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. 2020 Feb 21;20(1):76.
doi: 10.1186/s12888-020-2481-0.

Efficacy of Web-Assisted Self-Help for Parents of Children With ADHD (WASH) - A Three-Arm Randomized Trial Under Field/Routine Care Conditions in Germany

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Efficacy of Web-Assisted Self-Help for Parents of Children With ADHD (WASH) - A Three-Arm Randomized Trial Under Field/Routine Care Conditions in Germany

Manfred Döpfner et al. BMC Psychiatry. .
Free PMC article

Abstract

Background: Current clinical guidelines recommend parent management training (PMT) in the treatment of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). However, (a) a lack of supply and (b) structural barriers to attending and continuing face-to-face PMT restrict the access to this training. The main purpose of this study is to investigate the efficacy of online PMT in decreasing ADHD symptoms and oppositional behavior problems and to evaluate the effects of additional telephone-based support of the parents.

Methods: The target sample size is n = 495 children with suspected or even clinical diagnosis of ADHD and current symptoms of ADHD or ODD. The study is based on a randomized three-arm parallel group design, in which the effects of treatment as usual (TAU) are compared to TAU plus web-assisted self-help (TAU+WASH) and to TAU plus web-assisted self-help and telephone-based support (TAU+WASH+SUPPORT).

Discussion: The results will provide important insights into the efficacy of web-assisted self-help for parents of children with ADHD and the additional effects of telephone-based support.

Trial registration: German Clinical Trials Register (DRKS) DRKS00013456. January 3rd 2018. World Health Organization Trial Registration Data Set: Universal Trial number (UTN) U1111-1205-6181. November 23rd 2017.

Keywords: Attention-deficit/hyperactivity disorder; Children; Oppositional defiant disorder; Web-based parent management training self-help intervention, e-health.

Conflict of interest statement

MD Manfred Döpfner received consulting income and research support from Lilly, Medice, Shire, Takeda, and Vifor and research support from the German Research Foundation, German Ministry of Education and Research, German Ministry of Health, and Innovation Fund. He received income as head, supervisor, and lecturer of the School of Child and Adolescent Cognitive Behaviour Therapy at the University Hospital Cologne and as consultant for Child Behaviour Therapy at the National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung). He also received royalties from treatment manuals, books and psychological tests published by Beltz, Elsevier, Enke, Guilford, Hogrefe, Huber, Kohlhammer, Schattauer, Springer, Wiley.

JP Julia Plück received royalties from treatment manuals and psychological tests published by Hogrefe.

SS Stephanie Schürmann received royalties from treatment manuals, books and psychological tests published by Beltz, Hogrefe, and PITS.

All other authors: No competing interests.

Figures

Fig. 1
Fig. 1
Study design of the ADHD-WASH trial
Fig. 2
Fig. 2
Content and Modules of the ADHD-WASH Program
Fig. 3
Fig. 3
Schedule of enrolment, interventions, and assessments

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