{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:52:55Z","timestamp":1782841975036,"version":"3.54.5"},"reference-count":54,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"\n Background<\/jats:title>\n Parenting programs have proven effective in improving the behavior of\n children with attention-deficit\/hyperactivity disorder (ADHD). However,\n barriers such as job and transportation constraints hinder parents from\n attending face-to-face therapy appointments. The COVID-19 pandemic has\n further exacerbated these challenges.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to develop and test the feasibility of a social media\u2013based parenting program for parents of children with ADHD, considering both the pre-existing challenges faced by parents and the additional barriers imposed by the COVID-19 pandemic.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study used a 5-stage design thinking process, encompassing empathizing with parents, defining their needs, ideating innovative solutions, prototyping the program, and testing the program with parents. Qualitative interviews were conducted with 18 parents of children with ADHD to understand their unique needs and values. Brainstorming techniques were used to generate creative ideas, leading to the creation of a prototype that was tested with 32 parents. Participants\u2019 engagement with the program was measured, and posttraining feedback was collected to assess the program\u2019s effectiveness.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Parents of children with ADHD encounter specific challenges, including managing impulsive behavior and difficulties in emotion regulation. The social media\u2013based parenting program was delivered through the LINE app (Line Corporation) and consisted of 7 modules addressing topics related to ADHD management and effective parenting strategies. The program exhibited a high completion rate, with 84% (27\/32) of participants successfully finishing it. Program provider\u2013participant interaction peaked during the first week and gradually decreased over time. Qualitative feedback indicated that the program was feasible, accessible, and well received by participants. The LINE app was found to be convenient and helpful, and participants preferred content delivery once or twice per week, expressing acceptance for various content formats.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study emphasizes the significance of adopting a human-centered design thinking approach to develop parenting programs that cater to the unique needs and values of parents. By leveraging social media platforms, such as LINE, a parenting program can overcome the challenges posed by the COVID-19 pandemic and other constraints faced by parents. LINE offers a viable and feasible option for supporting parents of children with ADHD, with the potential for customization and widespread dissemination beyond the pandemic context.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/48201","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T11:58:34Z","timestamp":1686657514000},"page":"e48201","source":"Crossref","is-referenced-by-count":7,"title":["Using a Design Thinking Approach to Develop a Social Media\u2013Based Parenting Program for Parents of Children With Attention-Deficit\/Hyperactivity Disorder: Mixed Methods Study"],"prefix":"10.2196","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4753-1122","authenticated-orcid":false,"given":"Umaporn","family":"Yam-Ubon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9907-6106","authenticated-orcid":false,"given":"Therdpong","family":"Thongseiratch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"publisher","first-page":"e994","DOI":"10.1542\/peds.2014-3482","article-title":"Prevalence of attention-deficit\/hyperactivity disorder: a systematic review and meta-analysis","volume":"135","author":"Thomas","year":"2015","journal-title":"Pediatrics"},{"issue":"3","key":"ref2","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1192\/bjp.2018.97","article-title":"Young adult mental health and functional outcomes among individuals with remitted, persistent and late-onset ADHD","volume":"213","author":"Agnew-Blais","year":"2018","journal-title":"Br J Psychiatry"},{"issue":"1","key":"ref3","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1111\/j.1365-2648.2008.04853.x","article-title":"Mothers' experiences of parenting a child with attention deficit hyperactivity disorder","volume":"65","author":"Peters","year":"2009","journal-title":"J Adv Nurs"},{"issue":"6","key":"ref4","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1111\/j.1365-2214.2009.00938.x","article-title":"Attention deficit hyperactivity disorder in pre-school children: current findings, recommended interventions and future directions","volume":"35","author":"Daley","year":"2009","journal-title":"Child Care Health Dev"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"S58","DOI":"10.1097\/DBP.0000000000000781","article-title":"The Society for Developmental and Behavioral Pediatrics clinical practice guideline for the assessment and treatment of children and adolescents with complex attention-deficit\/hyperactivity disorder: process of care algorithms","volume":"41 Suppl 2S","author":"Barbaresi","year":"2020","journal-title":"J Dev Behav Pediatr"},{"issue":"3","key":"ref6","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1007\/s10567-008-0033-0","article-title":"A comprehensive meta-analysis of Triple P-Positive Parenting Program using hierarchical linear modeling: effectiveness and moderating variables","volume":"11","author":"Nowak","year":"2008","journal-title":"Clin Child Fam Psychol Rev"},{"issue":"3","key":"ref7","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s00787-021-01735-4","article-title":"Which factors determine clinicians' policy and attitudes towards medication and parent training for children with attention-deficit\/hyperactivity disorder?","volume":"31","author":"Dekkers","year":"2022","journal-title":"Eur Child Adolesc Psychiatry"},{"issue":"2","key":"ref8","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.jaac.2018.07.900","article-title":"Meta-analyses: key parenting program components for disruptive child behavior","volume":"58","author":"Leijten","year":"2019","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"6","key":"ref9","doi-asserted-by":"publisher","first-page":"1970","DOI":"10.1111\/cdev.13051","article-title":"Are relationship enhancement and behavior management \"the golden couple\" for disruptive child behavior? 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