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A Randomized Trial of Interventions for Teenage Drivers With Attention Deficit Hyperactivity Disorder (ADHD)

This study has been completed.
Information provided by (Responsible Party):
State University of New York at Buffalo Identifier:
First received: August 11, 2010
Last updated: October 14, 2016
Last verified: December 2015
There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents and other adverse driving outcomes. Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes. For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent-teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. It is hypothesized that the STEER program will result in improved outcomes relative to the standard care group at the end of intervention and 6 and 12 month follow-up assessments.

Condition Intervention
Attention Deficit Hyperactivity Disorder
Device: CarChipPro
Behavioral: Driver's Education
Behavioral: STEER Program
Other: Driving Simulator Practice

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention

Resource links provided by NLM:

Further study details as provided by State University of New York at Buffalo:

Primary Outcome Measures:
  • On-board Driving Monitor [ Time Frame: Follow up period after the intervention (1 year) ]
  • Observations of Parent-Teen Interaction [ Time Frame: Follow-up period after the intervention (1 year) ]
    Parents and teens will discuss two recent issues and these discussions will be coded using the a behavioral observation code.

Enrollment: 172
Study Start Date: July 2010
Study Completion Date: March 2016
Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Driver Training
Driver Education Program Practice driving on a driving simulator Provision of the CarChipPro to the family
Device: CarChipPro
On board driving monitor
Behavioral: Driver's Education
10 Session License to Learn Program.
Other: Driving Simulator Practice
Practice Driving on a driving simulator
Experimental: STEER Program
Driver Education STEER Program
Device: CarChipPro
On board driving monitor
Behavioral: Driver's Education
10 Session License to Learn Program.
Behavioral: STEER Program
8-session behavioral parent training and teen social skills/communication training program
Other: Driving Simulator Practice
Practice Driving on a driving simulator


Ages Eligible for Study:   16 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinical Diagnosis of ADHD, Combined Type
  • At least 16 years old
  • Has a driving Permit

Exclusion Criteria:

  • No parent willing to be involved
  • Seizure disorder, eating disorder, psychotic disorder, current diagnosis of substance/alcohol dependence
  • Prior Driver's education class
  Contacts and Locations
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Please refer to this study by its identifier: NCT01322646

United States, New York
SUNY at Buffalo
Bufflo, New York, United States, 14214
Sponsors and Collaborators
State University of New York at Buffalo
Principal Investigator: Gregory A Fabiano, PhD SUNY at Buffalo
  More Information

Responsible Party: State University of New York at Buffalo Identifier: NCT01322646     History of Changes
Other Study ID Numbers: HD058588
Study First Received: August 11, 2010
Last Updated: October 14, 2016

Keywords provided by State University of New York at Buffalo:
Behavior modification

Additional relevant MeSH terms:
Attention Deficit Disorder with Hyperactivity
Attention Deficit and Disruptive Behavior Disorders
Neurodevelopmental Disorders
Mental Disorders
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms processed this record on April 28, 2017