Comparing School Based Interventions for Adolescents With Attention Deficit Hyperactivity Disorder
NCT ID: NCT00947973
Last Updated: 2016-12-16
Study Results
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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COMPLETED
PHASE2
315 participants
INTERVENTIONAL
2010-07-31
2014-07-31
Brief Summary
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Detailed Description
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Treating ADHD with medications alone is often ineffective, but adding other methods, such as behavioral treatments, may be beneficial. Researchers have developed a psychosocial treatment for adolescents with ADHD, called the Challenging Horizons Program (CHP), that is delivered in school and targets social impairment, family conflict, and academic failure. Two versions of CHP were developed, an after-school model and a consultation model. The after-school model involves 2 to 3 days of individualized treatment per week and has a higher cost than the consultation model because it involves hiring specialized counseling staff and finding space to house the program after school. The consultation model involves teaching CHP intervention strategies to school staff, who then mentor students with ADHD and deliver interventions as needed to solve problems. This model is less expensive, but it does not deliver treatment as often or consistently as the after-school model. This study will compare the after-school and consultation models of the CHP to determine their relative efficacy and cost effectiveness. The study will also evaluate factors that may predict which adolescents would benefit most from either of the two models.
Participation in this study will last a full school year. Participants from schools taking part will be randomly assigned to one of three groups: after-school CHP, consultation CHP, or standard community care. Participants receiving after-school CHP will attend two 2.5-hour after-school sessions per week in which they will work with counselors on homework management, educational skills, and interpersonal skills. Participants receiving consultation CHP will be assigned a teacher mentor (who will volunteer to work with the student), and the mentor and student will meet as needed. A study clinician will provide support to the teacher mentors, who will learn the same interventions as counselors in the after-school condition. Participants in the community care condition will not receive any intervention but will receive a list of community psychosocial and medical service providers for children and their families. All participants will undergo study assessments pre-treatment; in November, January, and March of the school year; post-treatment; and at a 6-month follow-up. Assessments will include questionnaires and clinical interviews completed by student, their parents, and their teachers. ADHD symptoms, academic performance, relevant skills of adolescents, and program costs will be assessed.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Challenging Horizons Program after-school model
Participants will receive the CHP after-school model.
Challenging Horizons Program (CHP) after-school model
Interventions delivered by a counselor 2 days a week as an after-school program. Interventions will strengthen skills in materials organization, homework management, studying, note taking, and socialization.
Challenging Horizons Program consultation model
Participants will receive the CHP consultation model.
Challenging Horizons Program (CHP) consultation model
Interventions delivered by a mentor (e.g., a teacher or school counselor) as needed, with expert consultation available
Community care
Participants will have access to standard community care.
No interventions assigned to this group
Interventions
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Challenging Horizons Program (CHP) after-school model
Interventions delivered by a counselor 2 days a week as an after-school program. Interventions will strengthen skills in materials organization, homework management, studying, note taking, and socialization.
Challenging Horizons Program (CHP) consultation model
Interventions delivered by a mentor (e.g., a teacher or school counselor) as needed, with expert consultation available
Eligibility Criteria
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Inclusion Criteria
* All common comorbid conditions not listed as exclusionary will be included.
Exclusion Criteria
* Anticipated attendance for participant or parent less than 80% for scheduled activities
* Meets diagnostic criteria for bipolar disorder, psychotic disorder, substance dependence (but not substance abuse), or obsessive-compulsive disorder (OCD)
11 Years
15 Years
ALL
No
Sponsors
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National Institute of Mental Health (NIMH)
NIH
Children's Hospital Medical Center, Cincinnati
OTHER
Responsible Party
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Principal Investigators
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Joshua M. Langberg, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center
Steven W. Evans, PhD
Role: PRINCIPAL_INVESTIGATOR
Ohio University
Locations
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Ohio University
Athens, Ohio, United States
Cincinnati Children's Hospital Medical Center, Center for ADHD
Cincinnati, Ohio, United States
Countries
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Other Identifiers
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DSIR 84-CTS
Identifier Type: -
Identifier Source: secondary_id