The Effects of a Behavioral Modification Program on Attention Deficit Hyperactivity Disorder Behaviors in Children Aged 6–12 Years through Teacher and Parent Participation in Makham District, Chanthaburi Province
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Abstract
This quasi-experimental study utilized a one-group pretest-posttest design to examine the effects of a behavior modification program on attention-deficit behaviors in children aged 6–12 years in Makham District, Chanthaburi Province, Thailand. The participants included 26 children diagnosed with attention deficit hyperactivity disorder (ADHD), 9 homeroom teachers, and 26 parents. The 10-week intervention program was developed based on principles of behavior therapy, Skinner’s operant conditioning theory, and Bandura’s observational learning theory. Data were collected using a behavior assessment tool of inattention, hyperactivity, impulsivity, and oppositional defiant disorder. Statistical analysis was conducted using descriptive statistics and paired t-tests.
The findings revealed that, after participating in the Attention Deficit Hyperactivity Behavior Modification Program, children aged 6–12 years demonstrated a statistically significant reduction in ADHD-related behaviors at the .05 level, as assessed by both parents and classroom teachers. Significant improvements were observed in inattentive behavior (t = 3.21, 2.31; p = .002, .021), hyperactive or impulsive behaviors (t = 3.60, 3.77; p < .001), and oppositional behaviors (t = 2.84, 2.31; p = .005, .001).
These outcomes underscore the effectiveness of an integrative, school-family collaborative approach in enhancing children’s self-regulation and adaptive behavioral functioning. It is recommended that the health and education sectors collaborate to promote the implementation of such programs in primary schools through collaboration with mental health clinics and child psychiatry teams. Furthermore, the development of training curricula for teachers and parents is encouraged to enhance their knowledge, understanding, and skills in providing effective long-term care for children with ADHD.
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