trial to evaluate the effectiveness of group parent training on ADHD treatment delivered via videoconferencing. Subjects and Methods: Twenty-two subjects were enrolled in the study, with 9 subjects in the videoconference session (treatment group) and 13 in the face-to-face session (control group). The Parent Child Relationship Questionnaire for Child and Adolescents (PCQ-CA), Vanderbilt Assessment Scales (parent and teacher versions), Children Global Assessment Scale, Clinical Global Impression-Severity score, Clinical Global Impression-Improvement score, and Social Skills Rating System assessed the effectiveness of the treatment. A Likert scale evaluated parents' acceptance of the training modality. Our results showed that the parent training program significantly improved parents' disciplinary practices based on the PRQ-CA, parent ratings of ADHD, oppositional defiant disorder, and conduct disorder symptoms, and the children's global functioning. Results: The treatment effects did not differ between the videoconference and face-to-face groups; however, the videoconference group evidenced statistically greater improvement on the hyperactive symptoms of Vanderbilt Assessment Scales. Our findings suggest that parent training through a videoconferencing modality may be as effective as face-to-face training and is well accepted by parents. Conclusions: Parent training via videoconferencing may be an important tool for addressing ADHD in geographic locations that do not have access to appropriate treatment providers.
引用
收藏
页码:192 / 199
页数:8
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