Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder

NCT ID: NCT00510120

Last Updated: 2013-06-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2012-08-31

Brief Summary

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This study will evaluate the effectiveness of two different psychosocial therapies, parent management training and collaborative problem solving, in treating children with oppositional-defiant disorder.

Detailed Description

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Oppositional-defiant disorder (ODD) is characterized by a recurrent pattern of developmentally inappropriate levels of negative, defiant, disobedient, and hostile behavior toward authority figures. Behaviors associated with ODD include temper tantrums; persistent stubbornness; resistance to directions; unwillingness to compromise, give in, or negotiate; deliberate or persistent testing of limits; and verbal and minor physical aggression. The usual treatment approach for children with ODD is parent management training (PMT). PMT primarily involves teaching parents strategies to respond consistently and correctly to their child's behavior. However, PMT does not always lead to longstanding results and there is a need for alternative treatments. Collaborative problem-solving (CPS) is a treatment approach that involves both the parent and child by teaching parents to help their child control their emotions and to problem-solve as a family. This study will compare the effectiveness of CPS and PMT in treating children with ODD.

Participants in this open-label study will include children with ODD and their parents. Participants will be randomly assigned to one of three groups: CPS, PMT, or waitlist control. Parents assigned to the CPS group will be taught strategies to help their child identify and regulate emotions and to solve behavior problems together as a family. Parents assigned to the PMT group will be taught how to respond consistently and appropriately to their child's positive and negative behaviors. Participants assigned to the waitlist control condition group will wait 10 weeks before treatment begins. Participants will attend a 1-hour treatment session each week for 10 weeks. In order to determine whether treatment is effective, participants will be asked to complete a variety of questionnaires, talk with their child about solving problems, and complete a structure diagnostic interview prior to the beginning of treatment, following treatment, and at a 1-year follow-up session. Parents will be asked to submit their child's school grades and school attendance records. If granted permission by the parents, the child's teacher will complete a questionnaire regarding the child's behavior in school for the year prior to participating in the study and up to 1 year after treatment. The information collected will help to determine how treatment affects each child's progress.

Conditions

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Oppositional-Defiant Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Participants will receive collaborative problem solving.

Group Type EXPERIMENTAL

Collaborative problem solving (CPS)

Intervention Type BEHAVIORAL

CPS is a treatment approach that involves both the parent and child by teaching parents to help their child control their emotions and to problem solve as a family. Parents assigned to the CPS group will be taught strategies to help their child identify and regulate emotions and to solve behavior problems together as a family. Participants will attend a 1-hour treatment session each week for 10 weeks.

2

Participants will receive parent management training.

Group Type ACTIVE_COMPARATOR

Parent management training (PMT)

Intervention Type BEHAVIORAL

PMT primarily involves teaching parents strategies to respond consistently and correctly to their child's behavior. Parents assigned to the PMT group will be taught how to respond consistently and appropriately to their child's positive and negative behaviors. Participants will attend a 1-hour treatment session each week for 10 weeks.

3

Participants assigned to waitlist control will receive one of the two treatments after a 10-weeks waitlist period.

Group Type ACTIVE_COMPARATOR

Waitlist control

Intervention Type BEHAVIORAL

Participants assigned to the waitlist control condition group will wait 10 weeks before beginning treatment one of the two treatment options.

Interventions

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Parent management training (PMT)

PMT primarily involves teaching parents strategies to respond consistently and correctly to their child's behavior. Parents assigned to the PMT group will be taught how to respond consistently and appropriately to their child's positive and negative behaviors. Participants will attend a 1-hour treatment session each week for 10 weeks.

Intervention Type BEHAVIORAL

Collaborative problem solving (CPS)

CPS is a treatment approach that involves both the parent and child by teaching parents to help their child control their emotions and to problem solve as a family. Parents assigned to the CPS group will be taught strategies to help their child identify and regulate emotions and to solve behavior problems together as a family. Participants will attend a 1-hour treatment session each week for 10 weeks.

Intervention Type BEHAVIORAL

Waitlist control

Participants assigned to the waitlist control condition group will wait 10 weeks before beginning treatment one of the two treatment options.

Intervention Type BEHAVIORAL

Other Intervention Names

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PMT CPS

Eligibility Criteria

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Inclusion Criteria

* Meets DSM-IV criteria for oppositional-defiant disorder
* Parent or guardian willing to provide informed consent

Exclusion Criteria

* History or current diagnosis of CD, autism, pervasive developmental disorders (PDD), or any psychotic disorder
* An estimated Full Scale IQ below 80
* Current suicidal or homicidal ideation
Minimum Eligible Age

8 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Virginia Polytechnic Institute and State University

OTHER

Sponsor Role lead

Responsible Party

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Thomas H. Ollendick

University Distinguished Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thomas H. Ollendick, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Psychology, Virginia Tech

Locations

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Child Study Center

Blacksburg, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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R01MH076141

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DDTR B3-PDC

Identifier Type: -

Identifier Source: secondary_id

R01MH076141

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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