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.
Individualised short-term therapy for adolescents impaired by attention-deficit/hyperactivity disorder despite previous routine care treatment (ESCAadol)-Study protocol of a randomised controlled trial within the consortium ESCAlife.Trials. 2018 Apr 27;19(1):254. doi: 10.1186/s13063-018-2635-2. Trials. 2018. PMID: 29703226 Free PMC article. Clinical Trial.
Individualised stepwise adaptive treatment for 3-6-year-old preschool children impaired by attention-deficit/hyperactivity disorder (ESCApreschool): study protocol of an adaptive intervention study including two randomised controlled trials within the consortium ESCAlife.Trials. 2020 Jan 9;21(1):56. doi: 10.1186/s13063-019-3872-8. Trials. 2020. PMID: 31918739 Free PMC article.
Telephone-assisted self-help for parents of children with attention-deficit/hyperactivity disorder who have residual functional impairment despite methylphenidate treatment: a randomized controlled trial.J Child Psychol Psychiatry. 2017 Jun;58(6):682-690. doi: 10.1111/jcpp.12661. Epub 2016 Nov 23. J Child Psychol Psychiatry. 2017. PMID: 27878809 Clinical Trial.
Parent training interventions for Attention Deficit Hyperactivity Disorder (ADHD) in children aged 5 to 18 years.Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD003018. doi: 10.1002/14651858.CD003018.pub3. Cochrane Database Syst Rev. 2011. PMID: 22161373 Free PMC article. Review.
[Guided self-help interventions for parents of children with ADHD--concept, referral and effectiveness in a nationwide trial. An observational study].Z Kinder Jugendpsychiatr Psychother. 2015 Jul;43(4):275-86; quiz 287-8. doi: 10.1024/1422-4917/a000348. Epub 2015 Apr 30. Z Kinder Jugendpsychiatr Psychother. 2015. PMID: 26118815 Review. German.
- Daley D, van der Oord S, Ferrin M, Danckaerts M, Doepfner M, Cortese S, et al. Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. J Am Acad Child Adolesc Psychiatry. 2014;53:835–847. doi: 10.1016/j.jaac.2014.05.013. - DOI - PubMed
- National Institute for Health and Clinical Excellence (NICE) Attention deficit hyperactivity disorder: diagnosis and management. NICE guideline (NG87) London: The British Psychological Society and The Royal College of Psychiatrists; 2018.