[P3-6] Summer treatment program (STP) for children with ADHD: Efficacy comparison between 2weeks STP and 1week STP
[Introduction] The only evidence- based, child-focused intervention is intensive summer treatment programs (STP). We have reported the efficacy of 2 weeks STP, however the efficacy of 1 week STP is unknown. The purpose of this study is to compare the efficacy of 2 weeks STP and 1 week STP.
[Method] The total of 139 school children with ADHD participated in STP during August, 2010-16; 2wks STP (2010-14, n=104), 1week STP (2015-16, n=35). STP intervention components included a reward and response-cost point system, time-out, use of antecedent control and praise and reward for appropriate behavior. We evaluated behavioral changes demonstrated by improvement in points earned and lost daily. ADHD Rating Scale (RS)-IV-J, Impairment Rating Scale (IRS) and Child Behavior Checklist (CBCL) were evaluated by mothers before (July) and twice after STP (September, December). Ten children with missing data and 6 children with excessive tome-outs were excluded from the analysis.
[Results] There were no differences in age, IQ between the 2weeks STP and 1week STP group. Both group showed significant improvement in points earned and lost daily in the first week (p<.01). ADHD-RS and IRS significantly improved after STP in both groups (p<.01). Internalizing symptoms in CBCL did not improve in both groups, however Externalizing symptoms significantly improved only in 2wks STP (p<.01).
[Conclusion] The short-term efficacy seemed to be similar in 2 groups. Follow-up study with more 1week STP participants is necessary.
[Method] The total of 139 school children with ADHD participated in STP during August, 2010-16; 2wks STP (2010-14, n=104), 1week STP (2015-16, n=35). STP intervention components included a reward and response-cost point system, time-out, use of antecedent control and praise and reward for appropriate behavior. We evaluated behavioral changes demonstrated by improvement in points earned and lost daily. ADHD Rating Scale (RS)-IV-J, Impairment Rating Scale (IRS) and Child Behavior Checklist (CBCL) were evaluated by mothers before (July) and twice after STP (September, December). Ten children with missing data and 6 children with excessive tome-outs were excluded from the analysis.
[Results] There were no differences in age, IQ between the 2weeks STP and 1week STP group. Both group showed significant improvement in points earned and lost daily in the first week (p<.01). ADHD-RS and IRS significantly improved after STP in both groups (p<.01). Internalizing symptoms in CBCL did not improve in both groups, however Externalizing symptoms significantly improved only in 2wks STP (p<.01).
[Conclusion] The short-term efficacy seemed to be similar in 2 groups. Follow-up study with more 1week STP participants is necessary.