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Effects of the Incredible Years Program in Families of Children with ADHD

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Abstract

The efficacy of two parent training programs for families of school-age children diagnosed with attention-deficit/hyperactivity disorder was examined as well as comorbidity as a treatment moderator. Seventy-seven families were assigned to either medication plus the Incredible Years parent training program (parents received on average 26 h of interventions), medication plus a telephone support group (parents received on average 4 h of interventions), or a medication group. Parenting practices were assessed pre-intervention and post-intervention through direct observations and parental self-reports. Results showed that parents in the Incredible Years and telephone support groups reported using more praise and incentives compared to parents in the medication group. Parents in the Incredible Years group also reported using less harsh and inconsistent discipline compared to parents in the other two groups, while parents in the telephone support reported using less harsh and inconsistent discipline compared to the medication group. Findings from the observational measure indicated that parents in the Incredible Years group used less harsh/negative parenting practices and more positive parenting practices following the intervention compared to parents in the telephone support and medication groups. Comorbidity did not moderate treatment effects. This study provides support for the Incredible Years program combined with medication to improve parenting in families of school-age children diagnosed with attention-deficit/hyperactivity disorder with or without the presence of comorbidity.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders : DSM-5. 5th ed. Washington, DC: Author.

    Book  Google Scholar 

  • Barkley, R. A. (2006). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.): Guilford Publications.

  • Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Child Psychology and Psychiatry, 30, 571–578. doi:10.1023/A:1020807613155.

    Google Scholar 

  • Chronis, A. M., Chacko, A., Fabiano, G. A., Wymbs, B. T., & Pelham, W.E. (2004). Enhancements to the behavioral parent training paradigm for families of children with ADHD: Review and future directions. Clinical Child and Family Psychology Review, 7(1), 1–27. doi:10.1023/B:CCFP.0000020190.60808.a4.

    Article  PubMed  Google Scholar 

  • Chronis, A. M., Jones, H. A., & Raggi, V. L. (2006). Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Clinical Psychology Review, 26, 486–502. doi:10.1016/j.cpr.2006.01.002.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Conners, C. K. (1997). Conners’ Rating Scale-Revised. Toronto, ON: Multi-Health Systems, Inc.

    Google Scholar 

  • Daley, D. (2006). Attention deficit hyperactivity disorder: A review of essential facts. Child: Care, Health and Development, 32, 193–204. doi:10.1111/j.1365-2214.2006.00572.x.

    Google Scholar 

  • Deault, L. C. (2010). A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD). Child Psychiatry and Human Development, 41(2), 168–192. doi:10.1007/s10578-009-0159-4.

    Article  PubMed  Google Scholar 

  • Dose, C., & Dopfner, M. (2015). Effects of telephone assisted self-help as enhancement of methylphenidate treatment in children with ADHD. European Child & Adolescent Psychiatry, 24(Suppl 1), S17.

    Google Scholar 

  • Ercan, E. S., Ardic, U. A., Kutlu, A., & Durak, S. (2012). No beneficial effects of adding parent training to methylphenidate treatment for ADHD+ ODD/CD children: A 1-year prospective follow-up study. Journal of Attention Disorders, 145–157.

  • Evans, S. W., Owens, J. S., & Bunford, N. (2014). Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 43(4), 527–551. doi:10.1080/15374416.2013.850700.

    Article  PubMed  Google Scholar 

  • Fabiano, G. A., Pelham, W. E., Cunningham, C. E., Yu, J., Gangloff, B., Buck, M., et al. (2012). A waitlist-controlled trial of behavioral parent training for fathers of children with ADHD. Journal of Clinical Child and Adolescent Psychology, 41(3), 337–345. doi:10.1080/15374416.2012.654464.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fabiano, G. A., Pelham, Jr., W. E., Coles, E. K., Gnagy, E. M., Chronis-Tuscano, A., & O’Connor, B. C. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29(2), 129–140. doi:10.1016/j.cpr.2008.11.001.

    Article  PubMed  Google Scholar 

  • Fabiano, G. A., Schatz, N. K., Aloe, A. M., Chacko, A., & Chronis-Tuscano, A. (2015). A systematic review of meta-analyses of psychosocial treatment for attention-deficit/hyperactivity disorder. Clinical Child and Family Psychology Review, 18(1), 77–97. doi:10.1007/s10567-015-0178-6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fiese, B. H., & Schwartz, M. (2008). Reclaiming the family table: Mealtimes and child health and wellbeing. (Vol. 22) Society for Research in Child Development.

  • Hartman, R. R., Stage, S. A., & Webster-Stratton, C. (2003). A growth curve analysis of parent training outcomes: Examining the influence of child risk factors (inattention, impulsivity, and hyperactivity problems), parental and family risk factors. Journal of Child Psychology and Psychiatry, 44, 388–398. doi:10.1111/1469-7610.00129.

    Article  PubMed  Google Scholar 

  • Hinshaw, S. P. (2007). Moderators and mediators of treatment outcome for youth with ADHD: Understanding for whom and how interventions work. Ambulatory Pediatrics, 7(1), 91–100.

    Article  PubMed  Google Scholar 

  • Ise, E., Kierfeld, F., & Dopfner, M. (2015). One-year follow-up of guided self-help for parents of preschool children with externalizing behavior. Journal of Primary Prevention, 36, 33–40. doi:10.1007/s10935-014-0374-z.

    Article  PubMed  Google Scholar 

  • Johnston, C., & Jassy, J. S. (2007). Attention-deficit/hyperactivity disorder and oppositional/conduct problems: Links to parent-child interactions. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16(2), 74.

    PubMed  PubMed Central  Google Scholar 

  • Johnston, C., & Mash, E. J. (2001). Families of children with Attention-Deficit/Hyperactivity Disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207. doi:10.1023/A:1017592030434.

    Article  PubMed  Google Scholar 

  • Jones, K., Daley, D., Hutchings, J., Bywater, T., & Eames, C. (2007). Efficacy of the Incredible Years Basic parent training programme as an early intervention for children with conduct problems and ADHD. Child: Care, Health & Development, 33, 749–756.

    Google Scholar 

  • Jones, K., Daley, D., Hutchings, J., Bywater, T., & Eames, C. (2008). Efficacy of the Incredible Years Programme as an early intervention for children with conduct problems and ADHD: Long-term follow-up. Child: Care, Health & Development, 34(3), 380–390. doi:10.1111/j.1365-2214.2008.00817.x.

    Google Scholar 

  • Kierfeld, F., Ise, E., Hanisch, C., Gortz-Dorten, A., & Dopfner, M. (2013). Effectiveness of telephone-assisted parent-administered behavioural family intervention for preschool children with externalizing problem behaviour: A randomized controlled trial. European Child and Adolescent Psychiatry, 22(9), 553–565. doi:10.1007/s00787-013-0397-7.

    Article  PubMed  Google Scholar 

  • Kohut, C. S., & Andrews, J. (2004). The efficacy of parent training programs for ADHD children: A fifteen-year review. Developmental Disabilities Bulletin, 32(2), 155–172.

    Google Scholar 

  • Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.

    Article  PubMed  Google Scholar 

  • Lee, P. -C., Niew, W. -I., Yang, H. -J., Chen, V. C. -H., & Lin, K. -C. (2012). A meta-analysis of behavioral parent training for children with attention deficit hyperactivity disorder. Research in Developmental Disabilities, 33(6), 2040–2049.

    Article  PubMed  Google Scholar 

  • Lessard, J. (2010). Pratiques éducatives des parents d’enfants ayant un TDA/H : Le point de vue des parents et d’un observateur. Ph.D. Doctoral. Université de Montréal, Montréal. Retrieved from https://papyrus.bib.umontreal.ca/xmlui/handle/1866/4522

  • Majewicz-Hefley, A., & Carlson, J. S. (2007). A meta-analysis of combined treatments for children diagnosed with ADHD. Journal of Attention Disorders, 10(3), 239–250.

    Article  PubMed  Google Scholar 

  • McGrath, P. J., Lingley-Pottie, P., Thurston, C., MacLean, C., Cunningham, C., Waschbusch, D. A., et al. (2011). Telephone-based mental health interventions for child disruptive behavior or anxiety disorders: randomized trials and overall analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 50(11), 1162–1172. doi:10.1016/j.jaac.2011.07.013.

    Article  PubMed  Google Scholar 

  • MTA group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1086.

    Article  Google Scholar 

  • Normandeau, S., Letarte, M. -J., Robaey, P., & Allard, J. (2009). Efficacy of two interventions for parents of ADHD children. Paper presented at the International Society for Research in Child and Adolescent Psychopathology, Seattle, WA.

  • Ollendick, T. H., Jarrett, M. A., Grills-Taquechel, A. E., Hovey, L. D., & Wolff, J. C. (2008). Comorbidity as a predictor and moderator of treatment outcome in youth with anxiety, affective, attention deficit/hyperactivity disorder, and oppositional/conduct disorders. Clinical Psychology Review, 28(8), 1447–1471.

    Article  PubMed  Google Scholar 

  • Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on anti-social behavior. American Psychologist, 44, 329–335.

    Article  PubMed  Google Scholar 

  • Pelham, Jr, W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 37(1), 184–214. doi:10.1080/15374410701818681.

    Article  Google Scholar 

  • Pelham, Jr, W. E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27(2), 190–205. doi:10.1207/s15374424jccp2702_6.

    Article  PubMed  Google Scholar 

  • Robinson, E. A., & Eyberg, S. (1981). The Dyadic Parent-Child Interaction Coding Scheme: Standardisation and validation. Journal of Consulting and Clinical Psychology, 49, 245–250.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnosis. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. doi:10.1097/00004583-200001000-00014.

    Article  PubMed  Google Scholar 

  • Tarver, J., Daley, D., & Sayal, K. (2014). Attention-deficit hyperactivity disorder (ADHD): An updated review of the essential facts. Child: Care, Health & Development, 40(6), 762–774. doi:10.1111/cch.12139.

    Google Scholar 

  • Van Den Hoofdakker, B. J., Van der Veen-Mulders, L., Sytema, S., Emmelkamp, P. M., Minderaa, R. B., & Nauta, M. H. (2007). Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: A randomized controlled study. Journal of the American Academy of Child & Adolescent Psychiatry, 46(10), 1263–1271.

    Article  Google Scholar 

  • Van der Oord, S., Prins, P. J., Oosterlaan, J., & Emmelkamp, P. M. (2008). Efficacy of methylphenidate, psychosocial treatments and their combination in school-aged children with ADHD: A meta-analysis. Clinical Psychology Review, 28(5), 783–800. doi:10.1016/j.cpr.2007.10.007.

    Article  PubMed  Google Scholar 

  • Webster-Stratton, C. (1985). Dyadic Parent-Child Interactive Coding System—Revised (DPICS-R): Manual. Unpublished manuscript: University of Washington.

  • Webster-Stratton, C. (1998a). Preventing conduct problems in Head Start children: Strengthening parenting competencies. Journal of Consulting and Clinical Psychology, 66, 715–730.

    Article  PubMed  Google Scholar 

  • Webster-Stratton, C. (1998b). Training for parents of young children with conduct problems: Content, methods, and therapeutic processes. In J. M. Briesmeister, & C. E. Schaefer (Eds.), Handbook of parent training (pp. 98–152). New York: John Wiley.

  • Webster-Stratton, C., & Hammond, M. (1999). Marital conflict management skills, parenting style, and early-onset conduct problems: Processes and pathways. Journal of Child Psychology and Psychiatry, 40, 917–927. doi:10.1111/1469-7610.00509.

    Article  PubMed  Google Scholar 

  • Webster-Stratton, C., Mihalic, S., Fagan, A., Arnold, D., Taylor, T. K., & Tingley, C. (2001). Blueprints for violence prevention: Book eleven. The Incredible Years - Parent, teacher, and child training series. Boulder, CO: Center for the Study and Prevention of Violence.

    Google Scholar 

  • Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2013). One-year follow-up of combined parent and child intervention for young children with ADHD. Journal of Clinical Child & Adolescent Psychology, 42(2), 251–261. doi:10.1080/15374416.2012.723263.

    Article  Google Scholar 

  • Webster-Stratton, C. H., Reid, M. J., & Beauchaine, T. (2011). Combining parent and child training for young children with ADHD. Journal of Clinical Child & Adolescent Psychology, 40(2), 191–203. doi:10.1080/15374416.2011.546044.

    Article  Google Scholar 

  • Wechsler, D. (1991). WISC-III: Wechsler intelligence scale for children: Manual. San Antonio, TX: Psychological Corporation.

    Google Scholar 

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Authors and Affiliations

  1. Université Laval, Département des fondements et pratiques en éducation, 2320 rue des Bibliothèques, Québec City, QC, Canada, G1V 0A6

    Julie Lessard

  2. Université de Montréal, Montréal, QC, Canada

    Sylvie Normandeau

  3. Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada

    Philippe Robaey

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  1. Julie Lessard
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  2. Sylvie Normandeau
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  3. Philippe Robaey
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Correspondence to Julie Lessard.

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Lessard, J., Normandeau, S. & Robaey, P. Effects of the Incredible Years Program in Families of Children with ADHD. J Child Fam Stud 25, 3716–3727 (2016). https://doi.org/10.1007/s10826-016-0509-3

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