- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01684644
A Controlled Study of Parent Training in the Treatment of ADHD in Young Children (D'SNAPP)
Parent Training for Preschool ADHD: A Randomised Controlled, Multicentre Effectiveness Trial of the New Forest Parenting Programme in a Clinical Sample of Danish Children
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Description: A study to: 1) Address the need for non-pharmacological treatment in young children with ADHD and 2) Address the need for the development of evidence-based psychosocial treatment interventions in Danish child mental health services, through the implementation of the New Forest Parenting Programme (NFPP).
Rationale: ADHD is a neuro-developmental disorder with symptoms frequently occurring in early childhood. ADHD is associated with long-term personal, psychosocial sequalae. ADHD presents a considerable societal cost burden, both for mental health services, but also in areas such as education, employment, the criminal justice system. Pharmacological treatment of preschool ADHD is not recommended as first-line treatment, due to a number of reasons, including lack of evidence for efficacy, parental concerns, side effects on growth rates, and the unknown long-term implications for the developing brain. Effective psychosocial treatments for ADHD are therefore of central public priority generally, and for child mental health services, specifically. Currently, psychosocial interventions for ADHD in pre-school children in Danish Child and Adolescent Mental Health Services (CAMHS) are not well described or systematically developed. There is a pressing need to develop evidence-based psycho-social treatments for young children with ADHD in Danish CAMHS.
Design: The study will be a randomised controlled multi-centre effectiveness trial comparing NFPP intervention to a Treatment as Usual control group. The trial will recruit 200 preschool children (aged 3-6) with a diagnosis of ADHD from two Danish outpatient child mental health service sites. Participants will be randomised to either 1) NFPP over a period of 8 weeks or 2) a control group receiving Treatment as Usual (TAU). Outcome: The primary outcome measure will be child ADHD symptoms. Secondary outcomes include parental wellbeing, child quality of life, parent-child interactions. Measures will be collected at three time points to track changes in outcome: T1: Before start of intervention or TAU condition. T2: Directly after the intervention or TAU and T3: 6 month follow-up after T1 for both arms of the trial. The study will perform exploratory moderator and mediator analyses.
Expertise: The study receives external consultation from an international expert team for the planning, execution, NFPP training and supervision. The team consists of research and clinical experts in the treatment and evaluation of interventions for preschool ADHD.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Aarhus
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Risskov,, Aarhus, Denmark, 8240
- Center for child and adolescent psychiatry
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A clinical diagnosis of ADHD, as measured by the DAWBA
- Participants first language must be Danish
Exclusion Criteria:
- Children with intellectual disabilities (i.e. IQ < 70), Autism Spectrum Disorders.
- Severe parental psychiatric disorder
- Severe social adversity, as defined by social services involvement due to suspicions of or detected neglect.
- Child receiving medication or other treatment for ADHD symptoms
Study Plan
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: New Forest Parenting Programme
The New Forest Parenting Programme is a parent training programme specifically developed to treat ADHD in preschool children.
The programme is delivered as an 8 week intervention for individual parents and their child.
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Other: Treatment as Usual
Treatment as usual for preschool ADHD consists of psychoeducation groups for parents.
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ADHD Rating Scale IV-Preschool Version
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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A screening instrument for the symptoms of AD/HD in the preschool population.
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Preschool ADHD-RS (Teacher completed) 18 items
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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screening instrument for the symptoms of AD/HD in the preschool population.
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Strength and Difficulties Questionnaire (parent version)
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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A brief measure of prosocial behaviour and and psychopathology of 3-16 year olds that can be completed by parents
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Strength and Difficulties Questionnaire (teacher completed)
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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A brief measure of prosocial behaviour and and psychopathology of 3-16 year olds that can be completed by teachers
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Child solo play - observation measure -
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Observation measure: Index of Attention scale assessed from 'time on task'/no. of switches in activity' with high scores representing more attention and less switching
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Child Health Questionnaire (CHQ-28)
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Quality of life measure
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Family Strain Index 6 items
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Short screening instrument for the detection of family strain
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parental report on somatic complaints in preschool children
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Parental report on somatic complaints in preschool children (Domenech-Llaberia et al., 2004)
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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6. The Adult ADHD self-report scale (ASRS-V1.1) 18 items The Adult ADHD self-report scale (ASRS-V1.1) 18 items
Time Frame: T1 (Baseline)
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Adult ADHD screening instrument
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T1 (Baseline)
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Parent sense of competence scale (PSOC) (17 items)
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Instrument to assess perceived sense of parenting competence
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Maternal expressed emotion - 5 min speech sample.
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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A 5-min speech sample obtained from mothers, rated over 6 scales with an overall high score indicating a negative influence on the child.
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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GIPCI (Jigsaw/Tidy up/Freeplay) observation measure
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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GIPCI (Jigsaw/Tidy up/Freeplay) observation measure of parent child interaction with global ratings (0-5) for parent and child behaviours
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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General Health Questionnaire (12 item)
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Screening instrument to detect psychiatric disorders in adults
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Neuropsychological test battery
Time Frame: T1 (at baseline), T2 (twelve weeks from T1)
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Working memory (verbal and visuospatial) measured by Word span Forward and Backward as well as using Finger Windows Forward and Backward. Inhibition measured using a modified four picture pairs Stroop Task as well as the Head-Toes-Knees-Shoulders task. Flexibility measured using the Switching, Inhibition, and Flexibility Task as well as the Trails-P. Delay-related behavior measured with the Cookie Delay Task and the Teddy Delay Task Simple information processing time measured using the Fish task. In addition, video recordings of the neuropsychological evaluation will be coded and analyzed (private speech and behavior) after the test session |
T1 (at baseline), T2 (twelve weeks from T1)
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Behavior Rating Inventory of Executive Function - Preschool Version [BRIEF-P]
Time Frame: T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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T1 (at baseline), T2 (twelve weeks from T1), T3 (6 months from T1)
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Per Hove Thomsen, MD, Børne- og Ungdomspsykiatrisk Center-Risskov, Aarhus Universitetshospital, Skovagervej 2, 8240 Risskov, Denmark
Publications and helpful links
General Publications
- Larsen LB, Daley D, Lange AM, Sonuga-Barke E, Thomsen PH, Rask CU. Effect of Parent Training on Health-Related Quality of Life in Preschool Children With Attention-Deficit/Hyperactivity Disorder: A Secondary Analysis of Data From a Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry. 2021 Jun;60(6):734-744.e3. doi: 10.1016/j.jaac.2020.04.014. Epub 2020 Jun 4.
- Lange AM, Daley D, Frydenberg M, Houmann T, Kristensen LJ, Rask C, Sonuga-Barke E, Sondergaard-Baden S, Udupi A, Thomsen PH. Parent Training for Preschool ADHD in Routine, Specialist Care: A Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry. 2018 Aug;57(8):593-602. doi: 10.1016/j.jaac.2018.04.014. Epub 2018 Jun 18.
- Lange AM, Daley D, Frydenberg M, Rask CU, Sonuga-Barke E, Thomsen PH. The Effectiveness of Parent Training as a Treatment for Preschool Attention-Deficit/Hyperactivity Disorder: Study Protocol for a Randomized Controlled, Multicenter Trial of the New Forest Parenting Program in Everyday Clinical Practice. JMIR Res Protoc. 2016 Apr 13;5(2):e51. doi: 10.2196/resprot.5319.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 7-10-1294 (Other Grant/Funding Number: 7-10-1294)
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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