Child Behavior, Executive Dysfunction, Problem Behavior
Conditions
Keywords
Executive Functioning, ADHD, Behavior Problems, Youth, CPS, Collaborative Problem Solving, Disruptive Behavior, Parenting
Brief summary
In this project, the investigators will extend prior results of parent-reported executive function growth and symptom reduction in children receiving home-based treatment with the Collaborative Problem Solving treatment approach (CPS), with a particular focus on examining children who have attention deficit hyperactivity disorder (ADHD). The investigators will examine executive functioning (EF) of children who are receiving CPS, measuring EF with parent-report and objective computer-based tasks, at two timepoints: at the start of treatment and approximately four months later, and will collect symptoms at these plus three additional timepoints: at discharge, 6-months after discharge, and 12-months after discharge.
Interventions
BEHAVIORALCollaborative Problem Solving
CPS is an approach for understanding and reducing challenging behavior in youth. Under CPS, caregivers are taught to understand and identify the specific neurocognitive skill deficits that underlie their child's challenging behavior. Then the caregivers are taught to interact with the child in a way that solves chronic behavior problems while building the lagging neurocognitive skills to avoid future problems.
Sponsors
Massachusetts General Hospital
Gerstner Philanthropies
Youth Villages
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
7 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Clients of participating non-profit organization that are receiving home-based youth mental health care * Speaking and writing English at level necessary to complete study requirements
Exclusion criteria
* Youth is in full state custody and consent cannot be obtained by a guardian * Youth and/or guardians do not speak English well enough to complete standardized measures * Youth has a confirmed or suspected Full Scale IQ below 70, or carries a prior diagnosis of Autism Spectrum Disorder at the moderate or severe level
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Behavioral Symptoms | Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge | Strengths and Difficulties Questionnaire (Parent-report measuring child emotional problems, conduct issues, hyperactivity/inattention, peer relationship problems, and pro- social behavior) |
| Change in Executive Functioning Skills | Baseline and 4 months | Behavior Rating Inventory of Executive Functioning (Parent-report measuring deficits in different domains of executive functioning) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Child-Parent Relationship | Baseline and 4 months | Child-Parent Relationship Scale (A 15-question measure of parents perceptions of their relationship with their child by using a scale of 1-5 where 1 "definitely does not apply" and a 5 "definitely applies to the child-parent relationship") |
| Treatment providers' fidelity to Collaborative Problem Solving (as a moderator) | provider rating made closest in proximity to four-month timepoint | CPS Treatment Integrity Rating Form Short (Observational ratings by trained CPS coaches that quantitatively measure providers' fidelity to the practice of the CPS treatment approach) |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAlisha R Pollastri, Ph.D.
Massachusetts General Hospital
Outcome results
None listed