Caregiver Strategies for ADHD

Overseen By Gwendolyn Lawson, PhD

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital of Philadelphia

Disqualifiers: Acute harm risk, Intellectual disability, others

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

Compensation: Varies

Number of Visits: Unknown

33 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of this study is to field pre-test an implementation strategy resource package that aims to support caregivers in using behavioral interventions for children with hyperactive, inattentive, or impulsive behaviors. Enrolled caregivers will be assigned to use the resource package with their children. The research team will collect quantitative and qualitative data regarding acceptability, appropriateness, and feasibility, in preparation for a randomized pilot study.

Will I have to stop taking my current medications?

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

What data supports the effectiveness of the treatment Caregiver Implementation Strategies Field Pre-Test for ADHD?

Research shows that programs helping parents of children with ADHD, like guided self-help and psychoeducation, can improve children's ADHD symptoms and overall behavior. These findings suggest that caregiver-focused strategies may also be effective in managing ADHD. ^{1 2 3 4 5}

How does the Caregiver Implementation Strategies Field Pre-Test treatment for ADHD differ from other treatments?

The Caregiver Implementation Strategies Field Pre-Test treatment is unique because it focuses on training caregivers to implement strategies for managing ADHD, rather than directly treating the child. This approach leverages community resources and non-professional support to improve parenting skills and reduce caregiver stress, which is different from traditional medical or therapeutic interventions that directly target the child's symptoms. ^{6 7 8 9 10}

Research Team

Gwendolyn M Lawson, PhD

Principal Investigator

Children's Hospital of Philadelphia

Eligibility Criteria

This trial is for caregivers of children showing hyperactive, inattentive, or impulsive behaviors which may be related to conditions like ADHD. Caregivers willing to use a new resource package and provide feedback on its usefulness are ideal candidates.

Inclusion Criteria

I am in grades K-5.

Nominated for participation by a school staff member

Identified by that staff member as displaying functional impairment from ADHD symptoms, as measured by a score of 3 or greater on the modified version of the Impairment Rating Scale.

Exclusion Criteria

Presents as in acute risk of harm to self or others, such that participation in the study is clinically inappropriate because the child warrants more intensive intervention

Special education classification of 'intellectual disability'

My family does not have a caregiver who speaks English, so I am not eligible.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Caregivers use the implementation strategy resource package with their children to support behavioral interventions

8 weeks

Ongoing support provided

Follow-up

Participants are monitored for acceptability, appropriateness, and feasibility of the intervention

4 weeks

Treatment Details

Interventions

• Caregiver Implementation Strategies Field Pre-Test

Trial Overview The study tests an 'Implementation Resource Package' designed for caregivers. It aims to help manage children's behavioral issues associated with ADHD. The effectiveness will be measured through caregiver feedback before moving on to a larger test.

Participant Groups

Group I: Caregiver Resource Package Experimental Treatment 1 Intervention

Caregiver in this group will receive an implementation resource support package and will receive support in using it.

Who Is Running the Clinical Trial?

Children's Hospital of Philadelphia

Lead Sponsor

Trials

749

Recruited

11,400,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials

3,007

Recruited

2,852,000+

Findings from Research

A study involving 136 families of children aged 6 to 12 with ADHD showed that a telephone-assisted self-help intervention led to significant improvements in ADHD symptoms, oppositional defiant disorder symptoms, and overall behavioral problems during the intervention and maintained these improvements at follow-up.

The intervention not only improved child behavior problems but also enhanced the quality of life for families, indicating that guided self-help can be an effective long-term strategy for managing ADHD in children.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care-An Observational Study. Döpfner, M., Liebermann-Jordanidis, H., Kinnen, C., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Influence of caregivers' experiences on service use among children with attention-deficit hyperactivity disorder. [2018]

2. New Zealand pubmed.ncbi.nlm.nih.gov

Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms. [2020]

3. United States pubmed.ncbi.nlm.nih.gov

Long-Term Effectiveness of Guided Self-Help for Parents of Children With ADHD in Routine Care-An Observational Study. [2021]

4. United States pubmed.ncbi.nlm.nih.gov

Toward mapping daily challenges of living with ADHD: maternal and child perspectives using electronic diaries. [2022]

5. United States pubmed.ncbi.nlm.nih.gov

A family-centered approach to planning and measuring the outcome of interventions for children with attention-deficit/hyperactivity disorder. [2019]

6. New Zealand pubmed.ncbi.nlm.nih.gov

Using Best-Worst Scaling to Measure Caregiver Preferences for Managing their Child's ADHD: A Pilot Study. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Patterns of parenting in Korean mothers of children with ADHD: A Q-methodology study. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Bending the Curve: A Community-Based Behavioral Parent Training Model to Address ADHD-Related Concerns in the Voluntary Sector in Denmark. [2019]

9. India pubmed.ncbi.nlm.nih.gov

Evaluating the Effect of a Need-based Program for Caregivers on the Stress, Anxiety, Depression, and the Burden of Care in Families of Children with Attention Deficit-hyperactive Disorder. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

Effect of Psychoeducation on Stress in Parents of Children With Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Study. [2020]