Evidence map›Paper›PMID 40859158›Full record

Trial reportBMC psychiatry2025

Parent training tailored for parents with ADHD: a randomized controlled trial.

Therese Lindström, Sofia Buddgård, Lena Westholm, Martin Forster, Sven Bölte, Tatja Hirvikoski

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06040996 (A Randomized Controlled Trial of Improving Parenting Skills Adult ADHD), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06040996 naunknown statusnot on this map

A Randomized Controlled Trial of Improving Parenting Skills Adult ADHD (IPSA): A New Parent Training Program for Parents Who Themselves Have ADHD

TypeinterventionalSponsorKarolinska InstitutetRan2019 to 2024Enrolled109ConditionsParenting, Adult ADHD, Parent-Child Relations, Child Behavior ProblemArmsImproving Parenting Skills adult ADHD (IPSA), Continued Routine Services
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Therese LindströmCenter of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden. therese.lindstrom@ki.se.
Sofia BuddgårdCenter of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden.
Lena WestholmCenter of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden.
Martin ForsterDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Sven BölteCenter of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden.
Tatja HirvikoskiCenter of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Centre for Psychiatry Research, Karolinska Institutet and Region Stockholm, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParents who themselves have Attention-Deficit/Hyperactivity Disorder (ADHD) tend to benefit less from conventional parent training (PT) interventions than parents without ADHD, reporting suboptimal effects on both parenting-related outcomes and child externalizing or oppositional behaviors. Therefore, we examined the efficacy of a PT protocol tailored to adults with ADHD called Improving Parenting Skills Adult ADHD (IPSA), using a randomized controlled trial design.

methodsN = 109 self-referred parents with ADHD who had a child with or without ADHD aged 3 to 11 years were randomized to receive IPSA in addition to their routine services (n = 55) or to a comparison group continuing their routine services only (n = 54). Parent-reports of parental self-efficacy (primary outcome), parental stress, home chaos, and externalizing child behaviors (secondary outcomes) were collected pre and post IPSA, as well as at follow-up one and a half to three months later. The primary analyses were conducted according to the intention-to-treat principle, using linear mixed-effects models.

resultsThere was a larger pre-to-post increase in parental self-efficacy following IPSA compared to routine services only (Cohen's d = 0.85, p < .001), which remained at follow-up (d = 0.84, p < .001). In addition, we observed a pattern of pre-to-post change in the expected direction across the study's secondary outcomes (post intervention d = -0.39 to -0.71), including reductions in parental ratings of child externalizing behaviors. Forty-seven (96%) of the 49 parents who started IPSA completed the program, without signs of unintended harm.

conclusionsThe IPSA PT program effectively and safely supported parents with ADHD in improving their parental self-efficacy. However, the long-term stability of the program's effect requires further investigation, as does its effectiveness in a regular health care or social services context.

trial registrationThe study was retrospectively registered during data collection, before analyses (clinicaltrials.gov, ID NCT06040996, 28/08/2023).

Indexed as

Attention Deficit Disorder with HyperactivityParentingParentsAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedSelf EfficacyADHD adaptationExternalizing behaviorsParental ADHDParenting intervention efficacyParent training intervention

Identifiers

PMID40859158
PMCPMC12379403

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.