Effectiveness of a nurse led psychoeducation program in parents of children with attention-deficit hyperactivity disorder
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Attention Deficit Disorder and Hyperactivity (ADHD), Psychoeducation, Nurse, Parents, MethylphenidateAbstract
Background. Recent studies suggest that Attention- Deficit Hyperactivity Disorder (ADHD) patients receiving combination treatment of medication, behavioral therapy, educational support and parental psychoeducation, show a better response compared with patients receiving medication or psychological treatment alone.
Objectives. To assess the efficacy of a nurse-led psychoeducational program for parents of children with ADHD added to methylphenidate, compared with the use of medication alone.
Methods. We did a longitudinal naturalistic study with intervention (psychoeducation+ methylphenidate) and control group (methylphenidate alone). We administered a battery of questionnaires to a sample of 14 families of children with ADHD that received a nurse-led Psychoeducational Program and 21 who did not received psychoeducation.
Results. We found a significant improvement in the ADHD Rating Scale scores for both groups, with no significant differences between them. However, patients in the psychoeducation group required a lower medication dose increase compared with patients on the non-psychoeducation group. We also found good improvement in the Family Environment Scale Cultural interest subscale and good scores on the Strengths and Difficulties Questionnaire (>50% of patients had normal scores on 4 of 5 subscales). Parents evaluated the program as being very helpful.
Conclusion. Patients in the psychoeducation group obtained similar improvements in ADHD-RS with a lower medication dose increase. The use of nurse-led pscyhoeducational programs in combination with medication suggests that a more gentle and practical approach may be helpful in the treatment of children with ADHD.
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