Effect of new forest parenting programe in children with attention deficit hyperactivity disorder
Objective To investigate the feasibility and effectiveness of New Forest Parenting Program(NFPP)in the intervention of children with attention deficit hyperactivity disorder(ADHD),in order to provide evidence for non-pharmacological treatments for ADHD.Methods A total of 45 children aged 6 to 9 years diagnosed with ADHD at a tertiary hospital in Liuzhou from February to October 2023,along with their primary caregivers,were selected as subjects and were divided into control group(n=24)and intervention group(n=21)based on informed consent.The control group received routine health education,while the intervention group participated in weekly NFPP sessions for 8 weeks additionally.The SNAP-Ⅳ rating scale,Strengths and Difficulties Questionnaire(SDQ),and Weiss Functional Impairment Rating Scale-Parent(WFIRS-P)were used to assess core symptoms and social functional impairment before and after the intervention in both groups.Results Ultimately,18 participants in the intervention group and 23 in the control group completed the intervention and follow-up.Before the intervention,there were no statistically significant differences in scores on the SNAP-Ⅳ,SDQ,and WFIRS-P scales between the intervention and control groups(P＞0.05).After 8 weeks of intervention,the intervention group had significantly lower scores than the control group on the SNAP-Ⅳ for inattention(Z=-2.232),hyperactivity/impulsivity(t=-3.598),and oppositional defiance(t=-2.053),with all scores also lower than pre-intervention levels(P＜0.05).Similarly,the intervention group scored lower on the SDQ for conduct problems(Z=-2.513)and hyperactivity problems(Z=-3.719),as well as the total difficulties score(Z=-3.231)compared to the control group,with all six dimensions scoring lower than post-intervention(P＜0.05).Scores on the WFIRS-P for family(Z=-2.332),school and learning(t=-10.734),life skills(Z=-3.667),self-management(t=-3.471),and the total WFIRS-P score(t=-5.251)were significantly lower in the intervention group than in the control group and pre-intervention(P＜0.05).Conclusion The NFPP program effectively improves core symptoms of ADHD and reduces associated social functional impairment.
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