Attention Deficit Disorder With Hyperactivity
Conditions
Keywords
Behavior therapy, Peer groups, Patient satisfaction, Feasibility studies
Brief summary
Peer co-led education describes educators who are expert patients, user representatives or former patients, participating and teaching in educational interventions in cooperation with health care professionals. Peer co-led education is included in the Norwegian national guidelines for treatment of mental disorders, but despite some promising results for the treatment of other conditions, still little is known about the efficacy of peer co-led educational group interventions interventions for adults with attention deficit and hyperactivity disorder (ADHD). This pilot trial will evaluate patient satisfaction with and preliminary efficacy of a 2-session peer co-led educational group program designed to address specific challenges faced by adults diagnosed with ADHD at an outpatient clinics in mid-Norway.
Interventions
The group-based educational program consists of two sessions that run over two consecutive weeks. Each session consists of a lecture from a recruited expert on the topic of the session and by expert patients with a following discussion of the topic facilitated by the course leader.
No educational intervention for the duration of the 10 weeks. During this period participants can receive standard treatment.
Diagnostic treatment with medication. In addition, some patients receive cognitive behavioral therapy (not systematically given to every patient). If needed, patients are also offered assistance with regard to economy, housing, education, and work as well as contact with family and network.
Sponsors
Study design
Intervention model description
Pilot randomized clinical trial
Eligibility
Inclusion criteria
* Confirmed ADHD-diagnosis * speaking a Scandinavian language
Exclusion criteria
* Unable to give informed consent * Psychosis * Severe learning difficulties
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in client Satisfaction | from baseline to 2-weeks follow-up | Client satisfaction will be measured with Client Satisfaction Questionnaire, short form (Attkisson & Zwick, 1982). The scale consists of 8 items scored on a Likert scale from 1 (low satisfaction) to 4 (high satisfaction). Total scores range from 8 to 32, with higher scores indicating greater satisfaction. |
| change in patient activation | from baseline to 10-weeks follow-up | Patient activation will be measured with the Norwegian version of the Patient Activation Measure Mental Health (PAM-MH) (Green et al 2010)) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in general self-efficacy | from baseline to 10 weeks follow-up | General Self-Efficacy Scale, 6-item scale ranging from 1 ('not at all true') to 4 ('exactly true'). Total scores range from 6 to 24, with higher scores indicating greater self-efficacy. (Romppel et al 2013) |
| change in ADHD-related symptoms | from baseline to 10 weeks follow-up | Hopkin's Symptom Checklist (SCL), 9-items scale with high scores on SCL-9 indicating ADHD-related symptom burden (Eich et al 2011) |
| change in Quality of Life | from baseline to 10 weeks follow-up | Adult Attention Deficit/Hyperactivity Disorder Quality of Life Scale, AAQoL short Form (Brod et al 2006) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Use of health services and work participation | through study completion, an average of 24 weeks | Self-reported work participation and received services: 3 questions about both work status and received treatment |
Countries
Norway