Parent-Educator Action Response for ADHD

(PEAR Trial)

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Ann & Robert H Lurie Children's Hospital of Chicago

Disqualifiers: Child age, No challenges, Language

Stay on Your Current Meds You can continue your current medications while participating

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 5

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new program called Parent-Educator Action Response (PEAR) to determine if it enhances collaboration between teachers and families in supporting children with ADHD and disruptive behavior. The trial aims to improve engagement in school-based interventions and refine the program for future use. Teachers or caregivers of preschoolers aged 2-5 with behavioral or social-emotional challenges may be suitable participants. Group sessions, led by a licensed psychologist, will include activities and handouts for guidance. As an unphased trial, this study offers participants the chance to contribute to innovative educational strategies that could benefit children with behavioral challenges.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that the PEAR intervention is safe for children with ADHD?

Research shows that the Parent-Educator Action Response (PEAR) program helps parents and teachers collaborate more effectively for children with ADHD. In similar programs, parents have successfully noticed changes in their child's ADHD symptoms, indicating the effectiveness of these programs.

PEAR is safe, involving group sessions with a licensed clinical psychologist that focus on discussion and interaction. Since no medications are involved, there is no concern about drug side effects. Participants generally find this type of program manageable.

The trial is in a phase called "Not Applicable," focusing on evaluating the program's effectiveness rather than testing new drugs. This suggests a low risk of negative effects. Overall, PEAR appears to be a safe option for families seeking better ADHD management. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Parent-Educator Action Response (PEAR) for ADHD because it takes a collaborative approach involving both parents and educators. Unlike the standard medical treatments that often focus solely on medication, PEAR integrates behavioral strategies in a group setting with guidance from a clinical psychologist. This approach aims to create a supportive environment where parents and educators can work together, using personalized activities and handouts to better manage ADHD symptoms in children. By fostering teamwork and consistent strategies across home and school, PEAR has the potential to improve outcomes beyond what medication alone can achieve.

What evidence suggests that the Parent-Educator Action Response (PEAR) is effective for improving engagement in ADHD interventions?

Research has shown that children with ADHD perform better in school when parents are actively involved, as they become less distracted. Training for parents has also effectively reduced symptoms of ADHD and oppositional defiant disorder (ODD). In this trial, participants will receive the Parent-Educator Action Response (PEAR) program, which builds on these findings by enhancing teamwork between teachers and families. Early studies suggest that PEAR helps families and teachers collaborate more effectively to manage ADHD and disruptive behaviors in children. This approach encourages parents and teachers to create stronger support systems for kids with attention difficulties. ^{1 6 7 8 9}

Are You a Good Fit for This Trial?

This trial is for children with ADHD or disruptive behaviors like Oppositional Defiant Disorder. It's designed to see if involving teachers and families more in school-based interventions helps these kids. To join, they must be experiencing such issues and have a teacher willing to participate.

Inclusion Criteria

Child has behavioral challenges in the classroom

Teacher participants must be fluent in English

I am fluent in either English or Spanish.

Exclusion Criteria

I am a caregiver and do not speak English or Spanish fluently.

Child does not have behavioral challenges

Teacher participants who are not fluent in English

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

PEAR Intervention

Participants complete PEAR, consisting of group sessions for caregivers and educators, followed by a caregiver-educator dyad meeting

4 weeks

3 group sessions, 1 dyad meeting

Daily Report Card Implementation

Teachers and parents implement the Daily Report Card and complete weekly reports on its use

8 weeks

Weekly check-ins

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

• Parent-Educator Action Response (PEAR)

Trial Overview The study is testing the Parent-Educator Action Response (PEAR) program alongside a Daily Report Card system. The aim is to enhance engagement from both educators and parents in managing children's behavioral problems at school.

How Is the Trial Designed?

Group I: PEAR intervention group Experimental Treatment 2 Interventions

All participants will receive the Daily Report Card plus PEAR. PEAR is delivered via group sessions in which participants will be guided through content with a licensed clinical psychologist and will complete activities and receive handouts for reference.

Who Is Running the Clinical Trial?

Ann & Robert H Lurie Children's Hospital of Chicago

Lead Sponsor

Trials

275

Recruited

5,182,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials

3,007

Recruited

2,852,000+

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT07203014

Pilot Test of Parent-Educator Action Response (PEAR) PEAR is a novel adjunctive intervention aimed at improving teacher and family implementation of classroom-based interventions for child ADHD ...

2. ichgcp.net ichgcp.net/amp/clinical-trials-registry/555163-parent-educator-action-response

PEAR Preschool Behavioral Support Program for ADHD and ... This clinical trial focuses on helping preschool children who struggle with attention difficulties and disruptive behaviors through an ...

3. taggs.hhs.gov taggs.hhs.gov/Detail/AwardDetail?arg_AwardNum=K23MH129575&arg_ProgOfficeCode=134

Award Information | HHS TAGGS Iteratively developing and testing a brief, engagement focused intervention for parents and educators: Parent Education Action Response (PEAR) ; Award Number: ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC8944944/

Examining the Effects of ADHD Symptoms and Parental ... (2009a) found that for children with ADHD, supportive parental involvement was associated with higher academic achievement through lower levels of inattention.

5. frontiersin.org frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1293244/full

Parent training for disruptive behavior symptoms in ... Parent training was effective in reducing symptoms of ADHD (p = 0.030) and ODD (p = 0.026) irrespective of modality (p = 1.000).

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12379403/

Parent training tailored for parents with ADHD: a randomized ... Parents completed primary and secondary outcome measures pre and post intervention, as well as at follow-up. At baseline, parents also rated ...

7. publications.aap.org publications.aap.org/pediatrics/article/113/6/1667/64310/How-Informative-Are-Parent-Reports-of-Attention

How Informative Are Parent Reports of Attention-Deficit ... Conclusion. Results suggest that parent reports are at least as sensitive to detecting change in ADHD symptoms as teacher reports in clinical trials that assess ...

8. sciencedirect.com sciencedirect.com/science/article/pii/S0891422225000745

Development of the Difficulties in Communicating with ... The results of this study confirm the psychometric properties of the proposed DCT-P-CADHD for assessing parents' difficulties in communicating with teachers ...

9. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC5878915/

Peer Inclusion in Interventions for Children with ADHD The open parent, teacher, and child ratings for 5 out of 6 outcomes were augmented by blinded ratings of school-based ADHD and oppositional/aggressive symptoms.