Danish Access to Support and Help (DASH): Increasing Access to an Evidence-based Intervention for Children With ADHD and Their Parents

NCT07339696 | Enrolling By Invitation

• 1 other identifier: 152531
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to devise implementation strategies for the New Forest Parenting Programme (NFPP) to support a community implementation model (NFPP-CIM) and test its feasibility and acceptability for parents and stakeholders.

Conditions

ADHD - Attention Deficit Disorder With Hyperactivity; Attention Concentration Difficulty

Keywords

ADHD parent training

Outcome Measures

Primary Outcomes (1)

• Primary Outcome (exploratory clinical signal): ADHD Rating Scale-IV (ADHD-RS-IV) Danish Version - parent ratings

  This outcome is included solely as an exploratory signal of change to inform the design of a future fully powered trial; the current study is not powered to detect statistically significant effects.The ADHD-RS is an 18-item questionnaire that addresses child symptoms of ADHD and symptoms of oppositional defiant disorder/conduct disorder on a four point scale ('not at all' to 'very often') (DuPaul, G.J., et al., Parent ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Journal of Psychopathology and Behavioral Assessment, 1998. 20(1): p. 83-102.)

  Change in ADHD symptoms measured by ADHD-RS from baseline to post-intervention. I.e. From T1: enrolment (baseline) to T2: T2 (End of treatment): approximately 16 weeks after T1 to T3 (Follow-up): approximately 36 weeks after T2.

Secondary Outcomes (3)

• The Strengths and Difficulties Questionnaire (SDQ) - Danish parent version

  Change in SDQ scores from baseline (T1) at enrollment, to post-intervention (T2) approximately 16 weeks after T1, and to follow-up (T3) approximately 36 weeks after T2.

• The Parenting Sense of Competence Scale (PSOC) Danish version - parent ratings

  Change in PSOC scores from baseline (T1) at enrollment, to post-intervention (T2) approximately 16 weeks after T1, and to follow-up (T3) approximately 36 weeks after T2.

• Family Strain Index (FSI) - parent ratings

  Change in FSI scores from baseline (T1) at enrollment, to post-intervention (T2) approximately 16 weeks after T1, and to follow-up (T3) approximately 36 weeks after T2.

Study Arms (1)

NFPP-CIM Implementation Group

The group includes families with children aged 3-12 years with ADHD or attention and activity difficulties, as well as community practitioners, managers, and other local stakeholders involved in delivering the New Forest Parenting Programme - Community Implementation Model (NFPP-CIM). The study evaluates the feasibility, acceptability, and perceived outcomes of implementing NFPP-CIM in municipal child and family services.

Behavioral: New Forest Parenting Programme

Interventions

New Forest Parenting Programme BEHAVIORAL

Parent training for children who has difficulties with attention and activity or ADHD

NFPP-CIM Implementation Group

Eligibility Criteria

• Age: 3 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The study population includes families receiving services through municipal child and family clinics in Denmark. Participating families have children aged 3-12 years who present with parent-perceived difficulties related to attention and activity regulation, including diagnosed or suspected ADHD. All custodial parents provide informed consent and complete the quantitative outcome measures. In addition, the study includes community practitioners, managers, and other stakeholders involved in delivering and supporting the New Forest Parenting Programme - Community Implementation Model (NFPP-CIM). These participants complete semistructured interviews and contribute qualitative data related to feasibility, acceptability, and implementation processes and do not complete quantitative outcome questionnaires (see detailed study description).

You may qualify if:

• Families receiving services through municipal child and family clinics in Denmark
• Child aged 3-12 years
• Parent-perceived difficulties with attention and activity regulation, including those with a diagnosis or suspected diagnosis of ADHD.
• All custodial parents willing and able to provide informed consent
• Parents interested in participating in the New Forest Parenting Programme - Community Implementation Model (NFPP-CIM)

You may not qualify if:

• Families not receiving services through municipal child and family clinics
• Parents unable to provide informed consent
• Families unable to participate in the intervention due to severe child or family circumstances that preclude engagement (e.g. acute crisis requiring alternative services, Parents or children with severe mental or physical illness that would prevent active participation in the intervention)

Sponsors & Collaborators

• University of Aarhus: lead
• Aarhus University Hospital Skejby: collaborator
• Aalborg University Hospital: collaborator

Study Sites (1)

Forskningsafdelingen - Børne- og Ungdomspsykiatrisk Afdeling, Psykiatrien-Skejby

Aarhus, 8200, Denmark

Location

Related Publications (1)

• Alexandre, J.L., et al., The ADHD rating scale-IV preschool version: Factor structure, reliability, validity, and standardisation in a Danish community sample. Research in Developmental Disabilities, 2018. 78: p. 125-135. Arnfred, J., et al., Danish norms for the Strengths and Difficulties Questionnaire. Danish medical journal, 2019. 66(6). Borrelli, B., The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. 2011. p. S52-S63. Bowen, D.J., et al., How we design feasibility studies. American journal of preventive medicine, 2009. 36(5): p. 452-457. Cohen, A.N., et al., Improving care quality through hybrid implementation/effectiveness studies: Best practices in design, methods, and measures. Implementation Science, 2015. 10(1): p. A29. Curran, G.M., et al., Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical care, 2012. 50(3): p. 217. Damschroder, L.J., et al., Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 2009. 4(1): p. DuPaul, G.J., et al., Parent ratings of attention-deficit/hyperFactor structure and normative data. Journal of Psychopathology and Behavioral Assessment, 1998. 20(1): p. 83-102. Fixsen, D., et al., Statewide implementation of evidence-based programs. Exceptional children, 2013. 79(2): p. 213. Fixsen, D., et al., Statewide implementation of evidence-based programs. Exceptional Children, 2013. Goodman, R., et al., Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. The British Journal of Psychiatry, 2000. 177(6): p. 534.

  BACKGROUND

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Condition Hierarchy (Ancestors)

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

Study Officials

• Anne-Mette Lange

  Aarhus University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 14, 2025
• First Posted: January 14, 2026
• Study Start: February 15, 2022
• Primary Completion: June 30, 2025
• Study Completion: March 31, 2026
• Last Updated: January 14, 2026

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)