Behavioral parent training for fathers of children with attention-deficit/hyperactivity disorder: Effectiveness of the intervention and a comparison of two formats
Fabiano, Gregory A
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Behavioral parent training (BPT) is an evidence-based treatment for attention-deficit/hyperactivity disorder (ADHD), yet no studies on the effectiveness of BPT for fathers of children with ADHD exist. Considering the entire literature on BPT for externalizing disorders, only six studies have explicitly studied father outcomes. There are a number of barriers to father participation in BPT, including barriers related to the structure and content of the BPT classes themselves as well as characteristics of fathers. The present study randomly assigned fathers to a traditional parent training class or a novel format that included interacting with the child in the context of sports activities. The overall effect of BPT compared to a group of fathers who did not receive an intervention was analyzed to document the effectiveness of BPT for fathers, and comparisons between traditional and novel BPT formats were conducted to determine whether the novel format was better than the traditional approach. Results indicated both parent training approaches were effective in reducing problematic child behavior and improving functioning relative to a group of fathers who did not receive BPT. The novel format conferred specific advantages including increased father and child attendance, homework compliance, and satisfaction with the program. These results are discussed in light of the current literature on effective treatments for ADHD, and the importance of including fathers in such treatments.