{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:50:33Z","timestamp":1789498233713,"version":"build-2803163510"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2705201"],"award-info":[{"award-number":["2022YFC2705201"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the effects of an online health education lecture on the positive screening rate of attention-deficit\/hyperactivity disorder (ADHD) and parenting stress among parents of children diagnosed with or screened positive for ADHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using stratified proportional random cluster sampling, 14 primary schools in Chongqing were selected to conduct an online lecture about ADHD for parents and teachers. A total of 2,611 questionnaires were collected (1,508 intervention group, 1,103 control group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The lecture did not significantly affect the positive screening rate of ADHD (parents: \u03b2=-0.37, p=0.208; teachers: \u03b2=0.53, p=0.338); however, the positive screening rate increased post-intervention. Inattention scores were higher in the intervention group (\u03b2=0.42, p=0.040). Parents as primary caregivers were associated with lower ADHD symptom scores (\u03b2=-0.61, p=0.022). Lower parental education levels were associated with higher ADHD screening rates (\u03b2=0.49, p=0.039) and symptom scores (\u03b2=0.60, p=0.022). Teachers with 10-19 years of experience had higher positive screening rates (\u03b2=1.26, p=0.005) and symptom scores (\u03b2=2.60, p&amp;lt;0.001). The intervention did not affect parenting stress (Z=-1.413, p=0.158).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The lecture\u2019s effects were relatively weak, using questionnaires may have facilitated health communication. Individual characteristics of parents and teachers should be considered in assessments (ClinicalTrial.gov ID: NCT05231902).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1522263","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T06:42:13Z","timestamp":1738305733000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of online health education on attention-deficit\/hyperactivity disorder screening results and parenting stress among school-aged children"],"prefix":"10.3389","volume":"16","author":[{"given":"Jing","family":"Tan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxia","family":"Yi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianna","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Gong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(17)30167-0","article-title":"ADHD in children and young people: prevalence, care pathways, and service provision","volume":"5","author":"Sayal","year":"2018","journal-title":"Lancet Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","first-page":"11169","DOI":"10.1038\/s41598-018-29488-2","article-title":"The prevalence of attention deficit\/hyperactivity disorder among Chinese children and adolescents","volume":"8","author":"Liu","year":"2018","journal-title":"Sci Rep"},{"key":"B3","volume-title":"Analysis of the prevalence of and visits for attention deficit hyperactivity disorder in school-age children","author":"Han","year":"2012"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000025245","article-title":"Knowledge of attention-deficit hyperactivity disorder among the general public, parents, and primary school teachers","volume":"100","author":"See","year":"2021","journal-title":"Med (Baltimore)"},{"key":"B5","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1186\/s12888-021-03547-x","article-title":"Time of onset and\/or diagnosis of ADHD in European children: a systematic review","volume":"21","author":"Rocco","year":"2021","journal-title":"BMC Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1177\/1087054715618790","article-title":"Health care trajectories for children with ADHD in France: results from the QUEST survey","volume":"24","author":"Caci","year":"2016","journal-title":"J Attention Disord"},{"key":"B7","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1186\/s13034-021-00371-9","article-title":"Elementary school teachers knowledge and attitude towards attention deficit-hyperactivity disorder in Gondar, Ethiopia: a multi-institutional study","volume":"15","author":"Dessie","year":"2021","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)33004-1","article-title":"Attention-deficit hyperactivity disorder","volume":"395","author":"Posner","year":"2020","journal-title":"Lancet"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01868-6","article-title":"Examining the influence of irritability and ADHD on domains of parenting stress","volume":"32","author":"Flynn","year":"2021","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B10","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1037\/0893-3200.17.4.598","article-title":"Harsh parenting in relation to child emotion regulation and aggression","volume":"17","author":"Chang","year":"2003","journal-title":"J Fam Psychol"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1111\/cch.2013.39.issue-5","article-title":"How does psychoeducation help? A review of the effects of providing information about Tourette syndrome and attention-deficit\/hyperactivity disorder","volume":"39","author":"Nussey","year":"2013","journal-title":"Child Care Health Dev"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S88625","article-title":"Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms","volume":"11","author":"Bai","year":"2015","journal-title":"Neuropsychiatr Dis Treat"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1177\/1087054715626509","article-title":"A randomized controlled trial evaluating the efficacy of a psychoeducation program for families of children and adolescents with ADHD in the United Kingdom: results after a 6-month follow-up","volume":"24","author":"Ferrin","year":"2020","journal-title":"J Atten Disord"},{"key":"B14","doi-asserted-by":"publisher","first-page":"Cd003018","DOI":"10.1002\/14651858.CD003018.pub3","article-title":"Parent training interventions for Attention Deficit Hyperactivity Disorder (ADHD) in children aged 5 to 18 years","volume":"2011","author":"Zwi","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1070848","article-title":"Screening of ADHD symptoms in primary school students and investigation of parental awareness of ADHD and its influencing factors: A cross-sectional study","volume":"13","author":"Li","year":"2022","journal-title":"Front Psychol"},{"key":"B16","unstructured":"Yi\n              W\n            \n          \n          Chongqing, China\n          ChongQing Medical University\n          Prevalence of attention-deficit hyperactivity disorder symptoms and parenting stress of school-age children in Chongqing\n          \n          2022"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.13406\/j.cnki.cyxb.002162","article-title":"Application of four commonly used rating scales in diagnosis and follow-up management of children with attention deficit hyperactivity disorder","volume":"45","author":"Zhu","year":"2020","journal-title":"J Chongqing Med University"},{"key":"B18","unstructured":"Liu\n              R\n            \n          \n          Chongqing, China\n          ChongQing Medical University\n          Reliability and Validity of the Chinese Version of Vanderbilt Attention-deficit Hyperactivity Disorder Diagnostic Rating Scale: A Multi-Center Survey\n          \n          2022"},{"key":"B19","doi-asserted-by":"publisher","first-page":"174","DOI":"10.3969\/j.issn.1008-6579.2008.02.021","article-title":"The application of the Vanderbilt Parent Rating Scale in the clinical assessment of children with Attention Deficit Hyperactivity Disorder","author":"Zhang","year":"2008","journal-title":"Chin J Child Health Care"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2020.0159","article-title":"Effect of delayed-release and extended-release methylphenidate on caregiver strain and validation of psychometric properties of the caregiver strain questionnaire: results from a phase 3 trial in children with attention-deficit\/hyperactivity disorder","volume":"31","author":"L\u00f3pez","year":"2021","journal-title":"J Child Adolesc Psychopharmacol"},{"key":"B21","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1186\/s12888-016-1187-9","article-title":"Prevalence of attention deficit\/hyperactivity disorder among children and adolescents in China: a systematic review and meta-analysis","volume":"17","author":"Wang","year":"2017","journal-title":"BMC Psychiatry"},{"key":"B22","first-page":"2","volume-title":"The General Office of the CPC Central Committee and the General Office of the State Council issued the \u201cOpinions on Further Reducing the Homework Burden and Extracurricular Training Burden for Students in Compulsory Education.\u201d","year":"2021"},{"key":"B23","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s13052-018-0545-2","article-title":"ADHD prevalence estimates in Italian children and adolescents: a methodological issue","volume":"44","author":"Reale","year":"2018","journal-title":"Ital J Pediatr"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1480488","article-title":"Association between reported ADHD symptom and motor development delay in preschool children","volume":"12","author":"Cui","year":"2024","journal-title":"Front Pediatr"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1177\/0091217420982266","article-title":"Risk factors for ADHD and comorbid psychiatric, academic and behavior problems among primary school students in Jeddah, Saudi Arabia","volume":"56","author":"Al Zaben","year":"2021","journal-title":"Int J Psychiatry Med"},{"key":"B26","doi-asserted-by":"publisher","first-page":"997","DOI":"10.2147\/JMDH.S301091","article-title":"Attention deficit hyperactivity disorder (ADHD) and associated factors among first-year elementary school students","volume":"14","author":"Hoang","year":"2021","journal-title":"J Multidiscip Healthc"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2015.01.009","article-title":"Effectiveness of a telehealth service delivery model for treating attention-deficit\/hyperactivity disorder: a community-based randomized controlled trial","volume":"54","author":"Myers","year":"2015","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2012.0108","article-title":"A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD","volume":"19","author":"Xie","year":"2013","journal-title":"Telemed J E Health"},{"key":"B29","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1037\/bul0000309","article-title":"Testing (quizzing) boosts classroom learning: A systematic and meta-analytic review","volume":"147","author":"Yang","year":"2021","journal-title":"Psychol Bull"},{"key":"B30","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/j.jadohealth.2012.03.004","article-title":"ADHD knowledge, perceptions, and information sources: perspectives from a community sample of adolescents and their parents","volume":"51","author":"Bussing","year":"2012","journal-title":"J Adolesc Health"},{"key":"B31","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1038\/s41386-021-01137-9","article-title":"Development of prefrontal cortex","volume":"47","author":"Kolk","year":"2022","journal-title":"Neuropsychopharmacology"},{"key":"B32","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1038\/s41386-021-01132-0","article-title":"The role of prefrontal cortex in cognitive control and executive function","volume":"47","author":"Friedman","year":"2022","journal-title":"Neuropsychopharmacology"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2019.03.006","article-title":"Participating from homes and offices: Proof-of-concept study of multi-point videoconferencing to deliver group parent training intervention for attention-deficit\/hyperactivity disorder","volume":"41","author":"Shah","year":"2019","journal-title":"Asian J Psychiatr"},{"key":"B34","doi-asserted-by":"publisher","first-page":"100258","DOI":"10.1016\/j.invent.2019.100258","article-title":"A comparison of face-to-face and online training in improving managers\u2019 confidence to support the mental health of workers","volume":"18","author":"Gayed","year":"2019","journal-title":"Internet Interv"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000852","article-title":"Update on genetics of attention deficit\/hyperactivity disorder: current status 2023","volume":"36","author":"Kranz","year":"2023","journal-title":"Curr Opin In Psychiatry"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e08562","DOI":"10.1016\/j.heliyon.2021.e08562","article-title":"Factors moderating the link between early childhood non-parental care and ADHD symptoms","volume":"7","author":"Tong","year":"2021","journal-title":"Heliyon"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.2018.59.issue-3","article-title":"Attention-Deficit\/Hyperactivity Disorder (ADHD): Interaction between socioeconomic status and parental history of ADHD determines prevalence","volume":"59","author":"Rowland","year":"2018","journal-title":"J Child Psychol Psychiatry"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.758925","article-title":"Challenges and resilience-building: A narrative inquiry study on a mid-career Chinese EFL teacher","volume":"12","author":"Xue","year":"2021","journal-title":"Front Psychol"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.914205","article-title":"Burnout syndrome and lifestyle among primary school teachers: A Czech representative study","volume":"25","author":"Pt\u00e1\u010dek","year":"2019","journal-title":"Med Sci Monit"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1177\/0143034304043670","article-title":"Burnout among teachers","volume":"25","author":"Evers","year":"2016","journal-title":"School Psychol Int"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191710706","article-title":"Stress, burnout, anxiety and depression among teachers: A scoping review","volume":"19","author":"Agyapong","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B42","unstructured":"Yan\n              W\n            \n          \n          Shanghai, China\n          East China Normal University\n          A status and correlational study on ordinary primary school teachers\u2019 knowledge, approaches and efficacy in dealing with ADHD Students\n          \n          2022"},{"key":"B43","volume-title":"Health Communication","author":"Tian","year":"2019"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1522263\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T06:42:22Z","timestamp":1738305742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1522263\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,31]]},"references-count":43,"alternative-id":["10.3389\/fpsyt.2025.1522263"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2025.1522263","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,31]]},"article-number":"1522263"}}