Pilot Study on a Health Promotion Intervention for Ultra-Orthodox Mothers of Children With ADHD

NCT06703242 | Recruiting

• 1 other identifier: 30012024
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to evaluate the feasibility and effectiveness of a health promotion intervention for Ultra-Orthodox Jewish mothers of children with ADHD. This study will examine the impact of a culturally tailored group-based intervention aimed at reducing stress, enhancing health, and improving the well-being of mothers. The main questions this study aims to answer are:

1. 1.Is the intervention feasible for mothers to participate?
2. 2.Does the intervention improve maternal knowledge about ADHD and reduce stigma?
3. 3.Does it help reduce maternal stress and enhance self-care practices?

Conditions

Attention Deficit Disorder With Hyperactivity (ADHD)

Keywords

Mothering a child with ADHD; Maternal psychological health; Ultra-orthodox

Outcome Measures

Primary Outcomes (4)

• Change in maternal ADHD Knowledge as measured by the ADHD Knowledge Questionnaire (Bussing, 2014)

  The summary knowledge score is composed of the sum of 5 variables: 1. Ever heard of ADHD (no =0; yes= 1) 2. Recency of information (0= heard months to years ago or never; 1= heard days to weeks ago) 3. Self-rated knowledge amount (0= knows little to nothing; 1 =knows some or a lot) 4. Number of information sources used (0= none or one; 1 = two or more sources cited) 5. Attribution of ADHD to sugar in the diet (0= probably or definitely true; 1 =probably or definitely false). Knowledge scores can range from 0 to 5 ('0' indicating the least amount of knowledge), and were normally distributed (mean =2.6, SD =1.6, median =3)

  from enrollment until the end of the six week sessions of the intervention

• Change in maternal ADHD stigma as measured by the ADHD Stigma Scale

  The questions ask about some of the experiences, feelings, and opinions people with ADHD might have and how they are treated. Each item is rated on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3-agree; 4=strongly agree), with higher scores indicating higher stigma perceptions. The overall stigma score is composed of the sum of all 26 items

  from enrollment until the end of the six week sessions of the intervention

• Change in maternal stress as measured by the Parental Stress Items

  Parenting Stress Items measures parental stress, by asking parents to consider how "tense" or "frustrated" they feel about parenting their children. Includes 11 items scored on a four-point scale (1¼not at all to 4¼very much so), yielding scores ranging from 11-44, with higher scores indicating greater levels of parenting stress.

  from enrollment until the end of the six week sessions of the intervention

• Change in maternal participation in health promoting activities as measured by the Health Promoting Activities Scale

  Health Promoting Activities Scale (HPAS) is an eight-item measure that assesses frequency of participation in social, emotional, physical, and spiritual leisure activities on a seven-point scale (1=never to 7=once or more every day). Scores range from 8 to 56, with higher scores indicating more frequent participation

  from enrollment until the end of the six week sessions of the intervention

Study Arms (1)

Health promotion intervention group

OTHER

A one time six-session weekly intervention group for mothers of children with ADHD in the ultra-orthodox community.

Other: Health promotion for mothers of children with ADHD in the ultra-orthodox community

Interventions

Health promotion for mothers of children with ADHD in the ultra-orthodox community OTHER

The intervention will consist of 3 modules with six sessions. Mothers will gain knowledge in topics related to understanding the ADHD health condition and its biological origins, optimal and recommended treatment options, school management techniques, and the importance of taking care of their own health.

Health promotion intervention group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• mothers of children with ADHD aged 6- 12 years old
• Mothers who identify as ultra-orthodox Jews
• Child diagnosis was by a licensed medical professional

You may not qualify if:

• Child medical diagnosis other than ADHD

Sponsors & Collaborators

• Adina Maeir: lead
• Monash University: collaborator

Study Sites (1)

Hebrew University

Jerusalem, 9190501, Israel

RECRUITING

Related Publications (7)

• Budman JR, Maeir A. Development of a psychological health promotion intervention for ultra-orthodox Jewish mothers of children with ADHD using the intervention mapping protocol. BMC Public Health. 2024 Feb 29;24(1):645. doi: 10.1186/s12889-024-18126-4.

  PMID: 38424536 BACKGROUND

• Budman JR, Fogel-Grinvald H, Maeir A. Psychological Health and Quality of Life among Ultra-orthodox Mothers of Children with Attention Deficit Hyperactivity Disorder: Impact of Occupational Experiences. Phys Occup Ther Pediatr. 2023;43(6):697-712. doi: 10.1080/01942638.2023.2188077. Epub 2023 Mar 15.

  PMID: 36922732 BACKGROUND

• Budman J, Maeir A. Mothering a Child with ADHD in the Ultra-Orthodox Community. Int J Environ Res Public Health. 2022 Nov 4;19(21):14483. doi: 10.3390/ijerph192114483.

  PMID: 36361375 BACKGROUND

• Bourke-Taylor H, Lalor A, Farnworth L, Pallant JF. Further validation of the Health Promoting Activities Scale with mothers of typically developing children. Aust Occup Ther J. 2014 Oct;61(5):308-15. doi: 10.1111/1440-1630.12137. Epub 2014 Sep 9.

  PMID: 25201148 BACKGROUND

• Bussing R, Zima BT, Mason DM, Meyer JM, White K, Garvan CW. ADHD knowledge, perceptions, and information sources: perspectives from a community sample of adolescents and their parents. J Adolesc Health. 2012 Dec;51(6):593-600. doi: 10.1016/j.jadohealth.2012.03.004. Epub 2012 Apr 17.

  PMID: 23174470 BACKGROUND

• Kellison I, Bussing R, Bell L, Garvan C. Assessment of stigma associated with attention-deficit hyperactivity disorder: psychometric evaluation of the ADHD stigma questionnaire. Psychiatry Res. 2010 Jul 30;178(2):363-9. doi: 10.1016/j.psychres.2009.04.022. Epub 2010 May 23.

  PMID: 20580842 BACKGROUND

• Pearlin LI, Schooler C. The structure of coping. J Health Soc Behav. 1978 Mar;19(1):2-21. No abstract available.

  PMID: 649936 BACKGROUND

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Interventions

Health Promotion

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Adina Maeir, PhD

  Hebrew University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jennifer Budman, PhD

CONTACT

972 503422600; jennifer.budman@mail.huji.ac.il

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Model Details: Mothers in the control group will receive the intervention right after the completion of the intervention group.

Study Record Dates

• First Submitted: November 21, 2024
• First Posted: November 25, 2024
• Study Start: November 24, 2024
• Primary Completion: January 1, 2025
• Study Completion: May 1, 2025
• Last Updated: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: The study protocol and informed consent form are already available. The statistical analysis plan will be available within 6 months of publication.
• Access Criteria: De-identified individual participant data (IPD), including questionnaire and statistical analysis results, will be shared upon reasonable request for research purposes. Access will be granted to qualified researchers affiliated with academic, healthcare, or research institutions for analyses advancing knowledge of ADHD interventions, maternal health, or culturally tailored health promotion programs. Requests must be submitted in writing to the principal investigator (PI) and include: A summary of the request's purpose. Institutional affiliation and researcher qualifications. A data use agreement ensuring confidentiality and ethical compliance. The PI and a review panel will evaluate requests based on scientific validity and alignment with study goals. Approved data will be shared via secure methods, such as encrypted file-sharing platforms, in compliance with privacy regulations. Data will be available 6 months after publication and remain accessible for 2 years.

Locations

IL (1)