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首页> 外文期刊>Journal of psychopathology and behavioral assessment >Delivering Parent-Teen Therapy for ADHD through Videoconferencing: a Preliminary Investigation
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Delivering Parent-Teen Therapy for ADHD through Videoconferencing: a Preliminary Investigation

机译：通过视频会议为ADHD提供父母青少年治疗：初步调查

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摘要

Adolescents with ADHD demonstrate notoriously poor treatment utilization. Barriers to access have been partially addressed through tailored therapy content and therapist delivery style; yet, additional challenges to engaging this population remain. To leverage modern technology in support of this aim, the current study investigates parent-teen therapy for ADHD delivered over a videoconferencing format. In this preliminary feasibility study, teens and parents (N = 20) received an empirically supported dyadic therapy that incorporates skills-based modules with motivational interviewing. The videoconferencing interface was deemed feasible with nearly all families completing treatment. Acceptable therapeutic alliance was reported and key mechanisms of change were engaged (i.e., adolescent motivation to meet goals, parent strategy implementation). Families reported high satisfaction, despite minor disturbances associated with delivering therapy via videoconferencing. Treatment integrity and fidelity were acceptable, though slightly reduced compared to clinic-based trials of the same protocol. Therapists perceived that videoconferencing enhanced treatment for 50% of families. Reductions in participant ADHD symptoms and organization, time management, and planning problems from baseline to post-treatment were noted by parents and teachers. However, open trial results of this study should be interpreted with caution due to their uncontrolled and preliminary nature.
机译：具有ADHD的青少年展示了令人惊奇的处理利用率。通过量身定制的治疗内容和治疗师交付风格部分地解决了访问的障碍;然而，留下这种人口的额外挑战仍然存在。为了利用现代技术支持这一目标，目前的研究调查了对通过视频会议格式提供的ADHD的父母青少年治疗。在这项初步可行性研究中，青少年和父母（n = 20）接受了一个经验支持的二次治​​疗，其融入了基于技能的模块，具有励志面试。视频会议界面被视为与完成治疗的几乎所有家庭都可行。报告了可接受的治疗联盟，并聘请了关键的变革机制（即，青少年动机，以满足目标，母体战略实施）。尽管通过VideoConeCenting提供了轻微的紊乱，但家庭报告了很高的满意度。治疗完整性和保真度是可接受的，但与同一方案的基于临床的试验相比，略微减少。治疗师认为，视频会议增强治疗50％的家庭。父母和教师指出，参与者ADHD症状和组织，时间管理和规划问题从基线减少，并指出了父母和教师。然而，由于他们的不受控制和初步性质，应谨慎地解释本研究的开放式试验结果。

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