Teletherapy delivery of caregiver behavior training for children with attention-deficit hyperactivity disorder.
Teletherapy delivery of caregiver behavior training for children with attention-deficit hyperactivity disorder.
复制标题
为患有注意力缺陷多动障碍的儿童提供护理人员行为培训的远程治疗。
DOI：
10.1089/tmj.2014.0132
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Myers,KathleenM
中科院分区：
文献类型：
--
作者：
Tse,YuetJuhn;McCarty,CarolynA;Stoep,AnnVander;Myers,KathleenM
背景：初步研究表明，视频电话会议（VTC）可能是向家庭提供行为干预的有效手段。受试者由参与儿童注意力缺陷多动障碍 (ADHD) 远程精神健康治疗研究 (CATTS) (n=223) 的儿童子样本 (n=37) 和护理人员组成，这是一项随机试验，测试使用远程技术向居住在其家庭社区的家庭提供 ADHD 治疗的有效性。随机分配到 CATTS 干预组的家庭接受了药物治疗和护理人员行为培训。 材料和方法：来自 CATTS 干预组的 37 个家庭参与其中。所有家庭均通过 VTC 接受药物治疗。 12 个家庭通过 VTC（即远程治疗）接受了看护者行为培训，25 个家庭接受了亲自干预。我们使用范德比尔特 ADHD 家长评定量表和哥伦比亚损伤量表评估了 25 周时儿童的结果。我们使用照顾多动症儿童的痛苦指标来评估照顾者的结果，包括抑郁、压力、紧张和赋权。我们使用协方差分析来评估从基线到 25 周的结果。结果：两种情况下的家庭在治疗中的出席率和对护理的满意度相当。两种情况下的护理人员都报告了孩子与 ADHD 相关的行为和功能的结果相当，但远程治疗组的护理人员没有报告自己的痛苦有所改善。结论：研究结果支持通过远程治疗治疗 ADHD 儿童的可行性、可接受性和有效性。未来的工作应该研究远程治疗如何改善护理人员的痛苦。远程治疗是一种为多动症儿童提供行为干预的有前景的方式。
Background:Preliminary studies suggest that videoteleconferencing (VTC) may be an effective means to deliver behavioral interventions to families. Subjects consisted of a subsample of children (n=37) and caregivers who participated in the Children's Attention-Deficit Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) (n=223), a randomized trial testing the effectiveness of delivering treatments for ADHD to families residing in their home communities using distant technologies. Families randomized to the CATTS intervention arm received pharmacotherapy and caregiver behavior training.Materials and Methods:Thirty-seven families from the CATTS intervention arm participated. All families received pharmacotherapy through VTC. Twelve families received the caregiver behavior training through VTC, or teletherapy, and 25 received the intervention in-person. We assessed children's outcomes at 25 weeks with the Vanderbilt ADHD Parent Rating Scale and the Columbia Impairment Scale. We assessed caregivers' outcomes using measures of distress in caring for a child with ADHD, including depression, stress, strain, and empowerment. We used analysis of covariance to assess outcomes from baseline to 25 weeks.Results:Families in the two conditions showed comparable attendance at sessions and satisfaction with their care. Caregivers in both conditions reported comparable outcomes for their children's ADHD-related behaviors and functioning, but caregivers in the teletherapy group did not report improvement in their own distress.Conclusions:Findings support the feasibility, acceptability, and effectiveness of treating children with ADHD through teletherapy. Future work should investigate how teletherapy may improve caregivers' distress. Teletherapy is a promising modality for delivering behavioral interventions for children with ADHD.
登录
查看更多内容
评估托管心理健康服务：布拉格堡实验
DOI：
--
发表时间：
1995
期刊：
影响因子：
--
作者：
L. Bickman;Pamela R. Guthrie;E. Foster;E. W. Lambert;W. T. Summerfelt;Carolyn S. Breda;C. Heflinger
通讯作者：
C. Heflinger
一个基于网络的数据管理系统，用于改善多中心临床试验中抑郁症的护理。
影响因子：
3.8
作者：
J. Unützer;Youlim Choi;I. Cook;S. Oishi
通讯作者：
S. Oishi
影响因子：
3.6
作者：
Thomas, Rae;Zimmer-Gembeck, Melanie J.
通讯作者：
Zimmer-Gembeck, Melanie J.
影响因子：
--
作者：
D. Shaffer;M. Gould;James Robert Brašić;P. Ambrosini;P. Fisher;H. Bird;S. Aluwahlia
通讯作者：
D. Shaffer;M. Gould;James Robert Brašić;P. Ambrosini;P. Fisher;H. Bird;S. Aluwahlia
DOI：
10.1097/00004583-200001000-00014
发表时间：
2000-01-01
影响因子：
13.3
作者：
Shaffer, D;Fisher, P;Schwab-Stone, ME
通讯作者：
Schwab-Stone, ME