Parent-Educator Action Response

NCT07203014 | Enrolling By Invitation

• 2 other identifiers: STUDY00000176K23MH129575
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if a new adjunctive intervention, Parent-Educator Action Response (PEAR), works to improve teacher and family engagement in school-based interventions for child attention deficit/hyperactivity disorder (ADHD) and disruptive behavior symptoms. This clinical trial will also be used to refine implementation procedures to inform a larger clinical trial.

Conditions

Attention Deficit and Disruptive Behavior Disorders

Keywords

adjunctive intervention; Preschool ADHD symptoms; Disruptive Behavior; Parent-teacher relationship; Daily Report Card

Outcome Measures

Primary Outcomes (1)

• Daily Report Card Check-In

  The Daily Report Card (DRC) check-in is a weekly survey developed by the investigators that measures daily uptake of DRC usage among parents and teachers across home and school.

  Baseline to 8-week follow-up

Secondary Outcomes (12)

• Preschool Pediatric Symptom Checklist

  Baseline, 4-week, 8-week follow-ups.

• Preschool ADHD Rating Scale Version IV (ADHD-RS-IV)

  Baseline, 4-week, 8-week follow-ups.

• Teacher-Parent Alliance

  Baseline, 4-week, 8-week follow-ups.

• Teacher-Parent Joining

  Baseline, 4-week, 8-weeks follow-ups.

• Teacher Self-Efficacy for Classroom Behavior Management

  Baseline, 4-week, 8-week follow-ups.

Study Arms (1)

PEAR intervention group

EXPERIMENTAL

All participants will receive the Daily Report Card plus PEAR. PEAR is delivered via group sessions in which participants will be guided through content with a licensed clinical psychologist and will complete activities and receive handouts for reference.

Behavioral: Parent-Educator Action Response (PEAR); Behavioral: Daily Report Card

Interventions

Parent-Educator Action Response (PEAR) BEHAVIORAL

PEAR is a novel adjunctive intervention aimed at improving teacher and family implementation of classroom-based interventions for child ADHD symptoms and disruptive behavior in preschool.

PEAR intervention group

Daily Report Card BEHAVIORAL

The Daily Report Card is a behavioral intervention for children with challenging behaviors, and provides a structure for teachers and caregivers to support a child with reducing challenging behaviors and increasing positive behaviors. The DRC has been shown to be highly effective in reducing ADHD symptoms.

PEAR intervention group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Teacher or legal guardian/caregiver of a preschool-aged child between 2-5 years old
• Child has behavioral challenges in the classroom or needs support with social-emotional development
• Teacher participants must be fluent in English
• Caregiver participants may be fluent in English or Spanish.

You may not qualify if:

• Teacher or legal guardian/caregiver of a child who is not 2-5 years old
• Child does not have behavioral challenges or does not need support with social-emotional development
• Teacher participants who are not fluent in English
• Caregiver participants who are not fluent in either English or Spanish

Sponsors & Collaborators

• Ann & Robert H Lurie Children's Hospital of Chicago: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60614, United States

Location

MeSH Terms

Conditions

Attention Deficit and Disruptive Behavior Disorders; Problem Behavior

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Child Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Pritzker Department of Psychiatry and Behavioral Health

Model Details: The study uses a pilot roll-out implementation optimization (ROIO) design. A ROIO is a novel methodological innovation that provides a rigorous solution to optimization via iterative, rapid incorporation of partner input throughout implementation in pursuit of effective, affordable, scalable, and efficient outcomes. There will be three clusters over the course of the trial. Each cluster will contain 1-3 early childhood centers. Teachers from each classroom within each center will be recruited and 1-4 families will be recruited from each classroom that has a participating teacher. All participants will receive information on the Daily Report Card followed by the new adjunctive intervention (PEAR). There is no control group.

Study Record Dates

• First Submitted: September 22, 2025
• First Posted: October 2, 2025
• Study Start: September 2, 2025
• Primary Completion (Estimated): February 1, 2027
• Study Completion (Estimated): February 1, 2027
• Last Updated: November 4, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)