Longitudinal Impact of a Randomized Clinical Trial to Improve Family Function, Reduce Maternal Stress and Improve Child Outcomes in Families of Children with ADHD.
Objective Evaluate the efficacy of a 12 month nursing case-management intervention over a period of 18 months, 6 months after the end of intervention, for families of children attention deficit hyperactivity disorder (ADHD). Methods Mother and child dyads were enrolled to participate in a randomized...
| Publicado en: | Maternal & Child Health Journal Vol. 22; no. 8; pp. 1172 - 1183 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Aug2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130862675&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130862675 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Aug2018 vid: 22 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 130862675 130862675 130862675 10.1007/s10995-018-2502-5 130862675 ppf: 1172 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Longitudinal Impact of a Randomized Clinical Trial to Improve Family Function, Reduce Maternal Stress and Improve Child Outcomes in Families of Children with ADHD. aug: au: Houck, Gail M. Churchill, Shervin S. Leo, Michael C. Brennan, Eileen M. Sellmaier, Claudia Kendall, Judy affil: Family and Child Nursing, University of Washington, 98195-7266, Seattle, WA, USA sug: subj: Stress, Psychological Family Functioning Mothers Psychosocial Factors Attention Deficit Hyperactivity Disorder Case Management Child Behavior Human Randomized Controlled Trials Child, Preschool Child Adolescence Oregon Random Assignment Power Analysis Empowerment Child Development Male Female Funding Source Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Objective Evaluate the efficacy of a 12 month nursing case-management intervention over a period of 18 months, 6 months after the end of intervention, for families of children attention deficit hyperactivity disorder (ADHD). Methods Mother and child dyads were enrolled to participate in a randomized controlled clinical trial. Children were 4-18 years old. Data were collected at baseline, 6, 12, and 18 months or 6 months after the termination of direct intervention. Longitudinal analyses, using generalized estimating equations, were conducted to assess change in study outcomes relating to family function, maternal stress, and child behavior over the 18 month period. Results Compared to control families, some family function outcomes were moderately improved in the intervention group. In particular, intervention families demonstrated substantial improvement in implementing family behavior controls (p value = 0.038) and improvement in family satisfaction (not statistically significant p = 0.062). Although there was improvement in the overall family function measure there was not a statistically significant difference between groups. Maternal stress and child behavior outcomes were not significantly different between control and intervention groups by the end of the intervention. Conclusions for Practice Addressing ADHD is complex and requires the assessment of comorbidities that might exacerbate negative behavior. Our findings support the latest American Academy of Pediatrics guidelines to use behavioral therapy as the first line of treatment in young children. Nursing case-management interventions that provide direct family education and improve family function, especially with respect to providing structure and behavior control, may complement and facilitate behavioral therapy for treatment of ADHD and improving child behavior. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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