title: Adapting an attention-deficit hyperactivity disorder parent training intervention to different cultural contexts: The experience of implementing the New Forest Parenting Programme in China, Denmark, Hong Kong, Japan, and the United Kingdom.
abstract: The New Forest Parenting Programme (NFPP) is a parenting program developed for parents who have a child with attention-deficit hyperactivity disorder (ADHD). It is a manualized program that is delivered in a parent's home over 8 weeks, or in a group format, or through a self-help manual. Three randomized controlled trials have been carried out in the United Kingdom. The NFPP group has adapted the program according to feedback from parents and therapists, and for use with different populations, both within the United Kingdom and internationally. The first international trial took place in New York, United States. Trials in Denmark, Hong Kong, and Japan followed. More recently, a trial of the self-help manual has been carried out in mainland China. This paper will outline the adaptions that were needed in order to be able to deliver the program in different countries with their own expectations of parenting, culture, and language. Training had to be differently focused; manuals and handouts had to be revised, translated and back-translated; and supervision had to be delivered at a distance to maintain the fidelity of the program. The international group will outline their experience of running trials in their own countries with the NFPP in a face-to-face format (Denmark), a group format (Hong Kong and Japan), and a self-help format (mainland China).
authors.affiliation: Academic Unit of Psychology, University of Southampton, Southampton, UK.|CAMHS, Solent NHS Trust, Better Care Centre, Southampton, UK.
authors.forename: Margaret J J
authors.initials: MJ
authors.lastname: Thompson
authors.affiliation: Department of Applied Social Sciences, Hong Kong Polytechnic University, Hong Kong, China.
authors.forename: Alma
authors.initials: A
authors.lastname: Au
authors.affiliation: CAMHS, Solent NHS Trust, Better Care Centre, Southampton, UK.
authors.forename: Cathy
authors.initials: C
authors.lastname: Laver-Bradbury
authors.affiliation: Centre for Child & Adolescent Psychiatry, Research Department, Aarhus University Hospital, Risskov, Denmark.
authors.forename: Anne-Mette
authors.initials: AM
authors.lastname: Lange
authors.affiliation: Human Developmental Neurobiology Research Unit, Okinawa Institute of Science and Technology Graduate University, Okinawa, Japan.
authors.forename: Gail
authors.initials: G
authors.lastname: Tripp
authors.affiliation: Human Developmental Neurobiology Research Unit, Okinawa Institute of Science and Technology Graduate University, Okinawa, Japan.
authors.forename: Shizuka
authors.initials: S
authors.lastname: Shimabukuro
authors.affiliation: Department of Medical Psychology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Jin S
authors.initials: JS
authors.lastname: Zhang
authors.affiliation: Department of Medical Psychology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Lan
authors.initials: L
authors.lastname: Shuai
authors.affiliation: Academic Unit of Psychology, University of Southampton, Southampton, UK.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Thompson
authors.affiliation: Division of Psychiatry and Applied Psychology, School of Medicine & Centre for ADHD and Neurodevelopmental Disorders Across the Lifespan & NIHR MindTech Health Care Technology Cooperative, Institute of Mental Health, University of Nottingham, Nottingham, UK.
authors.forename: David
authors.initials: D
authors.lastname: Daley
authors.affiliation: Academic Unit of Psychology, University of Southampton, Southampton, UK.|Centre for Child & Adolescent Psychiatry, Research Department, Aarhus University Hospital, Risskov, Denmark.|Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.
authors.forename: Edmund J
authors.initials: EJ
authors.lastname: Sonuga-Barke
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000451:nursing*; D002648:Child; D002681:China; D003718:Denmark; D004505:Education, Nonprofessional / Q000379:methods*; D006723:Hong Kong; D006801:Humans; D007564:Japan; D010290:Parents / Q000193:education*; D016730:Program Development; D015397:Program Evaluation; D006113:United Kingdom
keywords: ADHD; NFPP; New Forest Parenting Programme; culture adaptions