NCT06679010

Brief Summary

The primary aim of this study is to investigate the feasibility of the program AMOR for pregnant women and new mothers with Attention Deficit Hyperactivity Disorder (ADHD), by examining adherence, credibility, treatment satisfaction, and negative effects. The secondary objective is to obtain preliminary information about the short-term clinical outcomes of the program on self-report scales assessing symptoms of ADHD, stress, anxiety, depression, difficulties in emotion regulation, and quality of life. The main questions this study aims to answer:

  • listen to the 10 podcasts in the program
  • attend the 10 online guided sessions in the program
  • fill in questionnaires related to the primary and secondary objectives
  • some will be invited to participate in an online semi-structured interview

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
31

participants targeted

Target at below P25 for not_applicable pregnancy

Timeline
Completed

Started Jan 2025

Shorter than P25 for not_applicable pregnancy

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 5, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 7, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

January 22, 2025

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 11, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 11, 2025

Completed
Last Updated

January 8, 2026

Status Verified

January 1, 2026

Enrollment Period

5 months

First QC Date

November 5, 2024

Last Update Submit

January 6, 2026

Conditions

Keywords

AMORfeasibilityonline counselling of pregnant women with ADHDmixed methods evaluation

Outcome Measures

Primary Outcomes (4)

  • The Negative Effects Questionnaire (NEQ)

    Measure of experienced negative effects during treatment. It contains 20 items that are scored on a five-point Likert-scale (0-4) and differentiates between negative effects that are attributed to treatment and those possibly caused by other circumstances, as well as one open-ended questions.

    From enrollment to the end of the program 11 weeks

  • The Credibility and Expectancy Scale (CEQ)

    Credibility of the intervention is measured by the third item from the Credibility and Expectancy Scale (CEQ): "How confident would you be in recommending this treatment to a friend who experiences similar problems?". Moreover, participants will be asked how likely they will be to continue to use the techniques from the program, with response options ranging from: "Very unlikely" to "Very likely".

    From enrollment to the end of the program 11 weeks

  • Adherence

    Adherence is assessed by drop-out rates and participation in the sessions

    From enrollment to the end of the program

  • The Client Satisfaction Questionare (CSQ-8)

    A measure of the participants\' satisfaction with the intervention. The questionnaire consist of eight items measured on a four-point scale with total scores ranging from 8-32.

    From enrollment to the end of the program 11 weeks

Secondary Outcomes (6)

  • The Adult ADHD Self-Rating Scale (ASRS)

    From enrollment to the end of the program 11 weeks

  • The Perceived Stress Scale (PSS)

    From enrollment to the end of the program 11 weeks

  • The Generalized Anxiety Disorder assessment (GAD7)

    From enrollment to the end of the program 11 weeks

  • The Edinburg Postnatal Depression scale (EPDS)

    From enrollment to the end of the program 11 weeks

  • The Difficulties in Emotion Regulation Scale - 16 item version (DERS-16)

    From enrollment to the end of the program 11 weeks

  • +1 more secondary outcomes

Study Arms (1)

Intervention group

EXPERIMENTAL
Other: Online group counseling

Interventions

The program progresses as one weekly group session over 10 weeks, each with its own topic. The core components of the program include psychoeducation, training self-compassion and acceptance, cognitive restructuring, interpersonal skills training, systems and management of daily life activities, prevention of conflicts, and the mother-baby relation. Participants will meet online as a group together with the instructor, a consultant from the ADHD Association, who will lead and facilitate the sessions. Before each session, there is a podcast episode that covers the topic of each session. The 10 podcasts feature interviews with clinicians, researchers, and women with ADHD, focusing on the themes from the program's sessions.

Intervention group

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • pregnant women or new mothers with an ADHD diagnosis (WHO ICD-10; F90 or F98.8)
  • above 18 years
  • access to a computer and the internet
  • speaks and reads Danish

You may not qualify if:

  • severe mental disorders, such as mental retardation, schizophrenia, psychosis or bipolar disorder
  • a score above 15 on the Generalized Anxiety Disorder assessment or a score above 18 on the Edinburg Postnatal Depression scale administered
  • current alcohol or substance abuse

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Danish ADHD Association

Odense, 5000, Denmark

Location

Related Publications (20)

  • Young S, Emilsson B, Sigurdsson JF, Khondoker M, Philipp-Wiegmann F, Baldursson G, Olafsdottir H, Gudjonsson G. A randomized controlled trial reporting functional outcomes of cognitive-behavioural therapy in medication-treated adults with ADHD and comorbid psychopathology. Eur Arch Psychiatry Clin Neurosci. 2017 Apr;267(3):267-276. doi: 10.1007/s00406-016-0735-0. Epub 2016 Oct 17.

    PMID: 27752827BACKGROUND
  • Nordby ES, Kenter RMF, Lundervold AJ, Nordgreen T. A self-guided Internet-delivered intervention for adults with ADHD: A feasibility study. Internet Interv. 2021 Jun 15;25:100416. doi: 10.1016/j.invent.2021.100416. eCollection 2021 Sep.

    PMID: 34401375BACKGROUND
  • Brod M, Adler LA, Lipsius S, Tanaka Y, Heinloth AN, Upadhyaya H. Validation of the adult attention-deficit/hyperactivity disorder quality-of-life scale in European patients: comparison with patients from the USA. Atten Defic Hyperact Disord. 2015 Jun;7(2):141-50. doi: 10.1007/s12402-014-0160-z. Epub 2015 Jan 7.

    PMID: 25563210BACKGROUND
  • Visted E, Solbakken OA, Maeland S, Fadnes LT, Bjerrum LB, Nordhus IH, Flo-Groeneboom E. Validation of a brief version of the Difficulties in Emotion Regulation Scale (DERS-16) with an older Norwegian population. Eur J Ageing. 2023 Jun 22;20(1):26. doi: 10.1007/s10433-023-00775-w.

    PMID: 37347324BACKGROUND
  • Smith-Nielsen J, Matthey S, Lange T, Vaever MS. Validation of the Edinburgh Postnatal Depression Scale against both DSM-5 and ICD-10 diagnostic criteria for depression. BMC Psychiatry. 2018 Dec 20;18(1):393. doi: 10.1186/s12888-018-1965-7.

    PMID: 30572867BACKGROUND
  • Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008 Mar;46(3):266-74. doi: 10.1097/MLR.0b013e318160d093.

    PMID: 18388841BACKGROUND
  • Beard C, Bjorgvinsson T. Beyond generalized anxiety disorder: psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. J Anxiety Disord. 2014 Aug;28(6):547-52. doi: 10.1016/j.janxdis.2014.06.002. Epub 2014 Jun 14.

    PMID: 24983795BACKGROUND
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

    PMID: 6668417BACKGROUND
  • Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005 Feb;35(2):245-56. doi: 10.1017/s0033291704002892.

    PMID: 15841682BACKGROUND
  • Rozental A, Kottorp A, Forsstrom D, Mansson K, Boettcher J, Andersson G, Furmark T, Carlbring P. The Negative Effects Questionnaire: psychometric properties of an instrument for assessing negative effects in psychological treatments. Behav Cogn Psychother. 2019 Sep;47(5):559-572. doi: 10.1017/S1352465819000018. Epub 2019 Mar 15.

    PMID: 30871650BACKGROUND
  • Kajamaa A, Mattick K, de la Croix A. How to ... do mixed-methods research. Clin Teach. 2020 Jun;17(3):267-271. doi: 10.1111/tct.13145. Epub 2020 Feb 24.

    PMID: 32092789BACKGROUND
  • Nimmo-Smith V, Merwood A, Hank D, Brandling J, Greenwood R, Skinner L, Law S, Patel V, Rai D. Non-pharmacological interventions for adult ADHD: a systematic review. Psychol Med. 2020 Mar;50(4):529-541. doi: 10.1017/S0033291720000069. Epub 2020 Feb 10.

    PMID: 32036811BACKGROUND
  • Andersson A, Garcia-Argibay M, Viktorin A, Ghirardi L, Butwicka A, Skoglund C, Bang Madsen K, D'onofrio BM, Lichtenstein P, Tuvblad C, Larsson H. Depression and anxiety disorders during the postpartum period in women diagnosed with attention deficit hyperactivity disorder. J Affect Disord. 2023 Mar 15;325:817-823. doi: 10.1016/j.jad.2023.01.069. Epub 2023 Jan 18.

    PMID: 36681302BACKGROUND
  • Attkisson CC, Zwick R. The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;5(3):233-7. doi: 10.1016/0149-7189(82)90074-x.

    PMID: 10259963BACKGROUND
  • Simon V, Czobor P, Balint S, Meszaros A, Bitter I. Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis. Br J Psychiatry. 2009 Mar;194(3):204-11. doi: 10.1192/bjp.bp.107.048827.

    PMID: 19252145BACKGROUND
  • Kittel-Schneider S, Quednow BB, Leutritz AL, McNeill RV, Reif A. Parental ADHD in pregnancy and the postpartum period - A systematic review. Neurosci Biobehav Rev. 2021 May;124:63-77. doi: 10.1016/j.neubiorev.2021.01.002. Epub 2021 Jan 28.

    PMID: 33516734BACKGROUND
  • Anderson KN, Ailes EC, Danielson M, Lind JN, Farr SL, Broussard CS, Tinker SC. Attention-Deficit/Hyperactivity Disorder Medication Prescription Claims Among Privately Insured Women Aged 15-44 Years - United States, 2003-2015. MMWR Morb Mortal Wkly Rep. 2018 Jan 19;67(2):66-70. doi: 10.15585/mmwr.mm6702a3.

    PMID: 29346342BACKGROUND
  • Song P, Zha M, Yang Q, Zhang Y, Li X, Rudan I; Global Health Epidemiology Reference Group (GHERG). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. J Glob Health. 2021 Feb 11;11:04009. doi: 10.7189/jogh.11.04009.

    PMID: 33692893BACKGROUND
  • Young S, Adamo N, Asgeirsdottir BB, Branney P, Beckett M, Colley W, Cubbin S, Deeley Q, Farrag E, Gudjonsson G, Hill P, Hollingdale J, Kilic O, Lloyd T, Mason P, Paliokosta E, Perecherla S, Sedgwick J, Skirrow C, Tierney K, van Rensburg K, Woodhouse E. Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women. BMC Psychiatry. 2020 Aug 12;20(1):404. doi: 10.1186/s12888-020-02707-9.

    PMID: 32787804BACKGROUND
  • Posner J, Polanczyk GV, Sonuga-Barke E. Attention-deficit hyperactivity disorder. Lancet. 2020 Feb 8;395(10222):450-462. doi: 10.1016/S0140-6736(19)33004-1. Epub 2020 Jan 23.

    PMID: 31982036BACKGROUND

Related Links

MeSH Terms

Conditions

Attention Deficit Disorder with HyperactivityDepression, PostpartumAnxiety Disorders

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersMental DisordersPuerperal DisordersPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesDepressive DisorderMood Disorders

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: The study is a feasibility trial with an uncontrolled, within-group, pre-post design
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2024

First Posted

November 7, 2024

Study Start

January 22, 2025

Primary Completion

June 11, 2025

Study Completion

June 11, 2025

Last Updated

January 8, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations