Executive Function and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving

NCT04121650 | Unknown

• 1 other identifier: 2019P002239
• Study Type: observational
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

In this project, the investigators will extend prior results of parent-reported executive function growth and symptom reduction in children receiving home-based treatment with the Collaborative Problem Solving treatment approach (CPS), with a particular focus on examining children who have attention deficit hyperactivity disorder (ADHD). The investigators will examine executive functioning (EF) of children who are receiving CPS, measuring EF with parent-report and objective computer-based tasks, at two timepoints: at the start of treatment and approximately four months later, and will collect symptoms at these plus three additional timepoints: at discharge, 6-months after discharge, and 12-months after discharge.

Conditions

Child Behavior; Problem Behavior; Executive Dysfunction

Keywords

Executive Functioning; ADHD; Behavior Problems; Youth; CPS; Collaborative Problem Solving; Disruptive Behavior; Parenting

Outcome Measures

Primary Outcomes (4)

• Change in Behavioral Symptoms

  Strengths and Difficulties Questionnaire (Parent-report measuring child emotional problems, conduct issues, hyperactivity/inattention, peer relationship problems, and pro- social behavior)

  Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge

• Change in Behavioral Symptoms

  Clinical Global Impressions (Measures clients' symptom severity, global improvement, and therapeutic response)

  Baseline, 4 months, and discharge

• Change in Executive Functioning Skills

  Behavior Rating Inventory of Executive Functioning (Parent-report measuring deficits in different domains of executive functioning)

  Baseline and 4 months

• Change in Executive Functioning Skills

  CANTAB computer-based cognitive tasks (Motor Screening Task, Stop Signal Task, Spatial Span, Multitasking Test, Stockings of Cambridge, Intra-Extra Dimensional Set Shift)

  Baseline and 4 months

Secondary Outcomes (2)

• Change in Child-Parent Relationship

  Baseline and 4 months

• Treatment providers' fidelity to Collaborative Problem Solving (as a moderator)

  provider rating made closest in proximity to four-month timepoint

Interventions

Collaborative Problem Solving BEHAVIORAL

CPS is an approach for understanding and reducing challenging behavior in youth. Under CPS, caregivers are taught to understand and identify the specific neurocognitive skill deficits that underlie their child's challenging behavior. Then the caregivers are taught to interact with the child in a way that solves chronic behavior problems while building the lagging neurocognitive skills to avoid future problems.

Also known as: CPS

Eligibility Criteria

• Age: 7 Years - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The participants of this study are youth (ages 7 to 14) who are the identified clients being seen in home-based therapy at identified Youth Villages sites in Massachusetts.

You may qualify if:

• Clients of participating non-profit organization that are receiving home-based youth mental health care
• Speaking and writing English at level necessary to complete study requirements

You may not qualify if:

• Youth is in full state custody and consent cannot be obtained by a guardian
• Youth and/or guardians do not speak English well enough to complete standardized measures
• Youth has a confirmed or suspected Full Scale IQ below 70, or carries a prior diagnosis of Autism Spectrum Disorder at the moderate or severe level

Sponsors & Collaborators

• Massachusetts General Hospital: lead
• Gerstner Philanthropies: collaborator
• Youth Villages: collaborator

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Child Behavior; Problem Behavior; Attention Deficit Disorder with Hyperactivity; Mental Disorders

Condition Hierarchy (Ancestors)

Behavior; Behavioral Symptoms; Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders

Study Officials

• Alisha R Pollastri, Ph.D.

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Research and Evaluation, Think:Kids

Study Record Dates

• First Submitted: October 7, 2019
• First Posted: October 10, 2019
• Study Start: October 14, 2019
• Primary Completion: July 1, 2022
• Study Completion: December 1, 2023
• Last Updated: April 18, 2023

Record last verified: 2023-04

Locations

US (1)