Positive Parenting Program for Attention Deficit Hyperactivity Disorder: Maternal Perspective Shifts and Child Behaviour Problems Reduction in a Clinical Trial رسالة دكتوراة

Abstract

Purpose: This study aims to assess the effectiveness of the Triple P (Positive Parenting Program) on mothers of children with ADHD. It focuses on evaluating changes in parenting attitudes, maternal sense of competency, and reductions in child behavioural problems following the intervention. Methods: The research utilized a randomized controlled trial (RCT) design. A total 64 mothers of children diagnosed with ADHD, aged 6 to 13 years, were recruited from a child mental health clinic. After randomization, participants were divided into two groups: the intervention group, which participated in the Group Triple P Program, and the control group. Both groups were evaluated pre and post the intervention using standardized instruments—the Strengths and Difficulties Questionnaire (SDQ), Parenting Scale (PS), and Parenting Sense of Competence (PSOC). Differences between the two groups were analysed using independent t tests to compare pre- and post-intervention mean scores. Results: The findings of the randomized controlled trial highlight the effectiveness of the Triple P program in reducing behavioural challenges and enhancing maternal outcomes. Mothers in the intervention group V reported a decrease in child behavioural problems (t (61) = -1.97, p = .053) d = 0.48, with a medium effect size compared to the control group. Additionally, the intervention significantly improved prosocial behaviour among children (t (62) = 2.529, p = .01) with a large effect size d = 0.64.The program also had a positive impact on maternal outcomes, with participants in the intervention group demonstrating an increased sense of competency (t(62) = 2.30, p = .02)in medium to large effect sized = 0.59 . Furthermore, mothers exhibited improved parenting attitudes, as reflected by the mean score (M = 3.3, SD = 1.4, p = .01) d = -0.51, a medium effect size. Conclusion: The findings suggest that the Triple P program maybe highly effective intervention for equipping mothers with essential skills to manage the behaviour of children with ADHD while supporting the child’s mental well-being