@article{TP155998,
author = {Adidsuda Fuengfoo and Arpa Rafsanjani and Thanyaporn Mekrungcharas},
title = {Comparative effectiveness of structured clinician-guided and self-guided parent training for preschool attention-deficit/hyperactivity disorder (ADHD) risk: a randomized controlled trial},
journal = {Translational Pediatrics},
volume = {15},
number = {6},
year = {2026},
keywords = {},
abstract = {Background: Attention-deficit/hyperactivity disorder (ADHD) in preschool-aged children presents a significant developmental and public health challenge globally. In Thailand, early identification and intervention are constrained by diagnostic uncertainty, limited standardized care, and cultural misalignment with Western-based treatment models. Although parent management training (PMT) is the recommended first-line non-pharmacological intervention for early-onset ADHD, its effectiveness and adaptability in collectivist, resource-limited contexts remain underexplored. This study aimed to evaluate the efficacy of a culturally adapted, group-based PMT program for Thai caregivers of preschoolers at risk for ADHD, with the goal of reducing symptoms and enhancing positive parenting compared to standard educational materials.Methods: This single-blind randomized controlled trial (RCT) enrolled caregivers of preschool children aged 3–5 years identified as being at risk for ADHD using the Thai ADHD Screening Scales (THASS). Participants were randomly assigned to either a culturally adapted group-based PMT intervention or an educational materials control condition. Outcomes were assessed at baseline, 2 weeks, and 6 weeks using standardized caregiver-reported measures. Primary efficacy analyses were conducted using generalized estimating equations (GEE) to account for correlations between repeated outcome measurements over time.Results: The intervention group demonstrated significant reductions in ADHD symptoms (Cohen’s d>1.2; P},
issn = {2224-4344}, url = {https://tp.amegroups.org/article/view/155998}
}