While preliminary, the results of this study have clinical implications for mental
health nurses who plan and implement interventions for families of children with
ADHD and other behavior disorders. Assessment and intervention in the home
setting may be the preferred and/or most appropriate modality for some families.
Advanced practice nurses are well qualified to work collaboratively with families
to assess the reinforcement function of their child’s problem behaviors and
design interventions that specifically address the environmental conditions (e.g.,
task demands, parent attention) that are maintaining these behaviors. Barriers to
participation in BPT such as scheduling, transportation, disability, child
involvement, and resistance may be mitigated when the nurse visits the family in
the home and actively engages the parents to participate. An individualized
assessment-based intervention protocol such as the one used in this study has
the potential to enhance treatment adherence and improve outcomes that are
durable for some families of children with ADHD.
While preliminary, the results of this study have clinical implications for mental
health nurses who plan and implement interventions for families of children with
ADHD and other behavior disorders. Assessment and intervention in the home
setting may be the preferred and/or most appropriate modality for some families.
Advanced practice nurses are well qualified to work collaboratively with families
to assess the reinforcement function of their child’s problem behaviors and
design interventions that specifically address the environmental conditions (e.g.,
task demands, parent attention) that are maintaining these behaviors. Barriers to
participation in BPT such as scheduling, transportation, disability, child
involvement, and resistance may be mitigated when the nurse visits the family in
the home and actively engages the parents to participate. An individualized
assessment-based intervention protocol such as the one used in this study has
the potential to enhance treatment adherence and improve outcomes that are
durable for some families of children with ADHD.
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