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Parent Training for Attention Deficit Hyperactivity Disorder (ADHD) Preschoolers

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01320098
Recruitment Status : Completed
First Posted : March 22, 2011
Last Update Posted : December 8, 2014
Information provided by (Responsible Party):
NYU Langone Health

Brief Summary:

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.

Condition or disease Intervention/treatment Phase
Attention Deficit Hyperactivity Disorder Behavioral: Home-Based Parenting Program Behavioral: Clinic-Based Parenting Program Behavioral: Wait-List Control Group Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 187 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Home-Based Parent Training in ADHD Preschoolers
Study Start Date : January 2007
Actual Primary Completion Date : November 2014
Actual Study Completion Date : November 2014

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.

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.

Primary Outcome Measures :
  1. 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

Secondary Outcome Measures :
  1. 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

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   3 Years to 4 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01320098

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United States, New York
NYU Child Study Center, One Park Avenue
New York, New York, United States, 10016
Sponsors and Collaborators
NYU Langone Health
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Principal Investigator: Howard Abikoff, Ph.D. New York University Child Study Center
Additional Information:
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: NYU Langone Health Identifier: NCT01320098    
Other Study ID Numbers: 5R01MH074556-04 ( U.S. NIH Grant/Contract )
First Posted: March 22, 2011    Key Record Dates
Last Update Posted: December 8, 2014
Last Verified: December 2014
Keywords provided by NYU Langone Health:
Behavior Problems
Attention Deficit Hyperactivity Disorder in Preschoolers
Additional relevant MeSH terms:
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Attention Deficit Disorder with Hyperactivity
Attention Deficit and Disruptive Behavior Disorders
Neurodevelopmental Disorders
Mental Disorders
Neurologic Manifestations
Nervous System Diseases