A Randomized Trial of Interventions for Teenage Drivers With Attention Deficit Hyperactivity Disorder (ADHD)

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2016-03-31

Brief Summary

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There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents and other adverse driving outcomes. Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes. For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent-teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. It is hypothesized that the STEER program will result in improved outcomes relative to the standard care group at the end of intervention and 6 and 12 month follow-up assessments.

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Detailed Description

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Conditions

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Attention Deficit Hyperactivity Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Driver Training

Driver Education Program Practice driving on a driving simulator Provision of the CarChipPro to the family

Group Type ACTIVE_COMPARATOR

CarChipPro

Intervention Type DEVICE

On board driving monitor

Driver's Education

Intervention Type BEHAVIORAL

10 Session License to Learn Program.

Driving Simulator Practice

Intervention Type OTHER

Practice Driving on a driving simulator

STEER Program

Driver Education STEER Program

Group Type EXPERIMENTAL

CarChipPro

Intervention Type DEVICE

On board driving monitor

Driver's Education

Intervention Type BEHAVIORAL

10 Session License to Learn Program.

STEER Program

Intervention Type BEHAVIORAL

8-session behavioral parent training and teen social skills/communication training program

Driving Simulator Practice

Intervention Type OTHER

Practice Driving on a driving simulator

Interventions

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CarChipPro

On board driving monitor

Intervention Type DEVICE

Driver's Education

10 Session License to Learn Program.

Intervention Type BEHAVIORAL

STEER Program

8-session behavioral parent training and teen social skills/communication training program

Intervention Type BEHAVIORAL

Driving Simulator Practice

Practice Driving on a driving simulator

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical Diagnosis of ADHD, Combined Type
* At least 16 years old
* Has a driving Permit

Exclusion Criteria

* No parent willing to be involved
* Seizure disorder, eating disorder, psychotic disorder, current diagnosis of substance/alcohol dependence
* Prior Driver's education class

Minimum Eligible Age

16 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No