Universität zu Köln

Döpfner, M. ORCID: 0000-0002-7929-0463, Görtz-Dorten, A. ORCID: 0000-0002-5874-2520, Häge, A., Handermann, F., Sulprizio, L., Hellmich, M. ORCID: 0000-0001-5174-928X, Vogel, D. ORCID: 0000-0002-6360-4077, Ruhmann, M., Althen, H., Karus, M. and Banaschewski, T. ORCID: 0000-0003-4595-1144 (2025). Efficacy of a mobile-based self-directed parent management training for parents of children with attention-deficit/hyperactivity disorder with or without oppositional defiant disorder– a randomized controlled trial. European Child & Adolescent Psychiatry, 34 (12). pp. 3973-3985. Springer Nature. ISSN 1018-8827

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Abstract

Preliminary empirical evidence supports the efficacy of digital parent management training (d-PMT) in the treatment of externalizing behavior problems in children. This study investigated the efficacy of a mobile-based self-directed d-PMT for parents of children aged 4–11 years with attention-deficit/hyperactivity disorder (ADHD) with or without oppositional defiant disorder (ODD), and without pharmacological and/or behavioral therapy. Participants were randomized 1:1 to d-PMT (hiToco ® ) plus treatment as usual (TAU) or TAU only for 16 weeks. The primary outcome was a reduction of parent-rated externalizing problem behavior including symptoms of ADHD and ODD. Secondary outcomes included parent-rated ADHD symptoms only, ODD symptoms only, and functional impairment of the child as well as parenting behavior and family strain. Sixty-five participants were randomized to the dPMT + TAU group ( n = 34) or the TAU group ( n = 31). All children had a clinical diagnosis of ADHD; clinically diagnosed ODD was reported in 9 children (26.5%) in the d-PMT + TAU group and 13 children (42%) in the TAU group. The mean ± SD age of the children was 8.4 ± 1.7 years (69.2% boys). On average, participants used the program for 8 h in total. Regarding the primary outcome, significant treatment effects favoring the d-PMT + TAU group compared to the TAU group were observed at week 12 (W12) and W16 (Cohen’s d at W12: 0.74; at W16: 0.48). Post-hoc analyses showed that 50% of the children in the d-PMT + TAU group compared to 30% in the TAU group were reliably recovered or improved. Significant treatment effects in favor of the d-PMT + TAU group were also observed for all secondary variables. Our findings suggest that a mobile-based self-directed d-PMT for parents may play an important role in the multimodal treatment of children with ADHD in future clinical routine practice.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Döpfner, M. UNSPECIFIED https://orcid.org/0000-0002-7929-0463 UNSPECIFIED Görtz-Dorten, A. UNSPECIFIED https://orcid.org/0000-0002-5874-2520 UNSPECIFIED Häge, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Handermann, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sulprizio, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, M. UNSPECIFIED https://orcid.org/0000-0001-5174-928X UNSPECIFIED Vogel, D. UNSPECIFIED https://orcid.org/0000-0002-6360-4077 UNSPECIFIED Ruhmann, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Althen, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Karus, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaschewski, T. UNSPECIFIED https://orcid.org/0000-0003-4595-1144 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-802160
Identification Number:	10.1007/s00787-025-02799-2
Journal or Publication Title:	European Child & Adolescent Psychiatry
Volume:	34
Number:	12
Page Range:	pp. 3973-3985
Number of Pages:	13
Date:	27 December 2025
Publisher:	Springer Nature
ISSN:	1018-8827
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin Faculty of Medicine > Medizinische Statistik und Bioinformatik > Institut für Medizinische Statistik und Bioinformatik � IMSB
Subjects:	General statistics Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Attention-deficit/hyperactivity disorder ; Oppositional defiant disorder ; Parent management training ; Digital health application ; Digital therapeutic ; Randomized controlled trial English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/80216