Triple P forADHD Children's Mothers, Education of Behavioral Problems, and Change in Mothers' Attitude

Palestine Polytechnic University67 enrolled

Overview

The goal of this clinical trial is to investigate whether the Triple P program will reduce behavioral problems for ADHD children, improve mothers' sense of competency, and improve their attitudes The main questions it aims to answer are: 1 . What is the feasibility and cultural acceptability of implementing the Triple P program within the Palestinian context? 2. Does the Triple P program promote positive attitudes towards managing ADHD among mothers in Palestine? 3. How does the Triple P program affect the maternal sense of competency among mothers in Palestine? 4. Does the Triple P program delivery affect reducing children's ADHD behavioural symptoms? Participants : took the triple p strategies, and the control will not Outcome measures will be evaluated pre- and post-intervention

Mothers of children with ADHD are included; children with other mental health disorders or combined types of autism are excluded. The sample was taken from mental health clinics with children diagnosed with ADHD, aged 6-12 years old.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

ADHD, Predominantly Hyperactive - Impulsive Behavior Problems, Child

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 Years

Medical Language ↔ Plain English

The inclusion criteria: 1. having a child aged 6 - 13 years with an ADHD diagnosis 2. attending a child mental health clinic 3. No participation with another professional agency to receive parental support for mothers. The exclusion criterion : 1. having a child with ADHD combined with neurological disorders 2. known medical conditions, severe aggression, intellectual disability, psychosis, and bipolar disorder. 3. children with ADHD older than 12 or younger than 6 years

Outcomes

Primary Outcomes

SDQ: Strengths and Difficulties Questionnaire SDQ

The Strengths and Difficulties Questionnaire (SDQ) is a validated behavioral screening tool that assesses emotional and behavioral difficulties in children through 25 items grouped into five subscales: Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention, Peer Relationship Problems, and Prosocial Behavior. Each subscale includes 5 items scored from 0 to 2, resulting in subscale scores ranging from 0 to 10. Higher scores on the first four subscales indicate greater difficulties, while higher scores on the Prosocial Behavior subscale reflect better social functioning. A Total Difficulties Score (the lowest is 0 and the highest is 40) is calculated by summing the four difficulties subscales, with higher scores indicating more behavioral problems. Scores are reported as mean ± standard deviation, with higher total or subscale scores indicating worse outcomes for difficulties and better outcomes for prosocial behavior (Goodman, 1997; Stone et al., 2010)

Time frame: Pre (Baseline) intervention and Post (12 months)

Secondary Outcomes

Parenting Scale

The Parenting Scale - Short Version is a brief 7-item parent-report tool designed to assess dysfunctional parenting discipline styles. It measures two core constructs: Laxness (4 items): Reflects permissive discipline and inconsistent enforcement of rules. Overreactivity (3 items): Captures harsh, irritable, or angry responses to child misbehavior. Each item is rated on a 7-point Likert-type scale, ranging from 1 (effective discipline) to 7 (ineffective discipline). Scores are computed as follows: Subscale Scores: Laxness score: Mean of 4 items (range: 1.0-7.0) higher scores mean worse it should not exceed 4 Over reactivity score: Mean of 3 items (range: 1.0-7.0) higher scores are worse , cutoff is 4 Total Score: Mean of all 7 items (range: 1.0-7.0)

Time frame: "Pre (Baseline)"intervention and "Post (12 months)")

PSOC: Parenting Sense of Competence PSOC Scale

The Parenting Sense of Competence (PSOC) scale (Gibaud-Wallston \& Wandersman, 1978) is a 17-item self-report instrument assessing parents' perceived competence in their parenting role. Each item is rated on a 6-point Likert scale (1 = strongly disagree to 6 = strongly agree) . Possible Score Range: 16 to 96 Interpretation of Range: High Total Score (e.g., 75+): Generally indicates a positive, adaptive parenting self-concept. Low Total Score (e.g., below 50): Indicates significant parenting distress and is a red flag for needed support. * with higher scores indicating greater parenting efficacy and satisfaction"