Parent Training for Attention Deficit Hyperactivity Disorder (ADHD) Preschoolers
Home-Based Parent Training in ADHD Preschoolers
1 other identifier
interventional
187
1 country
1
Brief Summary
The purpose of this research is to evaluate and compare the effectiveness of two parenting programs in reducing the ADHD symptoms and behavioral problems of preschool children with ADHD through a controlled study. One program is a home-based parent training intervention that is designed to enhance the parent-child interaction, constructive parenting skills, and the child's tolerance for delay. The other intervention is a clinic-based parent training program that focuses on reducing noncompliance in preschool children and improving parenting skills. Both programs consist of private weekly parenting sessions with Clinical Psychologists - once a week for 8 weeks. The sessions are 1-1.5 hours in length. Both programs use behavior modification as a means of improving oppositional and non-compliant child behavior. Both interventions also involve procedures that focus on improving children's attention. Neither program involves medication, and all families will receive one of the two parenting programs being evaluated. Study evaluations, as well as participation in the parenting programs, are provided at no cost to families. Evaluation and parenting sessions can be scheduled at times convenient to families.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2007
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2007
CompletedFirst Submitted
Initial submission to the registry
March 11, 2011
CompletedFirst Posted
Study publicly available on registry
March 22, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedDecember 8, 2014
December 1, 2014
7.8 years
March 11, 2011
December 5, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Conners Teacher Rating Scale
Behavior Rating Scale
Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)
Secondary Outcomes (1)
Conners Parent Rating Scale
Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)
Study Arms (3)
Home-Based Parenting Program
EXPERIMENTALClinic-Based Parenting Program
EXPERIMENTALWait-List Control Group
OTHERInterventions
The Home-Based Parenting Program aims to improve impulsive and oppositional behaviors in 3 and 4 year-olds. The program involves 8 home visits with a therapist. The visits focus on the skills listed below as a means of improving your child's behavior. 1. Helping you set developmentally appropriate goals for your child. One way we do this is by focusing on situations that occur naturally in your home. Another way is by having you engage in activities with your child that focus on improving attention and the ability to delay. 2. Increasing the quality and quantity of positive interactions between you and your child 3. Changing the way you respond to your child's inappropriate behaviors so as to reduce the frequency of negative interactions. 4. Improving your parenting skills. This program also includes between-session "homework tasks" so that you can practice the skills you have learned throughout the week.
The Clinic-Based Parenting Program aims to improve ADHD symptoms by reducing noncompliance, which is common in children with ADHD. Parents learn how to help their child attend to and comply with requests and directions so as to improve compliance and attention. The program involves 8 clinic visits with a therapist. Parents learn various parenting skills to help improve their child's behaviors. Parents learn techniques and skills to promote positive interactions with their child, including: 1. Increasing the positive attention you give to your child. 2. Reducing the inappropriate use of commands, questions and criticisms. 3. Appropriate use of praise and physical attention (e.g., hugs) as rewards. 4. Actively ignoring minor, inappropriate behaviors. Parents also learn how to: increase compliance via clear instruction; respond to compliant and noncompliant behaviors; and create and use clear rules about appropriate and inappropriate child behaviors.
If your child is randomized to the 8-week Wait-List group, you and your child will be asked to attend 2 assessment visits -1 screening/baseline visit and one 8 weeks later. These assessment visits will take place at our clinic. After completing the second assessment, you will receive your choice of either the home-based or clinic-based parenting program.
Eligibility Criteria
You may qualify if:
- Age = 3.0 - 4.11
- In preschool program at least 2 half days per week
- Meets criteria for ADHD on clinical evaluation / DISC
- ADHD severity: \> 1.5 SD above mean for age/sex on CTRS-R
- ADHD severity: \> 1.0 SD above mean for age/sex on CPRS-R
You may not qualify if:
- Current Medication treatment for ADHD
- IQ \< 70 (Full Scale on WPPSI III)
- Pervasive Developmental Disorder
- Psychosis
- Severe receptive language impairment
- Neurological Disorder
- Significant medical disorder
- Primary caretaker is not able to participate
- Non-English speaking primary care taker
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
NYU Child Study Center, One Park Avenue
New York, New York, 10016, United States
Related Publications (1)
Abikoff HB, Thompson M, Laver-Bradbury C, Long N, Forehand RL, Miller Brotman L, Klein RG, Reiss P, Huo L, Sonuga-Barke E. Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs. J Child Psychol Psychiatry. 2015 Jun;56(6):618-31. doi: 10.1111/jcpp.12346. Epub 2014 Oct 16.
PMID: 25318650DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Howard Abikoff, Ph.D.
New York University Child Study Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 11, 2011
First Posted
March 22, 2011
Study Start
January 1, 2007
Primary Completion
November 1, 2014
Study Completion
November 1, 2014
Last Updated
December 8, 2014
Record last verified: 2014-12