Improving Medication Adherence in ADHD Adolescents

NCT ID: NCT02271880

Last Updated: 2019-07-24

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2016-06-30

Brief Summary

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Investigates whether a family-based intervention for adolescents with Attention Deficit Hyperactivity Disorder (ADHD) will improve adherence to prescribed medication regimen in adolescents with history of medication nonadherence.

Detailed Description

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We will evaluate a dual component family-based intervention for adolescents with ADHD to improve medication adherence (Supporting Teen Adherence and Responsibility; STAR). STAR pairs Motivational Interviewing with parent-teen behavioral contracting. In the proposed study, adolescents with ADHD and a history of chronic nonadherence to their ADHD medication will be randomly assigned to medication alone (medication as usual: MAU) or MAU+STAR. They will be treated for 6 months with a 12 month maintenance period and 12 month followup. All interventions will occur at the offices of participants primary care physicians.

Conditions

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ADHD

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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Medication as usual

Medication as typically prescribed by physician.

Group Type ACTIVE_COMPARATOR

Medication as usual

Intervention Type OTHER

Physicians will prescribe medication as usual to the adolescent.

Medication as usual + STAR

Medication as typically prescribed with the addition of the psychosocial intervention to improve medication adherence

Group Type ACTIVE_COMPARATOR

Medication as usual

Intervention Type OTHER

Physicians will prescribe medication as usual to the adolescent.

STAR

Intervention Type OTHER

Adolescents and their parents will receive 6 sessions of psychosocial treatment to improve adolescents' motivation to use medication and to develop parent/teen contracting with the goal of setting medication adherence goals.

Interventions

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Medication as usual

Physicians will prescribe medication as usual to the adolescent.

Intervention Type OTHER

STAR

Adolescents and their parents will receive 6 sessions of psychosocial treatment to improve adolescents' motivation to use medication and to develop parent/teen contracting with the goal of setting medication adherence goals.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of ADHD; currently prescribed an FDA-approved medication for ADHD, history of medication nonadherence (taking less than 60% of prescribed doses); full scale Intelligence Quotient \>80, no current language delay and/or had no language delays before age 3.

Exclusion Criteria

* active medical conditions that could be worsened by stimulants (seizures, arrhythmias, hypertension) unless patient has clearance from primary specialist taking care of existing condition, pregnancy, Bipolar Disorder, schizophrenia, and/or other psychotic disorders, and diagnosis of current substance abuse or dependence (except nicotine), current psychotropic medication for conditions other than ADHD.
Minimum Eligible Age

12 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Florida International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Florida International University Center for Children and Families

Miami, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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MH097819

Identifier Type: -

Identifier Source: org_study_id

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