Clinical Outcomes and Parents’ Life Congruence of Children with Attention Deficit-Hyperactive Disorder after Satir Model Based Psychoeducational Program

Abstract

Objective : To compare clinical symptoms and medical compliance of children with attention
deficit/hyperactive disorder (ADHD), and life congruence of parents between parents who
attended the psychoeducational program based on the Satir Model and those who attended
the standard education program
Methods : A randomized controlled trial design was applied in this study. Samples were
parents of children with ADHD. The experimental group consisted of 34 parents who attended
the Psychoeducational Program Based on the Satir Model. The control group consisted of 34
parents who attended the standard education program. The research instruments were the
Swanson, Nolan, and Pelham IV Scale (SNAP-IV Parent version), Patient drug compliance
questionnaire, Life Congruence Scale, and Parenting Stress Index-4-SF.
Results : The clinical symptoms and drug compliances of children in the experiment group
were better than the control group at both 3 month follow-up (mean difference = -14.29) and
6 month follow-up (mean difference = -15.24). Patient drug compliances in the experimental
group were better than the control group at the end of the program (mean difference = 8.23)
and at 6 month follow-up (mean difference = 8.23). Parents in the experimental group showed
better results on the Life Congruence Scale than the control group at 1 month follow-up (mean
difference = 11.17) and 3 month follow-up (mean difference = 12.84), and also reported lower
stress score than control group at 6 month follow-up (mean difference = -12.44).
Conclusion : Providing the psychoeducational program based on the Satir Model to parents of
children with ADHD helped them to be more congruent and less stressful, which consequently
improved clinical symptoms and medical compliance of their children. This psychoeducational
program should be considered to be integrated in routine services to clients in child and
adolescent psychiatric hospitals.