Telemed J E Health - A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD.

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Resumo

JECTIVE: Many geographic locations are without services and staff available to provide treatment for children with attention deficit hyperactivity disorder (ADHD). This is a randomized controlled trial to evaluate the effectiveness of group parent training on ADHD treatment delivered via videoconferencing.SUBJECTS AND METHODS: Twenty-two subjects were enrolled in the study, with 9 subjects in the videoconference session (treatment group) and 13 in the face-to-face session (control group). The parent child relationship questionnaire for child and adolescents (PCQ-CA), Vanderbilt assessment scales (parent and teacher versions), children global assessment scale, clinical global impression-severity score, clinical global impression-improvement score, and social skills rating system assessed the effectiveness of the treatment. A Likert scale evaluated parents' acceptance of the training modality. Our results showed that the parent training program significantly improved parents' disciplinary practices based on the PRQ-CA, parent ratings of ADHD, oppositional defiant disorder, and conduct disorder symptoms, and the children's global functioning.RESULTS: The treatment effects did not differ between the videoconference and face-to-face groups; however, the videoconference group evidenced statistically greater improvement on the hyperactive symptoms of Vanderbilt assessment scales. Our findings suggest that parent training through a videoconferencing modality may be as effective as face-to-face training and is well accepted by parents.CONCLUSIONS: Parent training via videoconferencing may be an important tool for addressing ADHD in geographic locations that do not have access to appropriate treatment providers.

Resumo Limpo

jectiv mani geograph locat without servic staff avail provid treatment children attent deficit hyperact disord adhd random control trial evalu effect group parent train adhd treatment deliv via videoconferencingsubject method twentytwo subject enrol studi subject videoconfer session treatment group facetofac session control group parent child relationship questionnair child adolesc pcqca vanderbilt assess scale parent teacher version children global assess scale clinic global impressionsever score clinic global impressionimprov score social skill rate system assess effect treatment likert scale evalu parent accept train modal result show parent train program signific improv parent disciplinari practic base prqca parent rate adhd opposit defiant disord conduct disord symptom children global functioningresult treatment effect differ videoconfer facetofac group howev videoconfer group evidenc statist greater improv hyperact symptom vanderbilt assess scale find suggest parent train videoconferenc modal may effect facetofac train well accept parentsconclus parent train via videoconferenc may import tool address adhd geograph locat access appropri treatment provid

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