A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder
A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder
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DOI：
10.1007/s00787-009-0020-0
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发表时间：
2009-10-01
影响因子：
6.4
通讯作者：
Sonuga-Barke, Edmund J. S.
中科院分区：
文献类型：
--
作者：
Thompson, Margaret J. J.;Laver-Bradbury, Cathy;Sonuga-Barke, Edmund J. S.
修订后的新森林育儿计划 (NFPP) 是一项为期 8 周的心理干预措施，旨在通过针对自我调节和母子互动质量等潜在障碍来治疗学龄前儿童的多动症。 41 名儿童被随机分配接受修订后的 NFPP 治疗或照常治疗。结果是通过问卷和直接观察测量的 ADHD 和 ODD 症状、母亲的心理健康状况以及母子互动的质量。修订后的 NFPP 对 ADHD 症状的影响很大（效果大小 > 1）且显着，并且效果在干预后持续 9 周。对 ODD 症状的影响不太明显。尽管在 5 分钟的演讲样本中，母亲的负面评论有所下降，而正面评论有所增加，但在母子互动期间，母亲的心理健康或养育行为没有改善。小规模试验虽然效力和普遍性有限，但为修订后的 NFPP 的有效性提供了支持。这些发现需要在更大、更多样化的样本中得到复制。
The revised new forest parenting programme (NFPP) is an 8-week psychological intervention designed to treat ADHD in preschool children by targeting, amongst other things, both underlying impairments in self-regulation and the quality of mother-child interactions. Forty-one children were randomized to either the revised NFPP or treatment as usual conditions. Outcomes were ADHD and ODD symptoms measured using questionnaires and direct observation, mothers' mental health and the quality of mother-child interactions. Effects of the revised NFPP on ADHD symptoms were large (effect size > 1) and significant and effects persisted for 9 weeks post-intervention. Effects on ODD symptoms were less marked. There were no improvements in maternal mental health or parenting behavior during mother-child interaction although there was a drop in mothers' negative and an increase in their positive comments during a 5-min speech sample. The small-scale trial, although limited in power and generalizability, provides support for the efficacy of the revised NFPP. The findings need to be replicated in a larger more diverse sample.