A Randomized Trial of Interventions for Teenage Drivers With Attention Deficit Hyperactivity Disorder (ADHD)

NCT01322646 | Completed Results

• 1 other identifier: HD058588
• Study Type: interventional
• Target: 172
• Locations: 1 country
• Sites: 1

Brief Summary

There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents and other adverse driving outcomes. Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes. For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent-teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. It is hypothesized that the STEER program will result in improved outcomes relative to the standard care group at the end of intervention and 6 and 12 month follow-up assessments.

Conditions

Attention Deficit Hyperactivity Disorder

Keywords

ADHD; Driving; Behavior modification

Outcome Measures

Primary Outcomes (2)

• Number of Risky Driving Events Assessed by On-Board Driving Monitor

  Frequency count of risky driving events (e.g., abrupt braking, hard acceleration, abrupt swerving) recorded by engine performance monitor installed in the car. Events were counted and a greater frequency indicated more risky driving. The average number of risky driving events, collected over a four-week period at each assessment point were used as the dependent measure.

  Follow up period after the intervention (1 year)

• Positive Parenting Observational Data

  Parents and teens discussed two recent issues and these discussions were coded using The Interaction Behavior Code (IBC). The IBC is a behavioral coding system designed to assess global impressions of parent-adolescent problem-solving and communication behavior. Coders were undergraduates who were unaware of both study hypothesis and group assignment. Coders were instructed to rate 32 behavioral items related to positive and negative parenting in terms of their presence or absence of the behaviors (Items 1-22) or the how often specific parenting behaviors occurred for Items 23-32 ("no" = 0 points, "a little" = .5 point, and "alot" = 1 point). Coders scores were summed across the 32 items and scores fore each scale could range from 0-32. Thus for the positive parenting scale, higher scores, ranging from 0-32, indicated improvement.

  Follow-up period after the intervention (12 weeks)

Study Arms (2)

Driver Training

ACTIVE COMPARATOR

Driver Education Program Practice driving on a driving simulator Provision of the CarChipPro to the family

Device: CarChipPro; Behavioral: Driver's Education; Other: Driving Simulator Practice

STEER Program

EXPERIMENTAL

Driver Education STEER Program

Device: CarChipPro; Behavioral: Driver's Education; Behavioral: STEER Program; Other: Driving Simulator Practice

Interventions

CarChipPro DEVICE

On board driving monitor

Driver Training; STEER Program

Driver's Education BEHAVIORAL

10 Session License to Learn Program.

Driver Training; STEER Program

STEER Program BEHAVIORAL

8-session behavioral parent training and teen social skills/communication training program

STEER Program

Driving Simulator Practice OTHER

Practice Driving on a driving simulator

Driver Training; STEER Program

Eligibility Criteria

• Age: 16 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Clinical Diagnosis of ADHD, Combined Type
• At least 16 years old
• Has a driving Permit

You may not qualify if:

• No parent willing to be involved
• Seizure disorder, eating disorder, psychotic disorder, current diagnosis of substance/alcohol dependence
• Prior Driver's education class

Sponsors & Collaborators

• State University of New York at Buffalo: lead

Study Sites (1)

SUNY at Buffalo

Buffalo, New York, 14214, United States

Location

Related Publications (1)

• Fabiano GA, Schatz NK, Morris KL, Willoughby MT, Vujnovic RK, Hulme KF, Riordan J, Howard M, Hennessy D, Lewis K, Hawk L, Wylie A, Pelham WE. Efficacy of a family-focused intervention for young drivers with attention-deficit hyperactivity disorder. J Consult Clin Psychol. 2016 Dec;84(12):1078-1093. doi: 10.1037/ccp0000137. Epub 2016 Sep 12.

  PMID: 27618640 RESULT

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Mental Disorders

Results Point of Contact

• Title: Gregory A. Fabiano, Ph.D.
• Organization: University at Buffalo

fabiano@buffalo.edu

7166451130

Study Officials

• Gregory A Fabiano, PhD

  SUNY at Buffalo

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 11, 2010
• First Posted: March 24, 2011
• Study Start: July 1, 2010
• Primary Completion: June 1, 2015
• Study Completion: March 1, 2016
• Last Updated: May 11, 2022
• Results First Posted: May 11, 2022

Record last verified: 2022-05

Locations

US (1)