{
  "abstract": "How much do you know about acceptance and commitment therapy (ACT)-based parenting programme (ACT-PAM)? Can a parenting programme (ACT-PAM) focusing on ACT be more effective than standard asthma care alone in improving asthma and behavioural outcomes in children and asthma and ADHD? Choung et al [JAMA Pediatr 2025;179;(8):846–856. doi:10.1001/jamapediatrics.2025.1313] have completed a randomised clinical trial of 118 parent–child dyads where ACT-PAM compared with standard asthma care led to significantly fewer asthma exacerbations requiring healthcare services, improved asthma control and reduced ADHD symptoms over 12 months relative to standard asthma care. What did they do? In this researcher-blinded randomised clinical trial taking place in a Hong Kong public hospital, 118 parents of children with asthma and comorbid ADHD were recruited. Those involved received either ACT-PAM plus standard asthma care as treatment as usual (TAU) or TAU alone. The intervention was six ACT-PAM group sessions focused on acceptance, mindfulness, value-based parenting and asthma management. What was the impact? In the 118 parent–child dyads (mean (SD) parent age, 40.3 (5.5) years; mean (SD) child age, 7.9 (2.2) years; 108 female parents (92%) and 31 female children (26%)), ACT-PAM plus TAU significantly reduced unscheduled healthcare visits compared with TAU alone (adjusted incidence rate ratio, 0.33; 95% CI, 0.19 to 0.55).",
  "authors": [
    {
      "affiliations": [],
      "name": "BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health"
    }
  ],
  "title": "Highlights from the literature",
  "uid": "3b5f5169-084d-52db-b89d-9b4460e07a21"
}