META-ANALISIS: INTERVENSI BERBASIS PARENT TRAINING UNTUK MENINGKATKAN EFIKASI KOMPETENSI PARENTING ORANGTUA DENGAN ANAK ADHD

Authors

  • Alisha Rahmadaniar Ilahude
  • Ananta Yudiarso

DOI:

https://doi.org/10.51353/inquiry.v15i02.1000

Keywords:

Parent training, Kompetensi Orangtua, ADHD, Attention-Deficit/hyperactivity disorder, meta-analisis

Abstract

Penelitian ini bertujuan untuk memaparkan hasil dari meta-analisis dari efektivitas program intervensi berbasis Parent Training (PT) terhadap peningkatan efikasi kompetensi orangtua untuk menghadapi dan mengelola perilaku gejala ADHD anak yang mengganggu. PT merupakan alternatif intervensi yang terbukti efektif bagi anak-anak dengan diagnosa ADHD, namun dampaknya pada kompetensi orangtua patut dipertanyakan khususnya posisi orangtua sebagai pendamping anak dan fungsi mereka sebagai keluarga. Meta analisis ini mencakup sebanyak total partisipan 1434 dari 11 jurnal penelitian dengan hasil medium effect size (Hedges g) 0.398 (95% Cl = 0.292 hingga 0.503) untuk efektivitas PT terhadap efikasi kompetensi orangtua dalam mengelola perilaku gejala ADHD anak yang mengganggu tidak cukup signifikan.

References

Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of Abnormal Child Psychology, 21(5), 581–596. https://doi.org/10.1007/BF00916320

Au, A., Lau, K. M., Wong, A. H. C., Lam, C., et al. (2014). The efficacy of a group triple P (Positive parenting program) for Chinese parents with a child diagnosed with ADHD in Hong Kong: A pilot randomised controlled study. Australian Psychologist, 49(3), 151–162. https://doi.org/10.1111/ap.12053

Barkley, R. A. (2015). Attention-deficit/hyperactivity disorder: A handbook for diagnosis and treatment (4th ed). New York, NY: Guilford Press.

Chacko, A., & Scavenius, C. (2018). Bending the Curve: A Community-Based Behavioral Parent Training Model to Address ADHD-Related Concerns in the Voluntary Sector in Denmark. Journal of Abnormal Child Psychology, 46(3), 505–517. https://doi.org/10.1007/s10802-017-0310-9

Daley, D., & O’Brien, M. (2013). A small-scale randomized controlled trial of the self-help version of the New Forest Parent Training Programme for children with ADHD symptoms. European Child and Adolescent Psychiatry, 22(9), 543–552. https://doi.org/10.1007/s00787-013-0396-8

Dekkers, T. J., Hornstra, R., van der Oord, S., Luman, M., et al. (2021). Meta-analysis: Which Components of Parent Training Work for Children With Attention-Deficit/Hyperactivity Disorder? www.jaacap.org

Doffer, D. P. A., Dekkers, T. J., Hornstra, R., van der Oord, S., Luman, M., Leijten, P., Hoekstra, P. J., van den Hoofdakker, B. J., & Groenman, A. P. (2023). Sustained improvements by behavioural parent training for children with attention-deficit/hyperactivity disorder: A meta-analytic review of longer-term child and parental outcomes. JCPP Advances, 3(3), e12196. https://doi.org/10.1002/jcv2.12196

Dose, C., Hautmann, C., Bürger, M., Schürmann, S., Döpfner, M. (2021). Negative Parenting Behavior as a Mediator of the Effects of Telephone Assisted Self-Help for Parents of Pharmacologically Treated Children with Attention-Deficit/Hyperactivity Disorder. Eur Child Adolesc Psychiatry, 30, 861-875

DuPaul, G. J., Kern, L., Belk, G., Custer, B., Daffner, M., Hatfield, A., & Peek, D. (2018). Face-to-Face Versus Online Behavioral Parent Training for Young Children at Risk for ADHD: Treatment Engagement and Outcomes. Journal of Clinical Child and Adolescent Psychology, 47(sup1), S369–S383. https://doi.org/10.1080/15374416.2017.1342544

Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629-634.

Evans, S. W., Owen, J. S., Wymbs, B. T., Ray., A. R. (2018). Evidence-Based Psychosocial Treatments for Children and Adolescents with Attention-Deficit/Hyperactivity Disorder. Journal of Clinical Child Adolescent Psychology, 47, 157-198

Iadarola, S., Levato, L., Harrison, B., Smith, T., et al. (2018). Teaching Parents Behavioral Strategies for Autism Spectrum Disorder (ASD): Effects on Stress, Strain, and Competence. Journal of Autism and Developmental Disorders, 48(4), 1031–1040. https://doi.org/10.1007/s10803-017-3339-2

Lange, A. M., Daley, D., Frydenberg, M., Houmann, T., et al. (2018). Parent Training for Preschool ADHD in Routine, Specialist Care: A Randomized Controlled Trial. Journal of the American Academy of Child and Adolescent Psychiatry, 57(8), 593–602. https://doi.org/10.1016/j.jaac.2018.04.014

Larsen, L. B., Daley, D., Lange, A. M., Sonuga-Barke, E., Thomsen, P. H., & Rask, C. U. (2021). Effect of Parent Training on Health-Related Quality of Life in Preschool Children With Attention-Deficit/Hyperactivity Disorder: A Secondary Analysis of Data From a Randomized Controlled Trial. Journal of the American Academy of Child and Adolescent Psychiatry, 60(6), 734-744.e3. https://doi.org/10.1016/j.jaac.2020.04.014

Lee, Pei-chin., Niew, Wern-ing., Yang, Hao-jan., Chen, Vincent Chin-hung., Lin, Keh-chung. (2012) A Meta-Analysis of Behavioral Parent Training for Children with Attention Deficit Hyperactivity Disorder. Research in Developmental Disabilities, 33(2012), 2040–2049. https://doi.org/10.1016/j.ridd.2012.05.011

Mah, J. W. T., Murray, C., Locke, J., & Carbert, N. (2021). Mindfulness-Enhanced Behavioral Parent Training for Clinic-Referred Families of Children With ADHD: A Randomized Controlled Trial. Journal of Attention Disorders, 25(12), 1765–1777. https://doi.org/10.1177/1087054720925882

Murray, Desiree W., Lawrence, Jacqueline R., Laforett, Doré R. (2018). The Incredible Years Programs for ADHD in Young Children: A Critical Review of the Evidence. Journal of Emotional and Behavioral Disorders, 26(4), 196–208. https://doi.org/10.1177/1063426617717740

Nobel, E., Hoekstra, P. J., Agnes Brunnekreef, J., Messink-de Vries, D. E. H., et al. (2020). Home-based parent training for school-aged children with attention-deficit/hyperactivity disorder and behavior problems with remaining impairing disruptive behaviors after routine treatment: a randomized controlled trial. European Child and Adolescent Psychiatry, 29(3), 395–408. https://doi.org/10.1007/s00787-019-01375-9

Rimestad, M. L., Lambek, R., Zacher Christiansen, H., & Hougaard, E. (2019). Short- and Long-Term Effects of Parent Training for Preschool Children With or at Risk of ADHD: A Systematic Review and Meta-Analysis. In Journal of Attention Disorders (Vol. 23, Issue 5, pp. 423–434). SAGE Publications Inc. https://doi.org/10.1177/1087054716648775

Sterne, J. A. C., & Egger, M. (2001). Funnel plots for detecting bias in meta-analysis: Guidelines on choice of axis. Journal of Clinical Epidemiology, 54(10), 1046-1055.

Sonuga-Barke, E. J. S., Daley, D., Thompson, M., et al. (2001a). Parent-based therapies for preschool attention-deficit/hyperactivity disorder: A randomized, controlled trial with a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 40(4), 402–408. https://doi.org/10.1097/00004583-200104000-00008

Sonuga-Barke, E. J. S., Thompson, M., Daley, D., & Laver-Bradbury, C. (2004). Parent training for attention deficit/hyperactivity disorder: Is it as effective when delivered as routine rather than as specialist care? British Journal of Clinical Psychology, 43(4), 449–457. https://doi.org/10.1348/0144665042388973

Stattin, H., Enebrink, P., Özdemir, M., & Giannotta, F. (2015). A national evaluation of parenting programs in Sweden: The short-term effects using an RCT effectiveness design. Journal of Consulting and Clinical Psychology, 83(6), 1069–1084. https://doi.org/10.1037/a0039328

van der Oord, S., Tripp, G. (2020). How to Improve Behavioral Parent and Teacher Training for Children with ADHD: Integrating Empirical Research on Learning and Motivation into Treatment. Clinical Child Family Psychology Review, 23, 577-604.

Published

2024-12-03