Parenting Cognitions and Treatment Beliefs as Predictors of Experience Using Behavioral Parenting Strategies in Families of Children With Attention-Deficit/Hyperactivity Disorder
Section snippets
Participants
Mothers who reported that their children had ADHD were recruited through community and school notices, from an ADHD clinic at a children's hospital, and from a registry of families interested in participating in research. Recruitment notices indicated that the research concerned mothers' attitudes and experience with children with ADHD and the treatment of this disorder, and that mothers would receive brief training in behavioral parenting strategies as part of participation. Of 134 families
Data analytic approach
The data were analyzed in six steps. First, mothers' previous treatment experiences and the variables in the model were examined descriptively. Second, data inspection and preliminary analyses were conducted to examine any missing data, multivariate outliers, and the distributions of all scores. Third, an exploratory factor analysis was performed to determine the latent construct of mothers' posttreatment experiences measured from the follow-up telephone interview asking about the mothers'
Discussion
The tested model linking parenting cognitions to treatment experience via intervening treatment beliefs was partially supported. Among mothers of children with ADHD, attributions for ADHD child behaviors were related to beliefs regarding the acceptability of BPT strategies, but neither of these variables predicted the mothers' experiences in using the strategies. Instead, mothers' parenting efficacy was related to their positive treatment experience via their beliefs regarding the likely
Acknowledgment
This research was funded by the Canadian Institutes of Health Research (MOP 77531). We thank the mothers and children who participated, and the research assistants and graduate students who assisted with the research.
References (60)
- et al.
A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder
Clinical Psychology Review
(2009) - et al.
Predicting treatment response for childhood attention-deficit/hyperactivity disorder: Introduction of a heuristic model to guide research
Applied and Preventive Psychology
(2006) - et al.
Acceptability of behavioral and pharmacological treatments for attention-deficit/hyperactivity disorder: Relations to child and parent characteristics
Behavior Therapy
(2008) - et al.
Engagement of families in treatment for childhood conduct problems
Behavior Therapy
(2003) - et al.
Parent-based therapies for preschool attention-deficit/hyperactivity disorder: A randomized, controlled trial with a community sample
Journal of the American Academy of Child and Adolescent Psychiatry
(2001) - et al.
Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: A randomized controlled study
Journal of the American Academy of Child and Adolescent Psychiatry
(2007) Nature and operation of attitudes
Annual Review of Psychology
(2001)Diagnostic and statistical manual of mental disorders
(2000)Amos for Windows: Analysis of moment structures. Version 3.5
(1995)Amos (Version 7.0) [Computer software]
(2006)
Amos 16.0 user's guide
Self-efficacy: Toward a unifying theory of behavioral change
Psychological Review
Examining the social validity of the FRIENDS treatment program for anxious children
Behaviour Change
Exploring help-seeking for ADHD symptoms: A mixed-methods approach
Harvard Review of Psychiatry
Mothers' and fathers' attributions and beliefs in families of girls and boys with attention-deficit/hyperactivity disorder
Child Psychiatry & Human Development
COPE: Large-group, community-based, family-centered parent training
Modeling the information preferences of parents of children with mental health problems: A discrete choice conjoint experiment
Journal of Abnormal Child Psychology
ADHD Rating Scale IV - Checklists, norms, and interpretation
The impact of nonnormality on full information maximum-likelihood estimation for structural equation models with missing data
Psychological Methods
The relative performance of full information maximum likelihood estimation for missing data in structural equation models
Structural Equation Modeling
Parent-child interaction therapy with behavior problem children: One and two year maintenance of treatment effects in the family
Child and Family Behavior Therapy
Maternal depressive symptomatology and parenting behavior: Exploration of possible mediators
Journal of Abnormal Child Psychology
Oppositional Defiant Disorder Rating Scale: Preliminary evidence of reliability and validity
Journal of Emotional and Behavioral Disorders
Parent cognitions as predictors of child treatment response in attention-deficit/hyperactivity disorder
Journal of Abnormal Child Psychology
Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification
Psychological Methods
Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives
Structural Equation Modeling
The Health Belief Model—A decade later
Health Education Quarterly
A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder
Archives of General Psychiatry
Cited by (30)
Resilience as a moderator between Objective and Subjective Burden among parents of children with ADHD
2020, Archives of Psychiatric NursingCitation Excerpt :Several studies explored the positive role of parental self-efficacy in promoting parent and child adjustment was detected in both clinical and non-clinical populations (see Jones & Prinz, 2005, for a review). In the context of ADHD research, perceived self-efficacy in parenting practices (Ardelt & Eccles, 2001; Bandura, 1997) was associated with higher expectations about the effectiveness of behavioral strategies suggested by clinicians to manage child conducts (Jiang, Gurm, & Johnston, 2014; Johnston, Mah, & Regambal, 2010). In the same vein, low parenting efficacy in fathers and low self-esteem in mothers were associated with worse child treatment outcome (Hoza et al., 2000).
Improved Parent Cognitions Relate to Immediate and Follow-Up Treatment Outcomes for Children With ADHD-Predominantly Inattentive Presentation
2018, Behavior TherapyCitation Excerpt :Similarly, Hoza et al.’s (2000) research from the largest multimodal treatment study of ADHD (MTA) showed that low pretreatment levels of maternal self-esteem and paternal self-efficacy were related to more negative treatment effects on child outcome. In addition, Johnston, Mah, and Regambal (2010) asked mothers of children with ADHD to complete a BPT session and then report on their strategy use 1 week later. Mothers with higher presession levels of parenting self-efficacy viewed these strategies as more effective, which predicted more positive follow-up experiences.
Do maternal attributions play a role in the acceptability of behavioural interventions for problem behaviour in children with autism spectrum disorders?
2013, Research in Autism Spectrum DisordersCitation Excerpt :They found that mothers who reported an overall pattern of more negative child-referent attributions (i.e., greater composites of child-referent internality, controllability, globality, and stability) were more likely to report high acceptability of parent-focused behavioural strategies (Johnston et al., 2010), even after controlling for other variables such as severity of inattentive symptoms. Nevertheless, similar to Williford et al. (2009), it is noteworthy that the measures of parental attributions used in Johnston et al.’s (2010) study only allowed an examination of an overall pattern of parental attributions, and thus it is unclear which attributional dimension was related to treatment acceptability. Amongst parents of children with ASD, Whittingham, Sofronoff, and Sheffield (2006) also conducted a study to explore the association between parental attributions and treatment acceptability of parent-focused behavioural strategies.
Parental Cognitions, Treatment Engagement, and Child Outcomes of ADHD Behavioral Treatment among Asian American Families
2024, Research on Child and Adolescent PsychopathologyProfiles of Parents’ Preferences for Delivery Formats and Program Features of Parenting Interventions
2023, Child Psychiatry and Human Development