Mindfulness ADHD Intervention
The Investigation of a Mindfulness-Based Intervention for ADHD
Attention-deficit/hyperactivity disorder (ADHD) affects approximately 11% of children and adolescents in the United States. Individuals with ADHD experience substantial impairments and burdens across multiple areas of daily living, including peer difficulties, academic difficulties, poor job outcomes, high rates of co-occurring disorders, and large financial costs. Although there are many well-established, evidence-based treatments for ADHD, many children continue to experience significant impairment and elevated ADHD symptoms even with prolonged treatment. Further, there are several limitations to existing treatment approaches, including medication side effects, difficulty accessing behavioral treatments, and high out-of-pocket costs for behavioral treatments. Thus, there is a crucial need to identify low cost, low burden, alternative or additive intervention approaches for pediatric ADHD.
In the current pilot study, the investigators aim to evaluate responses in behavioral markers of attention to a mindfulness-based intervention. Mindfulness-based interventions (MBIs), including deep breathing, have received considerable research attention regarding their benefits for ADHD symptoms. Deep breathing is a strong candidate as a supplementary MBI intervention for children with ADHD due to its simplistic and easy-to-implement nature. Studies examining the effects of deep breathing on physiological arousal and ADHD symptoms in children have yielded promising results. Children will be led through a brief deep breathing intervention using a novel tool designed to optimize child engagement in deep breathing. This tool is designed to be held in the child's hands and uses a series of haptic vibrations to provide real-time deep breathing pacing guidance. The investigators predict that following a brief deep breathing practice, children with ADHD will demonstrate improved sustained attention, reaction time consistency, and inhibitory control. These areas of attention and behavioral functioning will be assessed using computer tasks.
The investigators plan to use the results of this study to strengthen a future application for grant funding to run a similar trial with many more children. The investigators believe that the results of this and future studies will improve the lives of children with ADHD and their families.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: James D Lynch, Ph.D.
- Phone Number: 617-919-5339
- Email: James.Lynch@childrens.harvard.edu
Study Locations
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-
Massachusetts
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Brookline, Massachusetts, United States, 02445
- Boston Children's Hospital Laboratories of Cognitive Neuroscience
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant age 7 years, 0 months - 11 years, 11 months
- Parent-reported ADHD diagnosis for the participant
Exclusion Criteria:
- Previous confirmed or suspected diagnosis of intellectual disability
- Previous confirmed or suspected diagnosis of autism spectrum disorder
- Currently prescribed non-stimulant medication for the purpose of managing ADHD symptoms
- Hearing impairments
- Primary language other than English
- Known seizure disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Deep Breathing Intervention
Children will complete a brief deep breathing intervention
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Children will complete a brief, 5-minute, deep breathing intervention using the Domi tool to help maintain a 5-second breath pace
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Behavioral Performance Metrics
Time Frame: During the single in-person research visit
|
Behavioral markers of sustained attention and inhibitory control will be assessed using a Go/NoGo task.
Omission errors (failing to respond to a Go trial) and reaction time variability (standard deviation of reaction time across all trials) will serve as markers of sustained attention.
Commission errors (responding to a NoGo trial) will serve as a marker of inhibitory control.
|
During the single in-person research visit
|
|
Neurophysiological Markers
Time Frame: During the single in-person research visit
|
Electroencephalography (EEG) methods will be used to measure P300 event-related potentials (ERP), a positive inflection occurring around 300ms after a response to task-relevant and irrelevant stimuli that reflects attention orienting, stimulus evaluation, and inhibitory control.
Stimulus-locked P300 amplitude in response to correct Go-trials will be a marker of cortical attention processes, while stimulus-locked P300 amplitude in response to NoGo trials will be a marker of cortical inhibitory control processes.
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During the single in-person research visit
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB-P00051676
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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