Back to Search
Start Over
Effectiveness and cost-effectiveness of a brief school-based group programme for parents of children at risk of ADHD: a cluster randomised controlled trial.
- Source :
-
Child: Care, Health & Development . Jul2016, Vol. 42 Issue 4, p521-533. 13p. - Publication Year :
- 2016
-
Abstract
- Background National Institute for Health and Care Excellence guidelines recommend a stepped care approach for the identification and management of children with, or at risk of, attention-deficit/hyperactivity disorder (ADHD). We investigated the effectiveness, cost-effectiveness and acceptability of a group parenting intervention programme (+/− a teacher session) for children at risk of ADHD. Methods In a three-arm cluster randomised controlled trial, 12 primary schools were randomly assigned to control, parent-only and combined (parent + teacher) intervention arms. Eligible children had high levels of parent-rated hyperactivity/inattention ( n = 199). At 6 month follow-up, the primary outcome measure was the parent-completed Conners' Rating Scale - Revised (ADHD index). Secondary outcomes included the Conners' sub-scales (hyperactivity, cognitive problems/inattention and oppositional behaviour), the teacher-completed Conners' Rating Scale - Revised, child health-related quality of life, parental burden and parental mental health. The cost-effectiveness analyses reflected a health and personal social services perspective. Trial Registration: ISRCTN87634685. Results Follow-up data were obtained from 76 parents and 169 teachers. There was no effect of the parent-only (mean difference = −1.1, 95% CI −5.1,2.9; p = 0.57) or combined interventions (mean difference = −2.1, 95% CI −6.4,2.1; p = 0.31) on the ADHD index. The combined intervention was associated with reduced parent-reported hyperactivity symptoms (mean difference = −5.3; 95% CI −10.5,−0.01; p = 0.05) and the parent-only intervention with improved parental mental health (mean difference = −1.9; 95% CI −3.2,−0.5; p = 0.009). The incremental costs of the parent-only and the combined interventions were £73 and £123, respectively. Above a willingness-to-pay of £31 per one-point improvement in the ADHD index, the parent-only programme had the highest probability of cost-effectiveness. Participants found the interventions acceptable. Conclusions For children at risk of ADHD, this school-based parenting programme was not associated with improvement in core ADHD symptoms. Secondary analyses suggested a possible reduction in parent-reported hyperactivity and parental mental health problems. Future research should compare targeted interventions against watchful waiting and specialist referral. [ABSTRACT FROM AUTHOR]
- Subjects :
- *EDUCATION of parents
*RISK factors of attention-deficit hyperactivity disorder
*ATTENTION-deficit hyperactivity disorder
*CONFIDENCE intervals
*COST effectiveness
*EVALUATION of medical care
*PARENTING
*QUESTIONNAIRES
*RESEARCH funding
*STATISTICAL sampling
*SCHOOL health services
*RANDOMIZED controlled trials
*DATA analysis software
*DESCRIPTIVE statistics
*ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 03051862
- Volume :
- 42
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Child: Care, Health & Development
- Publication Type :
- Academic Journal
- Accession number :
- 115929287
- Full Text :
- https://doi.org/10.1111/cch.12349