Effect of the Positive Parenting Program on children with attention-deficit/hyperactivity disorder

SONG Minglu; ZENG Zhentao; LUO Liu; LI Dexin; MAI Yiping; HUANG Qiao; CHEN Hong; CHEN Qiang; ZHOU Xiang; DU Yasong; LI Heyi

doi:10.11852/zgetbjzz2025-1322

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (6) : 619-624. DOI: 10.11852/zgetbjzz2025-1322

Special Column on Attention-Dificit/Hyperactivity Disorder

Effect of the Positive Parenting Program on children with attention-deficit/hyperactivity disorder

SONG Minglu¹, ZENG Zhentao¹, LUO Liu¹, LI Dexin¹, MAI Yiping¹, HUANG Qiao¹, CHEN Hong¹, CHEN Qiang¹, ZHOU Xiang¹, DU Yasong^1,2, LI Heyi¹

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Abstract

Objective To investigate the effects of the Positive Parenting Program (Triple P) on core symptoms and family functioning in children with attention-deficit/hyperactivity disorder (ADHD), in order to provide scientific evidence for the selection and optimization of clinical intervention strategies for children with ADHD. Methods A randomized controlled trial was conducted in 92 ADHD children aged 6 - 12 years, who were recruited from the outpatient clinic of Child Mental Health, Zhuhai Maternal and Child Health Hospital, between July 2023 and June 2024.The participants were randomly assigned to either the Triple P group (n=46) or the control group (n=46).The control group received routine treatment, while the intervention group received a 15-week Triple P parent training program additionally.SNAP-Ⅳ was used to assess core ADHD symptoms, and the Weiss Functional Impairment Rating Scale-Parent Form (WFIRS-P) was used to evaluate family functioning.Changes in core ADHD symptoms and family functioning before and after the intervention were compared between the two groups. Results There were no significant differences on the subscale scores and total score of WFIRS-P and SNAP-Ⅳ between the intervention group and control group before the intervention(P＞0.05).After the intervention, scores in the intervention group were significantly lower than those in the control group across several measures: the SNAP-Ⅳ total score(Z=-3.000, P=0.003), as well as the SNAP-Ⅳ subscale scores for inattention (Z=-2.435, P=0.015),hyperactivity/impulsivity (Z=-2.521, P=0.012) and oppositional defiance (Z=-2.084, P=0.037).Furthermore, the family domain score on the WFIRS-P scale was also significantly reduced in the intervention group (Z=-2.493, P=0.013). Conclusion When integrated with routine care, the Positive Parenting Program demonstrates superior efficacy in alleviating the core symptoms of ADHD, including inattention, hyperactivity/impulsivity, and oppositional defiance.Furthermore, the intervention is found to exert a significant protective effect on the children′s family functioning.

Key words

attention-deficit/hyperactivity disorder / Positive Pareroting Program / family-based intervention

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SONG Minglu, ZENG Zhentao, LUO Liu, LI Dexin, MAI Yiping, HUANG Qiao, CHEN Hong, CHEN Qiang, ZHOU Xiang, DU Yasong, LI Heyi. Effect of the Positive Parenting Program on children with attention-deficit/hyperactivity disorder[J]. Chinese Journal of Child Health Care. 2026, 34(6): 619-624 https://doi.org/10.11852/zgetbjzz2025-1322

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