Attention Deficit Hyperactivity Disorder
Conditions
Brief summary
This study evaluates the efficacy of the Nurtured Heart Approach (NHA) to reduce inattention and hyperactivity and impulsivity in children ages 6 - 8 years. Participants are parents or guardians of children diagnosed with, or suspected of, attention deficit hyperactivity disorder (ADHD). Participants are randomized into the immediate (NHA) or delayed (Control) group.
Detailed description
The American Academy of Pediatrics recommends evidence-based parent and/or teacher behavioral therapy and/or medication to treat ADHD. A systematic review by Coates and colleagues found behavioral interventions decreased ADHD behaviors in children. The NHA is an intervention designed to teach parents a set of skills and attitudes to decrease ADHD in children. It has been applied in a number of settings from homes, schools, and foster care agencies both in several states in the U.S. and in over 16 countries. While widely accepted, the Approach has not been evaluated using scientifically rigorous methods.
Interventions
BEHAVIORALNurtured Heart Approach
Based on three stands designed to reduce negative reactivity from parents/guardians, increase positive interactions, and set firm, clear limits.
Sponsors
University of Arizona
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Parent or guardian of a child diagnosed with ADHD or suspected of ADHD * Child must be 6 - 8 years of age * Access to a computer with Internet
Exclusion criteria
* Child with ADHD, or suspected of ADHD, cannot have a diagnosis of autism
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inattention | Six-week change from pre-intervention inattention to post-intervention inattention. | Parent reported measure called Conners-3 Parent Short Form. Raw scores are converted into standardized T-scores using age- and sex-specific conversion standards. The minimum T-score is 40 and the maximum is 90. The six content subscales are inattention, hyperactivity/impulsivity, learning problems, executive function, defiance/aggression, and peer relations. Higher T-scores are worse. |
| Hyperactivity/Impulsivity | Six-week change from pre-intervention hyperactivity/impulsivity to post-intervention hyperactivity/impulsivity. | Parent reported measure called Conners-3 Parent Short Form. Raw scores are converted into standardized T-scores using age- and sex-specific conversion standards. The minimum T-score is 40 and the maximum is 90. The six content subscales are inattention, hyperactivity/impulsivity, learning problems, executive function, defiance/aggression, and peer relations. Higher T-scores are worse. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parental Stress | Six-week change from pre-intervention parental stress to post-intervention parental stress. | Parent reported measure called Parenting Stress Index - 4 Short Form. Scores are summed. A minimum raw score possible is 36 and maximum is 180. Higher values are worse. |
| Parenting Competency | Six-week change from pre-intervention parenting competency to post-intervention parenting competency. | Parent reported measure called Parenting Sense of Competence. Scores are summed. A minimum score possible is 16 and maximum is 96. Higher value is a better outcome. |
Countries
United States
Outcome results
None listed