Supporting Japanese Mothers of Children at Risk for Attention Deficit Hyperactivity Disorder (ADHD): A Small Scale Randomized Control Trial of Well Parent Japan.

Objectives: Guidelines recommend parent management training in the multi-modal treatment of attention deficit hyperactivity disorder (ADHD). The availability of such interventions in Japan is limited. This study evaluated the effects of Well Parent Japan, a hybrid intervention including a group Japa...

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Publicado en:Journal of Child & Family Studies Vol. 29; no. 6; pp. 1604 - 1617
Autores principales: Shimabukuro, Shizuka, Daley, David, Thompson, Margaret, Laver-Bradbury, Cathy, Lovern, Kaoruko, Tripp, Gail
Formato: Artículo
Publicado: Springer Nature Jun2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2020
      vid: 29
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      pub: Springer Nature
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        143194177
        10.1007/s10826-020-01704-6
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        atl: Supporting Japanese Mothers of Children at Risk for Attention Deficit Hyperactivity Disorder (ADHD): A Small Scale Randomized Control Trial of Well Parent Japan.
      aug:
        au:
          Shimabukuro, Shizuka
          Daley, David
          Thompson, Margaret
          Laver-Bradbury, Cathy
          Lovern, Kaoruko
          Tripp, Gail
        affil:
          Human Developmental Neurobiology Research Unit, Okinawa Institute of Science and Technology Graduate University, 1919-1 Tancha, Onna-son, 904-0495, Okinawa, Japan
          Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, NG7 2TU, Nottingham, UK
          NIHR MindTech Healthcare Technology Cooperative & Centre for ADHD and Neurodevelopmental Disorders Across the Lifespan CANDAL, Institute of Mental Health, University of Nottingham Innovation Park, Triumph Road, NG7 2TU, Nottingham, UK
          Academic Unit of Psychology, University of Southampton, Building 44 Highfield Campus, SO17 1BJ, Southampton, UK
          CAMHS, Solent NHS Trust, Better Care Centre, Western Community Hospital, William MacLeod Way, SO16 4XE, Southampton, UK
      su:
        Japan
        Aggression (Psychology)
        Analysis of variance
        Confidence
        Mother-child relationship
        Psychology of mothers
        Parenting
        Parents of children with disabilities
        Self-efficacy
        Self-perception
        Psychological stress
        Psychosocial factors
        Social support
        Well-being
        Randomized controlled trials
        Children
        Statistical sampling
      sug:
        subj:
          Aggression (Psychology)
          Analysis of variance
          Confidence
          Mother-child relationship
          Psychology of mothers
          Parenting
          Parents of children with disabilities
          Self-efficacy
          Self-perception
          Psychological stress
          Psychosocial factors
          Social support
          Well-being
          Randomized controlled trials
          Children
          Japan
          Marketing Research and Public Opinion Polling
          Other Individual and Family Services
          Statistical sampling
      keyword:
        ADHD
        NFPP
        Wellbeing
        ADHD
        NFPP
        Wellbeing
      ab: Objectives: Guidelines recommend parent management training in the multi-modal treatment of attention deficit hyperactivity disorder (ADHD). The availability of such interventions in Japan is limited. This study evaluated the effects of Well Parent Japan, a hybrid intervention including a group Japanese language adaptation of the New Forest Parenting Programme for ADHD (NFPP) augmented with strategies to improve parent's psychological wellbeing and enhance confidence in their ability to implement change. Methods: Mothers of children aged 6–12 years displaying marked symptoms of ADHD were randomly assigned to the intervention (n = 28) or a waitlist control condition (n = 24). Measures were completed at baseline and again 14 weeks later. Parenting stress was the primary outcome. Other outcomes included maternal depression, parenting self-efficacy, reported and observed parenting behaviour, and maternal ratings of child ADHD, oppositional defiant disorder (ODD) symptoms, and internalizing problems. Results: Analysis of covariance (ANCOVA) compared the groups post intervention. Intervention mothers reported significantly less parenting stress, higher parenting self-esteem and use of more effective parenting strategies compared with controls, including a reduction in observed negative parenting, post intervention. These mothers also reported lower levels of child aggression and internalizing problems post intervention together with a trend (p < 0.05) toward reduced symptoms of inattention. Conclusions: Well Parent Japan is an effective psychosocial intervention for parents of children with ADHD in Japan. The group format and the session content is well tolerated. This is the first randomized control trial (RCT) of a psychosocial intervention targeting ADHD in Japan. Highlights: Well Parent Japan reduced mothers' parenting stress and increased their efficacy. Program completion also resulted in improvements in observed and reported parenting practices. Mothers reported reduced ADHD symptoms, aggression, and internalizing problems. Well Parent Japan offers an effective psychosocial intervention for ADHD in Japan.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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