| Title |
A comparison of the clinical effectiveness and cost of specialised individually delivered parent training for preschool attention-deficit/hyperactivity disorder and a generic, group-based programme: a multi-centre, randomised controlled trial of the New Forest Parenting Programme versus Incredible Years
|
|---|---|
| Published in |
European Child & Adolescent Psychiatry, October 2017
|
| DOI | 10.1007/s00787-017-1054-3 |
| Pubmed ID | |
| Authors |
Edmund J. S. Sonuga-Barke, Joanne Barton, David Daley, Judy Hutchings, Tom Maishman, James Raftery, Louise Stanton, Cathy Laver-Bradbury, Maria Chorozoglou, David Coghill, Louisa Little, Martin Ruddock, Mike Radford, Guiqing Lily Yao, Louise Lee, Lisa Gould, Lisa Shipway, Pavlina Markomichali, James McGuirk, Michelle Lowe, Elvira Perez, Joanna Lockwood, Margaret J. J. Thompson |
| Abstract |
The objective of this study is to compare the efficacy and cost of specialised individually delivered parent training (PT) for preschool children with attention-deficit/hyperactivity disorder (ADHD) against generic group-based PT and treatment as usual (TAU). This is a multi-centre three-arm, parallel group randomised controlled trial conducted in National Health Service Trusts. The participants included in this study were preschool children (33-54 months) fulfilling ADHD research diagnostic criteria. New Forest Parenting Programme (NFPP)-12-week individual, home-delivered ADHD PT programme; Incredible Years (IY)-12-week group-based, PT programme initially designed for children with behaviour problems were the interventions. Primary outcome-Parent ratings of child's ADHD symptoms (Swanson, Nolan & Pelham Questionnaire-SNAP-IV). Secondary outcomes-teacher ratings (SNAP-IV) and direct observations of ADHD symptoms and parent/teacher ratings of conduct problems. NFPP, IY and TAU outcomes were measured at baseline (T1) and post treatment (T2). NFPP and IY outcomes only were measured 6 months post treatment (T3). Researchers, but not therapists or parents, were blind to treatment allocation. Analysis employed mixed effect regression models (multiple imputations). Intervention and other costs were estimated using standardized approaches. NFPP and IY did not differ on parent-rated SNAP-IV, ADHD combined symptoms [mean difference - 0.009 95% CI (- 0.191, 0.173), p = 0.921] or any other measure. Small, non-significant, benefits of NFPP over TAU were seen for parent-rated SNAP-IV, ADHD combined symptoms [- 0.189 95% CI (- 0.380, 0.003), p = 0.053]. NFPP significantly reduced parent-rated conduct problems compared to TAU across scales (p values < 0.05). No significant benefits of IY over TAU were seen for parent-rated SNAP, ADHD symptoms [- 0.16 95% CI (- 0.37, 0.04), p = 0.121] or parent-rated conduct problems (p > 0.05). The cost per family of providing NFPP in the trial was significantly lower than IY (£1591 versus £2103). Although, there were no differences between NFPP and IY with regards clinical effectiveness, individually delivered NFPP cost less. However, this difference may be reduced when implemented in routine clinical practice. Clinical decisions should take into account parental preferences between delivery approaches. |
X Demographics
The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 4 | 44% |
| United States | 1 | 11% |
| Unknown | 4 | 44% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 78% |
| Scientists | 2 | 22% |
Mendeley readers
The data shown below were compiled from readership statistics for 263 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 263 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 32 | 12% |
| Student > Master | 27 | 10% |
| Student > Ph. D. Student | 22 | 8% |
| Researcher | 18 | 7% |
| Student > Postgraduate | 13 | 5% |
| Other | 43 | 16% |
| Unknown | 108 | 41% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 54 | 21% |
| Medicine and Dentistry | 25 | 10% |
| Social Sciences | 19 | 7% |
| Nursing and Health Professions | 19 | 7% |
| Economics, Econometrics and Finance | 6 | 2% |
| Other | 27 | 10% |
| Unknown | 113 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 August 2021.
All research outputs
#2,771,134
of 25,287,709 outputs
Outputs from European Child & Adolescent Psychiatry
#329
of 1,813 outputs
Outputs of similar age
#51,392
of 335,906 outputs
Outputs of similar age from European Child & Adolescent Psychiatry
#8
of 41 outputs
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