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Paediatric Attention Deficit Hyperactivity Disorder: Evaluation of 1-2-3 Magic Programme online in the United Kingdom

Wong, Kirstie Hannah Tin Wun; (2024) Paediatric Attention Deficit Hyperactivity Disorder: Evaluation of 1-2-3 Magic Programme online in the United Kingdom. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder affecting 3-9% of UK children. National Institute for Health and Care Excellence guidelines suggests behavioural parenting training to be the first line of treatment for a child’s ADHD diagnosis. The National Health Service recommends the 1-2- 3 Magic programme, however no formal evaluation of its effectiveness, specifically online delivery has been conducted.// AIMS: This PhD aims to investigate the effectiveness of 1-2-3 Magic in the UK.// METHODS AND ANALYSIS: This thesis delves into the efficacy of the 1-2-3 Magic Parenting Programme through three interconnected studies. The first conducts a meta-analysis of 1-2- 3 Magic studies, discerning overall efficacy and research gaps. The second explores the programme's impact on parental self-efficacy through retrospective analysis. The third employs a rigorous UK-based randomised controlled trial (RCT), evaluating 1-2-3 Magic's online effectiveness on parenting practices and child behaviour.// RESULTS: The meta-analysis and RCT both found an improvement in Child problem behaviour scores post 1-2-3 Magic intervention as measured through Eyberg’s Child Behaviour Inventory-Intensity (ECBI-I). The retrospective data analysis and the RCT both found an improvement in A Tool to Measure Parent self-efficacy (TOPSE) scores. The main results from the RCT indicated that all outcome measures improved immediately post intervention, [TOPSE score mean difference (MD)= 43.3, p<0.001], [ECBI-I score MD= 18.6, p<0.001], [ECBI-P MD= 6.5, p<0.001] with effects maintained up to 12 months.// CONCLUSION: Together, these studies provide a comprehensive understanding of the programme's impact, offering valuable insights for future research and informing parenting interventions on a broader scale. To conclude, 1-2-3 Magic was associated with a reduction in child problem behaviours and improved parent’s self-efficacy, maintained up to 12 months. These results contribute to the understanding of the effectiveness of 1-2-3 Magic delivered online in improving outcomes for families with ADHD children and inform the development of evidence-based interventions in the field

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Paediatric Attention Deficit Hyperactivity Disorder: Evaluation of 1-2-3 Magic Programme online in the United Kingdom
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2024. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10190445
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