Objective To explore the effect of combination of education with medical treatment for school-aged children with attention deficit hyperactivity disorder(ADHD),in order to provide theoretical evidence for the treatment of ADHD. Methods A random cluster sampling method was used to conduct ADHD screening in 9 295 children of grade 1 to 5 from 14 primary schools in Jiading District,Shanghai from January to December 2018,and 243 children were diagnosed with ADHD. The intervention group was given combination of education with medical treatment and medical treatment,while the control group received medical treatment. The two groups were both evaluated by Chinese version of Swan-son Nolan and Pelham,Version Ⅳ Scale-parent form(SNAP-Ⅳ) and Parent Stress Index(PSI) before intervention,after intervention and 6 months after follow up. Results A total of 105 children were included in the intervention group and 99 children in the control group in 6 months after follow up. Linear mixed-effect model analysis showed the difference on SNAP-Ⅳ scores(t=5.04,P=0.026) and PSI scores(t=6.49,P=0.012) were significant between the two groups after treatment. After six-year follow-up,there was significant difference on the SNAP-Ⅳ scores between the two groups(t=7.84,P=0.006),but no significant difference on the PSI scores(t=2.11,P=0.148). Conclusion Combination of education with medical treatment has improved the core symptoms of ADHD children,relived parental stress,and provided support for multimodal intervention in ADHD children.
Key words
attention deficit hyperactivity disorder /
combination of education with medical treatment /
multimodal intervention
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