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Smartphone-based Intervention for Young Adults With ADHD
Training Inhibitory Control Using Personalized Strategies (TIPS): A Randomized Controlled Feasibility Trial of a Smartphone-Based Intervention for Alcohol Use in Young Adults With ADHD
The primary goal of this clinical trial is to test if a smartphone-based intervention is feasible & acceptable among young adults with ADHD who also engage in risky drinking behaviors. A secondary aim is to test preliminary intervention efficacy. The main questions it aims to answer are:
Is the smartphone intervention feasible & acceptable for participants (e.g., are they responding regularly, is there a low level of burden reported)?
Does the smartphone intervention improve symptom awareness, inhibitory control, and problematic alcohol use?
Participants will:
Attend a virtual baseline visit to assess ADHD, alcohol use, and other life experiences.
Complete either the TIPS smartphone intervention or a control smartphone protocol over the course of 31-days, starting the first Friday after the baseline visit.
Attend a virtual follow-up visit, where many of the same questions from the baseline visit will be asked again.
Studie Overzicht
Toestand
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Traci Kennedy, PhD
- Telefoonnummer: 4122466087
- E-mail: kennedytm2@upmc.edu
Studie Contact Back-up
- Naam: Aiden Williard, B.S.
- Telefoonnummer: 4127324911
- E-mail: williarda@upmc.edu
Studie Locaties
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Pennsylvania
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Pittsburgh, Pennsylvania, Verenigde Staten, 15213
- Werving
- University of Pittsburgh
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Contact:
- Traci Kennedy, PhD
- Telefoonnummer: 4122466087
- E-mail: kennedytm2@upmc.edu
-
Contact:
- Aiden Williard, B.S.
- Telefoonnummer: 4127324911
- E-mail: williarda@upmc.edu
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Age 18-25
- Current diagnosis of Attention Deficit/Hyperactivity Disorder-Combined Type according to the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM 5)
- Drinks at least 4 (for females) / 5 (for males) alcoholic drinks in a single drinking session at least once per week
- Owns a smartphone
- Reads and understands English
Exclusion Criteria:
- Currently in high school
- Actively in treatment for Alcohol Use Disorder
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verdrievoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Intervention Arm
Participants in this arm will be randomly assigned to the Experimental condition of the smartphone portion.
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Participants will rate their ADHD symptoms and impairment 4 times daily.
Feedback on changes in ADHD symptoms will be provided visually via a graph at each prompt.
They will also be texted suggestions following each survey to try behavioral strategies intended to help with their inhibitory control ADHD symptoms and related problems, with a particular focus on alcohol use and problems).
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Sham-vergelijker: Control Arm
Participants in this arm will be randomly assigned to the Control condition of the smartphone portion.
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Participants will receive 4 prompts per day in the same time windows as participants in the intervention group.
However, participants in the control conditions will not be given the 3 TIPS intervention components (symptom monitoring, symptom feedback, and tailored strategy suggestions) and instead will report about their drinking behaviors.
They will also answer several "neutral" questionnaires that have been designed by the study team to keep intervention prompt length similar between groups.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Average Completion Rate
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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Completion rate will be defined as number of surveys completed out of the 124 that will be sent during the 31-day smartphone intervention period.
4 surveys will be sent every day.
An average completion rate of 80% in the intervention group would indicate good feasibility.
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Enrollment to Completion of 31-Day Intervention Period
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Average mHealth App Usability Questionnaire (MAUQ) Rating
Tijdsspanne: Within 1 month of intervention completion
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The usability of the smartphone intervention will be assessed using the 18-item mHealth App Usability Questionnaire (MAUQ), rated from 1-disagree to 7-agree, with an average of at least 5 indicating good usability.
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Within 1 month of intervention completion
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in past-month average alcohol quantity
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period,
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A change in past-month average alcohol quantity from pre- to post-intervention, as measured by the 31-day timeline followback interview.
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Enrollment to Completion of 31-Day Intervention Period,
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Change in number of past-month binge-drinking episodes
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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A change in number of past-month binge-drinking episodes from pre- to post- intervention, as measured by the timeline followback interview. Binge-drinking is defined as drinking 4 or more drinks in assigned female at birth participants, or 5 or more drinks in assigned male at birth participants within a 2-hour period. |
Enrollment to Completion of 31-Day Intervention Period
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Change in number of past-month alcohol problems reported on the Young Adult Alcohol Consequence Questionnaire
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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Participants will complete the 23-item Young Adult Alcohol Consequence Questionnaire at baseline (pre-intervention) and follow-up (post-intervention).
For each item, participants will indicate whether the item is something they have experienced in the past month.
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Enrollment to Completion of 31-Day Intervention Period
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Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in inhibitory control
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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Participants and collateral reported will complete the 8-item Inhibit subscale of the Behavior Rating Inventory of Executive Function Adult Version (BRIEF-A) at baseline (pre-intervention) and post-intervention follow-up.
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Enrollment to Completion of 31-Day Intervention Period
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Change in awareness
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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A change in awareness of inhibitory control from pre- to post-intervention, as measured by the 15 item Mindful Attention Awareness Scale (MAAS)
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Enrollment to Completion of 31-Day Intervention Period
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Change in objectively measured inhibitory control
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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A change in objectively measured inhibitory control based on mobile CuedGoNoGo responses (rate of commission errors, i.e., when the participant tapped their screen when they weren't supposed to)
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Enrollment to Completion of 31-Day Intervention Period
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Change in awareness of errors on mobile CuedGoNoGo task
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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A change in awareness of errors made on the mobile CuedGoNoGo task (i.e., accuracy of participant's guess of how many commission errors they made), assessed immediately after completion of the task.
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Enrollment to Completion of 31-Day Intervention Period
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Change in ADHD symptom severity
Tijdsspanne: Enrollment to Completion of 31-Day Intervention Period
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A change from baseline to post-intervention follow-up in ADHD symptom severity, as measured by clinician-administered and collateral informant-reported ADHD Rating Scale scores.
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Enrollment to Completion of 31-Day Intervention Period
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Traci Kennedy, PhD., University of Pittsburgh
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
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Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- STUDY25080182
- K23AA029133 (Subsidie/contract van de Amerikaanse NIH)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
All collected IPD will be shared with the National Institute on Alcohol Abuse and Alcoholism Data Archive (NIAAADA).
Analytic code may be shared on an open science platform at the time of publication of results.
IPD-tijdsbestek voor delen
IPD-toegangscriteria voor delen
IPD delen Ondersteunend informatietype
- ANALYTIC_CODE
Informatie over medicijnen en apparaten, studiedocumenten
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