Classroom-Level Intervention to Promote Peers' Acceptance of Children With Attention Deficit Hyperactivity Disorder (ADHD)

Study Description

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) comprise about 5-10% of the elementary school-age population. One place where children with ADHD have great difficulty is in being accepted by peers and in making friends. It has unfortunately been very difficult for the field to find good treatments for peer relationship problems for this population. Even when children with ADHD do improve their behavior, it is common that peers do not seem to like the child with ADHD any better. This may happen because children often have negative reputations with their classmates that are hard to change. That is, once a class of children get the impression that one child is disliked or the social outcast, even if that child's ADHD symptoms get better, the peer group may not notice any of these improvements. It is hypothesized that the elementary school teacher may be able to help peers notice positive behavior changes in children with ADHD when they do occur. This clinical trial will design and pilot-test an intervention that would train teachers in classroom practices to reduce the peer rejection of students with ADHD. The pilot test will be conducted in a summer program created to be similar to a regular school classroom in structure. If the treatment seems to succeed in the summer program, then it will be tried in regular classrooms in a future study.

Condition or disease	Intervention/treatment	Phase
Attention Deficit Hyperactivity Disorder	Behavioral: Behavioral contingency management; Behavioral: Tolerance training	Not Applicable

Study Design

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Interventional (Clinical Trial)
Estimated Enrollment :	102 participants
Allocation:	Randomized
Intervention Model:	Crossover Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	Classroom-Level Intervention to Promote Peers' Acceptance of Children With Attention-Deficit/Hyperactivity Disorder (ADHD)
Study Start Date :	January 2011
Estimated Primary Completion Date :	September 2011
Estimated Study Completion Date :	June 2012

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
Experimental: Combined; This represents a combination of the tolerance training and behavioral management interventions together.	Behavioral: Behavioral contingency management; Teachers will learn to use reinforcements and response cost procedures to encourage children's display of prosocial behaviors. Behavioral: Tolerance training; Teachers will be instructed in procedures to encourage the peer group to be accepting of children with ADHD.
Active Comparator: Behavioral management; This represents the behavioral contingency management intervention only.	Behavioral: Behavioral contingency management; Teachers will learn to use reinforcements and response cost procedures to encourage children's display of prosocial behaviors.

Outcome Measures

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

1. Child Peer Relationships [ Time Frame: The first day of the treatment and the last day of the treatment (two weeks later) ]
   This is collected in the summer program in which the intervention will be adminstered. On the first day of the program (before treatment begins), pre-test measures will be taken. They will be re-taken on the last day of the program two weeks later (on the last day of treatment). Peer relationships will be assessed by peer sociometric interviews. Proportion scores of peer acceptance, reciprocated friendship, and inclusion in social networks will be calculated, and changes in these outcomes over the summer prorgam will be considered as evidence to evaluate the treatment.

Secondary Outcome Measures :

1. Child Behavior Problems [ Time Frame: The first day of the treatment and the last day of the treatment (two weeks later) ]
   This measure will be collected on the same time frame as is the primary outcome measure. Children's behavior problems (aggression, inattention, hyperactivity/impulsivity, social withdrawal) will be assessed by teacher report and by observation. Changes in behavior problems during this period will be considered as evidence for the efficacy of the treatment.

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Ages Eligible for Study:	6 Years to 8 Years (Child)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

• Children ages 6-8
• Primary diagnosis of ADHD

Exclusion Criteria:

• Pervasive Developmental Disorder
• Verbal IQ below 75

Contacts and Locations

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Contacts

Contact: Amori Y Mikami, PhD	4342432327	mikami@virginia.edu

Locations

United States, Virginia
University of Virginia	Not yet recruiting
Charlottesville, Virginia, United States, 22904
Contact: Amori Y Mikami, PhD 434-243-2327 mikami@virginia.edu
Principal Investigator: Amori Y Mikami, PhD

Sponsors and Collaborators

University of Virginia

Investigators

Principal Investigator:	Amori Y Mikami, PhD	University of Virginia

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Responsible Party:	Amori Y Mikami, Assistant Professor, University of Virginia
ClinicalTrials.gov Identifier:	NCT01133028 History of Changes
Other Study ID Numbers:	2010-0066-00
First Posted:	May 28, 2010
Last Update Posted:	May 28, 2010
Last Verified:	May 2010

Keywords provided by University of Virginia:

Attention Deficit Hyperactivity Disorder (ADHD)

Additional relevant MeSH terms:

Disease; Attention Deficit Disorder with Hyperactivity; Hyperkinesis; Pathologic Processes; Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders	Mental Disorders; Dyskinesias; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms