Parent Training for Attention Deficit Hyperactivity Disorder (ADHD) Preschoolers

December 5, 2014 updated by: NYU Langone Health

Home-Based Parent Training in ADHD Preschoolers

The purpose of this research is to evaluate and compare the effectiveness of two parenting programs in reducing the ADHD symptoms and behavioral problems of preschool children with ADHD through a controlled study. One program is a home-based parent training intervention that is designed to enhance the parent-child interaction, constructive parenting skills, and the child's tolerance for delay. The other intervention is a clinic-based parent training program that focuses on reducing noncompliance in preschool children and improving parenting skills.

Both programs consist of private weekly parenting sessions with Clinical Psychologists - once a week for 8 weeks. The sessions are 1-1.5 hours in length. Both programs use behavior modification as a means of improving oppositional and non-compliant child behavior. Both interventions also involve procedures that focus on improving children's attention.

Neither program involves medication, and all families will receive one of the two parenting programs being evaluated. Study evaluations, as well as participation in the parenting programs, are provided at no cost to families. Evaluation and parenting sessions can be scheduled at times convenient to families.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

187

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10016
        • NYU Child Study Center, One Park Avenue

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

3 years to 4 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Age = 3.0 - 4.11
  • In preschool program at least 2 half days per week
  • Meets criteria for ADHD on clinical evaluation / DISC
  • ADHD severity: > 1.5 SD above mean for age/sex on CTRS-R
  • ADHD severity: > 1.0 SD above mean for age/sex on CPRS-R

Exclusion Criteria:

  • Current Medication treatment for ADHD
  • IQ < 70 (Full Scale on WPPSI III)
  • Pervasive Developmental Disorder
  • Psychosis
  • Severe receptive language impairment
  • Neurological Disorder
  • Significant medical disorder
  • Primary caretaker is not able to participate
  • Non-English speaking primary care taker

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Home-Based Parenting Program
Behavioral: Home-Based Parenting Program

The Home-Based Parenting Program aims to improve impulsive and oppositional behaviors in 3 and 4 year-olds. The program involves 8 home visits with a therapist. The visits focus on the skills listed below as a means of improving your child's behavior.

  1. Helping you set developmentally appropriate goals for your child. One way we do this is by focusing on situations that occur naturally in your home. Another way is by having you engage in activities with your child that focus on improving attention and the ability to delay.
  2. Increasing the quality and quantity of positive interactions between you and your child
  3. Changing the way you respond to your child's inappropriate behaviors so as to reduce the frequency of negative interactions.
  4. Improving your parenting skills. This program also includes between-session "homework tasks" so that you can practice the skills you have learned throughout the week.
Experimental: Clinic-Based Parenting Program
Behavioral: Clinic-Based Parenting Program

The Clinic-Based Parenting Program aims to improve ADHD symptoms by reducing noncompliance, which is common in children with ADHD. Parents learn how to help their child attend to and comply with requests and directions so as to improve compliance and attention.

The program involves 8 clinic visits with a therapist. Parents learn various parenting skills to help improve their child's behaviors.

Parents learn techniques and skills to promote positive interactions with their child, including:

  1. Increasing the positive attention you give to your child.
  2. Reducing the inappropriate use of commands, questions and criticisms.
  3. Appropriate use of praise and physical attention (e.g., hugs) as rewards.
  4. Actively ignoring minor, inappropriate behaviors. Parents also learn how to: increase compliance via clear instruction; respond to compliant and noncompliant behaviors; and create and use clear rules about appropriate and inappropriate child behaviors.
Other: Wait-List Control Group
Behavioral: Wait-List Control Group
If your child is randomized to the 8-week Wait-List group, you and your child will be asked to attend 2 assessment visits -1 screening/baseline visit and one 8 weeks later. These assessment visits will take place at our clinic. After completing the second assessment, you will receive your choice of either the home-based or clinic-based parenting program.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Conners Teacher Rating Scale
Time Frame: Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)
Behavior Rating Scale
Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Conners Parent Rating Scale
Time Frame: Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)
Behavior Rating Scale
Post-Treatment (within one week of the last treatment session / end of the 8 week waiting period)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

NYU Langone Health

Investigators

  • Principal Investigator: Howard Abikoff, Ph.D., New York University Child Study Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2007

Primary Completion (Actual)

November 1, 2014

Study Completion (Actual)

November 1, 2014

Study Registration Dates

First Submitted

March 11, 2011

First Submitted That Met QC Criteria

March 18, 2011

First Posted (Estimate)

March 22, 2011

Study Record Updates

Last Update Posted (Estimate)

December 8, 2014

Last Update Submitted That Met QC Criteria

December 5, 2014

Last Verified

December 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 5R01MH074556-04 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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