Category: ADHD - Child


Recent Innovations to Improve Father Inclusion, Engagement, and Outcomes in ADHD Treatment

Saturday, November 18
1:45 PM - 3:15 PM
Location: Aqua Salon C & D, Level 3, Aqua Level

Keywords: ADHD - Child / Adolescent | Treatment Development | Parenting
Presentation Type: Symposium

Background:One understudied area in the ADHD treatment literature is the study of involvement and contribution to intervention efforts by fathers (e.g., Cassano, Adrian, Veits, & Zeman, 2006; Fabiano, 2007; Lee, 2006; Lee & Hunsley, 2006; Phares, 1996; Tiano & McNeil, 2005). The findings that fathers contribute to multiple aspects of positive child development are tempered by the continued report of low father involvement and engagement in treatment (Downer, 2007; Fabiano, 2007). These outcomes are concerning given that it is clear fathers experience impairment in parenting a child with ADHD (Schuhmann, et al., 1998; Fabiano et al., 2012) and that mothers report a need to increase consistency between co-parents to promote effective parenting (Arnold et al., 1997). Thus, fathers are currently a potentially under-utilized resource for promoting positive outcomes for students experiencing impairments due to ADHD.

In a program of research, the Coaching Our Acting Out Children: Heightening Essential Skills (COACHES; Caserta, et al., under review; Chacko, Fabiano et al., 2017; Fabiano et al., 2012; Fabiano et al., 2009) program has been investigated as an approach to engage and treat fathers of children with ADHD. A series of clinical trials have now been conducted, and they illuminate features of effective interventions for fathers of children with ADHD across the developmental spectrum. 

Methods and Results:The results of a marketing research study that investigated program parameters viewed as highly desired by mothers vs. fathers will be reviewed (Fabiano et al., 2016). Next, the results of four clinical trials focused on father engagement and outcomes will be briefly considered. Results across studies will be synthesized to promote the generation of recommendations for clinicians working with children with ADHD and their families. 

Conclusions:The COACHES program shows promise as a viable intervention for reducing negative and coercive parenting practices and improving parent-child interactions. In addition, it appears to be a feasible and effective means of increasing father involvement, an area in need of continued emphasis and study. 

Gregory A. Fabiano

Professor and Dean for InterInterdisciplinary Research
University of Buffalo


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Recent Innovations to Improve Father Inclusion, Engagement, and Outcomes in ADHD Treatment

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