title: [Guided self-help interventions for parents of children with ADHD--concept, referral and effectiveness in a nationwide trial. An observational study].
abstract: OBJECTIVE
  The effects of guided self-help interventions for parents of children with ADHD have already been proven in randomized controlled trials. The objective of this study was to assess the effectiveness of this novel form of intervention under routine care conditions in a nationwide trial.
  
  
  METHODS
  Registered pediatricians as well as child and youth psychiatrists enrolled 274 children between 6 and 12 years old (83.6% male) diagnosed with ADHD to a self-help program for parents of children with ADHD. The program lasted for 1 year and consisted of eight booklets with advice for parenting children with ADHD as well as complementary telephone consultations (14 calls, up to 20 minutes each). The course of the ADHD symptoms and the comorbid symptoms as well as the development of the child’s individual problems were assessed in a pre-post design.
  
  
  RESULTS
  63% of the enrolled parents adhered to the program until the end. The families who cancelled the program did not differ concerning the severity of ADHD symptoms, but they did more often show an impaired familial and social background, and their children received pharmacological treatment more often. Three-fourths of the children who completed the program had received pharmacological treatment at the beginning of the program. The children had more severe ADHD symptoms than a clinical control group. During the intervention, ADHD symptoms as well as psychosocial functioning improved with large effect sizes of d>0.9. Additionally, comorbid oppositional and emotional symptoms decreased.
  
  
  CONCLUSIONS
  These results indicate that guided self-help programs for families with children with ADHD are effective, also as an addition to pharmacological treatment.
authors.affiliation: 1 Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters an der Uniklinik Köln, Medizinische Fakultät der Universität Köln und Ausbildungsinstitut für Kinder- und Jugendlichenpsychotherapie an der Uniklinik Köln (AKiP).
authors.forename: Laura
authors.initials: L
authors.lastname: Mokros
authors.forename: Nicole
authors.initials: N
authors.lastname: Benien
authors.forename: Anna
authors.initials: A
authors.lastname: Mütsch
authors.forename: Claudia
authors.initials: C
authors.lastname: Kinnen
authors.forename: Stephanie
authors.initials: S
authors.lastname: Schürmann
authors.forename: Tanja Wolff
authors.initials: TW
authors.lastname: Metternich-Kaizman
authors.forename: Dieter
authors.initials: D
authors.lastname: Breuer
authors.forename: Christopher
authors.initials: C
authors.lastname: Hautmann
authors.forename: Ulrike
authors.initials: U
authors.lastname: Ravens-Sieberer
authors.forename: Fionna
authors.initials: F
authors.lastname: Klasen
authors.forename: Manfred
authors.initials: M
authors.lastname: Döpfner
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D001638:Bibliotherapy / Q000379:methods* / Q000458:organization & administration*; D000697:Central Nervous System Stimulants / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D004505:Education, Nonprofessional / Q000379:methods* / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D012017:Referral and Consultation / Q000458:organization & administration*; D012657:Self-Help Groups / Q000458:organization & administration*; D013689:Telephone
chemical_list: D000697:Central Nervous System Stimulants
keywords: ADHD; ADHS; Anwendungsbeobachtung; Bibliotherapie; Interventionseffekte; angeleitete Selbsthilfe; bibliotherapy; effectiveness of intervention; guided self-help; observational trial