Behavioral Parenting Intervention for ADHD

(PERS Trial)

Overseen By James G Waxmonsky, MD

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Milton S. Hershey Medical Center

Disqualifiers: Non English speaking, Intellectual delay, Autistic traits, others

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

Compensation: Varies

Number of Visits: 8

Duration: 12 weeks

65 Participants Needed

Trial Summary

What is the purpose of this trial?

This trial examines if a parent training program can help children aged 5-12 with ADHD and mild oppositional behaviors. The program teaches parents to manage their children's actions through positive reinforcement and clear consequences. The study will see if parents' ability to control their own emotions affects the program's success.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Behavioral Parenting Intervention for ADHD?

Research shows that Behavioral Parent Training (BPT) helps improve ADHD symptoms like inattention, hyperactivity, and impulsivity in children. It also reduces negative parenting practices and stress, leading to better parent-child interactions and overall outcomes. ^{1 2 3 4 5}

Is Behavioral Parenting Intervention for ADHD safe for humans?

Behavioral Parenting Intervention for ADHD is generally considered safe for humans, as it is a non-drug approach that focuses on improving parent-child interactions and reducing parenting stress. Numerous studies and reviews support its use as an evidence-based treatment without indicating any safety concerns. ^{1 4 5 6 7}

How does the Behavioral Parenting Intervention treatment for ADHD differ from other treatments?

Behavioral Parenting Intervention is unique because it focuses on training parents to manage their child's ADHD-related behaviors, which can reduce problematic situations and parental stress. Unlike medication, this approach directly involves parents in the treatment process, aiming to improve parent-child interactions and family functioning. ^{1 3 4 8 9}

Eligibility Criteria

This trial is for parents of children aged 5-12 with ADHD and mild Oppositional Defiant Disorder symptoms. Parents must speak English, have a smartphone or tablet, live with the child most of the time, and not have another child in the study.

Inclusion Criteria

You are a parent of a child who is between 5 to 12 years old and has been diagnosed with ADHD.

Parent must report that the child has at least a mild level of symptoms at home of Oppositional Defiant Disorder (ODD) on the Disruptive Behavior Disorder Rating Scale (DBDRS).

Exclusion Criteria

Non English Speaking

Another child in the same family participating in this study already

Parent does not have a smartphone or tablet device to complete EMA ratings or does not reside with child for the majority of the time.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo 8 sessions of an evidence-based parenting program to address oppositional behaviors and ADHD symptoms at home

12 weeks

8 sessions (in-person)

Follow-up

Participants are monitored for changes in parenting behaviors and child symptoms after the intervention

4 weeks

Treatment Details

Interventions

• Behavioral Parenting Intervention

Trial Overview The study tests if how well parents manage their emotions affects the success of behavioral training aimed at improving parenting skills and reducing behavior problems in kids with ADHD.

Participant Groups

Group I: Behavior Therapy Experimental Treatment 1 Intervention

8 sessions of an evidence based parenting program to address oppositional behaviors and ADHD symptoms at home. All participants are in this arm.

Who Is Running the Clinical Trial?

Milton S. Hershey Medical Center

Lead Sponsor

Trials

515

Recruited

2,873,000+

Findings from Research

Behavioral parent training (BPT) significantly reduced the frequency and severity of problematic behaviors in children with ADHD, particularly in areas like chores, homework, and peer interactions, based on data from 304 parents.

Parents reported a notable decrease in stress related to parenting their child with ADHD after participating in BPT, indicating that this intervention not only helps children but also supports parental well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Behavioral Parent Training for ADHD Reduces Situational Severity of Child Noncompliance and Related Parental Stress. Ciesielski, HA., Loren, REA., Tamm, L.[2021]

Behavioral parent training led to significant improvements in parenting behaviors for both mothers and fathers of 20 children with ADHD, indicating its efficacy in enhancing parental functioning.

Mothers experienced notable reductions in parenting stress, and even areas without statistically significant changes showed clinically meaningful improvements, highlighting the overall positive impact of the training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parental functioning in families of children with ADHD: evidence for behavioral parent training and importance of clinically meaningful change. Gerdes, AC., Haack, LM., Schneider, BW.[2015]

Behavioral Parent Training (BPT) is an effective first-line treatment for children with ADHD under six years old and a recommended combination treatment for older children, showing significant improvements in problem behaviors like inattention and hyperactivity.

The study demonstrated that BPT significantly improved parenting practices, as evidenced by changes in Parenting Scale scores, indicating that it can reduce negative parenting behaviors and enhance outcomes for children with ADHD.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Does a Behavioral Parent Training Program for Parents of ADHD Children Improve Outcomes? A Pilot Project. Morgan, TC., O'Keefe, LC.[2021]

Behavioral parent training interventions are effective nonpharmacologic treatments for ADHD, showing positive impacts on child compliance, ADHD symptoms, and parent-child interactions based on numerous clinical trials and meta-analyses.

These interventions are categorized as well-established, evidence-based treatments for ADHD, highlighting their importance in managing the disorder in school-age children within the home setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Behavior management for school-aged children with ADHD. Pfiffner, LJ., Haack, LM.[2021]

A meta-analysis of 27 studies involving behavioral parent training for children with ADHD showed that the intervention leads to sustained improvements in ADHD symptoms, behavioral problems, and positive parenting behaviors, with follow-up assessments averaging 5.3 months post-intervention.

The study found that the benefits of behavioral parent training are maintained over time, with significant small-to-moderate effects on various outcomes, indicating its effectiveness as a long-term intervention for managing ADHD.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Sustained improvements by behavioural parent training for children with attention-deficit/hyperactivity disorder: A meta-analytic review of longer-term child and parental outcomes. Doffer, DPA., Dekkers, TJ., Hornstra, R., et al.[2023]

A meta-regression analysis of 29 studies involving 2,345 parents showed that behavioral parent training for children with ADHD has small- to medium-sized positive effects on various parental outcomes, such as parenting competence and mental health.

Techniques that focus on manipulating antecedents of behavior and reinforcing desired behaviors were particularly effective, while higher dosages of psychoeducation were found to negatively impact parental outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Meta-analysis: Which Components of Parent Training Work for Children With Attention-Deficit/Hyperactivity Disorder? Dekkers, TJ., Hornstra, R., van der Oord, S., et al.[2022]

Behavioral parent training (BPT) is an effective treatment for ADHD, improving both child behavior and parenting practices, as well as reducing parenting stress and enhancing classroom behavior.

Despite its effectiveness, research on BPT for ADHD is less comprehensive than for other disorders like oppositional defiant disorder (ODD) and conduct disorder (CD), highlighting the need for further studies to understand factors affecting treatment outcomes, especially given the high comorbidity between ADHD and these disorders.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Chronis, AM., Chacko, A., Fabiano, GA., et al.[2019]

References

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

Behavioral Parent Training for ADHD Reduces Situational Severity of Child Noncompliance and Related Parental Stress. [2021]

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

Parental functioning in families of children with ADHD: evidence for behavioral parent training and importance of clinically meaningful change. [2015]

3. England pubmed.ncbi.nlm.nih.gov

Does a Behavioral Parent Training Program for Parents of ADHD Children Improve Outcomes? A Pilot Project. [2021]

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

Behavior management for school-aged children with ADHD. [2021]

5. England pubmed.ncbi.nlm.nih.gov

Enhancing traditional behavioral parent training for single mothers of children with ADHD. [2014]

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

Sustained improvements by behavioural parent training for children with attention-deficit/hyperactivity disorder: A meta-analytic review of longer-term child and parental outcomes. [2023]

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

Meta-analysis: Which Components of Parent Training Work for Children With Attention-Deficit/Hyperactivity Disorder? [2022]

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

Delivering evidence-based treatments for child attention-deficit/hyperactivity disorder (ADHD) in the context of parental ADHD. [2021]

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

Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. [2019]