Behavioral Treatment, Drug Treatment, and Combined Treatment for Attention Deficit Hyperactivity Disorder (ADHD)

NCT ID: NCT00050622

Last Updated: 2016-09-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-09-30

Study Completion Date

2005-06-30

Brief Summary

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The purpose of this study is to determine the effectiveness of behavioral treatment, drug treatment, and combined treatment for children with Attention Deficit Hyperactivity Disorder (ADHD). This study will also examine the interactions between different levels of behavioral and drug treatments.

Detailed Description

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Participants attend a summer treatment program each Monday-Friday for 9 weeks. They participate in group recreational and classroom activities, with 12 children and 5 staff per group. Three behavioral conditions (no behavioral modification, low-intensity behavioral modification, and high-intensity behavioral modification) are delivered in random order, with each condition lasting 3 weeks. Along with the behavioral treatment conditions, children receive 1 of 4 medication doses (placebo, 0.15 mg/kg methylphenidate, 0.3 mg/kg methylphenidate, or 0.6 mg/kg methylphenidate) in random order, with each dose varied daily and repeated 3 or 4 times within each behavioral treatment condition.

Measures include frequency counts of positive and negative behaviors, academic productivity and accuracy in the classroom, and counselor, parent, and teacher ratings of benefits and side effects. Parents attend training sessions and implement behavioral programs at home.

Conditions

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Attention Deficit Disorder With Hyperactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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No Treatment

No Medication, No Behavior Modification (BMOD)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Low Dose Medication Only

0.15 mg/kg methylphenidate (MPH), No BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.15 mg/kg

Intervention Type DRUG

0.15 m/kg/dose immediate-release methylphenidate

Medium Dose Medication Only

0.3 mg/kg MPH, No BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.3 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

Higher Dose Medication Only

0.6 mg/kg MPH, No BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.6 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

Low Intensity BMOD Only

Placebo, Low Intensity BMOD

Group Type ACTIVE_COMPARATOR

Low-Intensity BMOD

Intervention Type BEHAVIORAL

Lower-intensity behavioral treatment package.

Placebo

Intervention Type DRUG

Low Intensity BMOD + Low Dose Medication

0.15 mg/kg MPH, Low Intensity BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.15 mg/kg

Intervention Type DRUG

0.15 m/kg/dose immediate-release methylphenidate

Low-Intensity BMOD

Intervention Type BEHAVIORAL

Lower-intensity behavioral treatment package.

Low Intensity BMOD + Medium Dose Medication

0.3 mg/kg MPH, Low Intensity BMOD

Group Type ACTIVE_COMPARATOR

Low-Intensity BMOD

Intervention Type BEHAVIORAL

Lower-intensity behavioral treatment package.

Methylphenidate 0.3 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

Low Intensity BMOD + Higher Dose Medication

0.6 mg/kg MPH, Low Intensity BMOD

Group Type ACTIVE_COMPARATOR

Low-Intensity BMOD

Intervention Type BEHAVIORAL

Lower-intensity behavioral treatment package.

Methylphenidate 0.6 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

High Intensity BMOD Only

Placebo, High Intensity BMOD

Group Type ACTIVE_COMPARATOR

High Intensity BMOD

Intervention Type BEHAVIORAL

Comprehensive high-intensity Summer Treatment Program (STP)

High Intensity BMOD + Low Dose Medication

0.15 mg/kg MPH, High Intensity BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.15 mg/kg

Intervention Type DRUG

0.15 m/kg/dose immediate-release methylphenidate

High Intensity BMOD

Intervention Type BEHAVIORAL

Comprehensive high-intensity Summer Treatment Program (STP)

High Intensity BMOD + Medium Dose Medication

0.3 mg/kg MPH, High Intensity BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.3 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

High Intensity BMOD

Intervention Type BEHAVIORAL

Comprehensive high-intensity Summer Treatment Program (STP)

High Intensity BMOD + Higher Dose Medication

0.6 mg/kg MPH, High Intensity BMOD

Group Type ACTIVE_COMPARATOR

Methylphenidate 0.6 mg/kg

Intervention Type DRUG

0.3 mg/kg/dose immediate-release methylphenidate

High Intensity BMOD

Intervention Type BEHAVIORAL

Comprehensive high-intensity Summer Treatment Program (STP)

Interventions

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Methylphenidate 0.15 mg/kg

0.15 m/kg/dose immediate-release methylphenidate

Intervention Type DRUG

Low-Intensity BMOD

Lower-intensity behavioral treatment package.

Intervention Type BEHAVIORAL

Methylphenidate 0.3 mg/kg

0.3 mg/kg/dose immediate-release methylphenidate

Intervention Type DRUG

Placebo

Intervention Type DRUG

Methylphenidate 0.6 mg/kg

0.3 mg/kg/dose immediate-release methylphenidate

Intervention Type DRUG

High Intensity BMOD

Comprehensive high-intensity Summer Treatment Program (STP)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Attention Deficit Hyperactivity Disorder
* IQ \>= 80

Exclusion Criteria

* History of seizures or other neurological problems
* Medical history that would involve considerable risk in taking stimulant medication
* History or concurrent diagnosis of any of the following disorders: pervasive developmental disorder, schizophrenia or other psychotic disorders, sexual disorder, organic mental disorder, or eating disorder
Minimum Eligible Age

5 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Florida International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William E Pelham, PhD

Role: PRINCIPAL_INVESTIGATOR

Professor, Florida International University

Locations

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Florida International University Center for Children and Families

Miami, Florida, United States

Site Status

Center for Children and Families, University at Buffalo

Buffalo, New York, United States

Site Status

Countries

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United States

References

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Fabiano, G.A., Pelham, W.E., Gnagy, E.M., Wymbs, B.T., Chacko, A., Coles, E.K., Walker, K.S., Arnold, F., Burrows-MacLean, L., Massetti, G.M., & Hoffman, M.T. (2007). The single and combined effects of multiple intensities of behavior modification and multiple intensities of methylphenidate in a classroom setting. School Psychology Review, 36(2), 195-216.

Reference Type BACKGROUND

Pelham WE, Burrows-MacLean L, Gnagy EM, Fabiano GA, Coles EK, Wymbs BT, Chacko A, Walker KS, Wymbs F, Garefino A, Hoffman MT, Waxmonsky JG, Waschbusch DA. A dose-ranging study of behavioral and pharmacological treatment in social settings for children with ADHD. J Abnorm Child Psychol. 2014 Aug;42(6):1019-31. doi: 10.1007/s10802-013-9843-8.

Reference Type BACKGROUND
PMID: 24429997 (View on PubMed)

Related Links

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http://ccf.fiu.edu

Center for Children and Families Home Page

Other Identifiers

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R01MH062946

Identifier Type: NIH

Identifier Source: secondary_id

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DSIR CT-CT

Identifier Type: -

Identifier Source: secondary_id

R01MH062946

Identifier Type: NIH

Identifier Source: org_study_id

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