Oppositional Defiant DisorderFLOHNCT01350986
Guided Self-Help for Parents of Children With Externalizing Problem Behavior
A study testing Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls and Non-Directive Self-Help Workbook + Counseling Telephone Calls in people with Oppositional Defiant Disorder and Attention Deficit Hyperactivity Disorders, run by German Research Foundation at 1 site in Germany.
Trial summary
The efficacy of cognitive-behavioral based guided self-help for parents of children with externalizing problem behavior is tested in a randomized clinical trial. Parents work through cognitive-behavioral self-help booklets and additionally receive counseling telephone calls every two weeks. Read more about this study
- Who is it for?
- Ages 4 to 11 years
- Conditions the study is for
- Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorders, Attention Deficit and Disruptive Behavior Disorders
- What is being tested?
- Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls and Non-Directive Self-Help Workbook + Counseling Telephone Calls
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 146 participants
- Where
- 1 siteGermany
- Study dates
- May 2011to Mar 2013
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 4 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Child diagnosis of ODD and/or ADHD based on DCL-ODD and DCL-ADHD respectively
Who cannot join
- Child IQ is below 80
- Child has diagnosis of pervasive developmental disorder (PDD)
- Indication for inpatient/intensive treatment for child
- Parent training while intervention period
- Planed start, change or discontinuation of psychopharmacological treatment for child while intervention period
- No parental adherence or willingness for randomisation process
- Language or reading difficulties of participating parent
Trial locations and contacts
1 site in 1 country.
Germany1 site, 1 recruiting
- Recruiting
Department of Child and Adolescent Psychiatry and Psychotherapy at the University of Cologne
Cologne, North Rhine-Westphalia, 50931
About this study
Official title: Efficacy of Cognitive-Behavioral Based Guided Self-Help for Parents of Children With Externalizing Problem Behavior
The efficacy of cognitive-behavioral based guided self-help for parents of children with externalizing problem behavior is tested in a randomized clinical trial. Parents work through cognitive-behavioral self-help booklets and additionally receive counseling telephone calls every two weeks. In the control condition parents are provided non-directive self-help booklets and additionally receive counseling telephone calls. It is hypothesized that the cognitive-behavioral treatment is superior.
- Conditions
- Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorders, Attention Deficit and Disruptive Behavior Disorders
- Being tested
- Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls, Non-Directive Self-Help Workbook + Counseling Telephone Calls
- Keywords
- Controlled Clinical Trials, Randomized
- Medical subject headings
- Oppositional Defiant Disorder, Attention Deficit Disorder with Hyperactivity, Attention Deficit and Disruptive Behavior Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cognitive-Behavioral Self-help Workbook + Counseling Telephone CallsBehavioural
Also called FLOH
In intervention period of 5 months parents work through 8 cognitive-behavioral self-help booklets (FLOH) and additionally receive 10 counseling telephone calls. Primary purpose of telephone calls is to clarify content of the booklets and support parents in managing their homework assignments accompanied with each booklet. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on the therapy manual "Treatment program for children with hyperactive and oppositional problem behavior (THOP)" (Döpfner, Schürmann, \& Frölich, 2007) and the parent self-help book "Wackelpeter and Trotzkopf: Help for parents of children with hyperkinetic and oppositional behavior" (Döpfner, Schürmann, \& Lehmkuhl, 2006).
Non-Directive Self-Help Workbook + Counseling Telephone CallsBehavioural
Also called "Parent effectiveness training"; "Teaching children self-discipline at home and at school"
In intervention period of 5 months parents are provided 8 non-directive self-help booklets and additionally receive 10 non-directive counseling telephone calls. If the telephone calls are used to clarify content of the booklets or to discuss other child and parenting related topics is at the parents' discretion. Main focus for counselor is to be congruent, empathic and to have unconditional positive regard toward the parents. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on "Parent effectiveness training" (Gordon, 1970) and "Teaching children self-discipline at home and at school" (Gordon, 1989).
| Study group | Role | What they receive |
|---|---|---|
| Directive | Experimental | Not described Receives: Behavioral: Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls |
| Non-Directive | Active comparator | Not described Receives: Behavioral: Non-Directive Self-Help Workbook + Counseling Telephone Calls |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change Oppositional Defiant Disorder subscale score of the Symptom Checklist Disruptive Behavior Disorder (SCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ODD. Informant is participating parent.
Measured: pre, intermediate, post, 6-month FU, 12-month FU
Change total score of the Symptom Checklist Attention-Deficit/Hyperactivity Disorder (SCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ADHD. Informant is participating parent.
Measured: pre, intermediate, post, 6-month FU, 12-month FU
Change Oppositional Defiant Disorder subscale score of the Diagnostic Checklist Disruptive Behavior Disorder (DCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ODD. Informant is mental health worker.
Measured: pre, intermediate, post, 6-month FU, 12-month FU
Change total score of the Diagnostic Checklist Attention-Deficit/Hyperactivity Disorder (DCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ADHD. Informant is mental health worker.
Measured: pre, intermediate, post, 6-month FU, 12-month FU
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 May 2011 (estimated)
- Study startMay 2011
- Primary completionMar 2013 (estimated)
- Study completionMar 2013 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Oppositional Defiant DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 146 participants (estimated)
Sponsor and investigators
- Lead sponsor
- German Research Foundation
- Sponsor type
- University, hospital or other
- Investigators
- Manfred Döpfner, PhD, Principal investigator, University of Cologne
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01350986
- Sponsor's protocol ID
- DO 620/5-1
- Other IDs
- Köln Fortune
- Acronym
- FLOH
- Status last verified
- May 2011
- First submitted
- 6 May 2011
- Last updated
- 10 May 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Hautmann C, Dose C, Hellmich M, Scholz K, Katzmann J, Pinior J, Gebauer S, Nordmann L, Wolff Metternich-Kaizman T, Schurmann S, Dopfner M. Behavioural and nondirective parent training for children with externalising disorders: First steps towards personalised treatment recommendations. Behav Res Ther. 2023 Apr;163:104271. doi: 10.1016/j.brat.2023.104271. Epub 2023 Feb 1.
PubMed 36931110Treier AK, Hautmann C, Dose C, Nordmann L, Katzmann J, Pinior J, Scholz KK, Dopfner M. Process Mechanisms in Behavioral Versus Nondirective Guided Self-help for Parents of Children with Externalizing Behavior. Child Psychiatry Hum Dev. 2024 Apr;55(2):453-466. doi: 10.1007/s10578-022-01400-0. Epub 2022 Sep 6.
PubMed 36064990Treier AK, Hautmann C, Katzmann J, Nordmann L, Pinior J, Scholz KK, Dopfner M. Treatment components in behavioral versus nondirective telephone-assisted self-help interventions for parents of children with externalizing behavior problems. J Clin Psychol. 2022 May;78(5):735-746. doi: 10.1002/jclp.23255. Epub 2021 Sep 24.
PubMed 34560813Del Giudice T, Tervoort J, Hautmann C, Walter D, Dopfner M. Cross-Cultural Validity of the Child and Adolescent Dispositions Model in a Clinical Sample of Children With Externalizing Behavior Problems. Front Psychol. 2020 Apr 8;11:641. doi: 10.3389/fpsyg.2020.00641. eCollection 2020.
PubMed 32322227
Study at a glance
From the registry record, last updated by the sponsor on 10 May 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Cognitive-Behavioral Based Guided Self-Help for Parents of Children With Externalizing Problem Behavior
- ClinicalTrials.gov ID
- NCT01350986
- Acronym / sponsor ID
- FLOH / DO 620/5-1
- Conditions
- Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorders, Attention Deficit and Disruptive Behavior Disorders
- Keywords
- Controlled Clinical Trials, Randomized
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 146 participants (estimated)
- Lead sponsor
- German Research FoundationUniversity, hospital or other
- Study start
- May 2011
- Primary completion
- Mar 2013 (estimated)
- Study completion
- Mar 2013 (estimated)
- First posted
- 10 May 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The efficacy of cognitive-behavioral based guided self-help for parents of children with externalizing problem behavior is tested in a randomized clinical trial. Parents work through cognitive-behavioral self-help booklets and additionally receive counseling telephone calls every two weeks. In the control condition parents are provided non-directive self-help booklets and additionally receive counseling telephone calls. It is hypothesized that the cognitive-behavioral treatment is superior.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Directive | Experimental | Behavioral: Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls |
| Non-Directive | Active comparator | Behavioral: Non-Directive Self-Help Workbook + Counseling Telephone Calls |
Who may qualify
- Ages
- 4 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- Child diagnosis of ODD and/or ADHD based on DCL-ODD and DCL-ADHD respectively
Key exclusion criteria (7 listed)
- Child IQ is below 80
- Child has diagnosis of pervasive developmental disorder (PDD)
- Indication for inpatient/intensive treatment for child
- Parent training while intervention period
- Planed start, change or discontinuation of psychopharmacological treatment for child while intervention period
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cognitive-Behavioral Self-help Workbook + Counseling Telephone CallsAlso: FLOHIn intervention period of 5 months parents work through 8 cognitive-behavioral self-help booklets (FLOH) and additionally receive 10 counseling telephone calls. Primary purpose of telephone calls is to clarify content of the booklets and support parents in managing their homework assignments accompanied with each booklet. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on the therapy manual "Treatment program for children with hyperactive and oppositional problem behavior (THOP)" (Döpfner, Schürmann, \& Frölich, 2007) and the parent self-help book "Wackelpeter and Trotzkopf: Help for parents of children with hyperkinetic and oppositional behavior" (Döpfner, Schürmann, \& Lehmkuhl, 2006). | Behavioural | Directive |
| Non-Directive Self-Help Workbook + Counseling Telephone CallsAlso: "Parent effectiveness training"; "Teaching children self-discipline at home and at school"In intervention period of 5 months parents are provided 8 non-directive self-help booklets and additionally receive 10 non-directive counseling telephone calls. If the telephone calls are used to clarify content of the booklets or to discuss other child and parenting related topics is at the parents' discretion. Main focus for counselor is to be congruent, empathic and to have unconditional positive regard toward the parents. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on "Parent effectiveness training" (Gordon, 1970) and "Teaching children self-discipline at home and at school" (Gordon, 1989). | Behavioural | Non-Directive |
Primary outcome
Change Oppositional Defiant Disorder subscale score of the Symptom Checklist Disruptive Behavior Disorder (SCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Time frame: pre, intermediate, post, 6-month FU, 12-month FU
Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ODD. Informant is participating parent.
Change total score of the Symptom Checklist Attention-Deficit/Hyperactivity Disorder (SCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Time frame: pre, intermediate, post, 6-month FU, 12-month FU
Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ADHD. Informant is participating parent.
Change Oppositional Defiant Disorder subscale score of the Diagnostic Checklist Disruptive Behavior Disorder (DCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Time frame: pre, intermediate, post, 6-month FU, 12-month FU
Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ODD. Informant is mental health worker.
Change total score of the Diagnostic Checklist Attention-Deficit/Hyperactivity Disorder (DCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)
Time frame: pre, intermediate, post, 6-month FU, 12-month FU
Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ADHD. Informant is mental health worker.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 May 2011.
- Derived from this study: PubMed 36931110Hautmann C, Dose C, Hellmich M, Scholz K, Katzmann J, Pinior J, Gebauer S, Nordmann L, Wolff Metternich-Kaizman T, Schurmann S, Dopfner M. Behavioural and nondirective parent training for children with externalising disorders: First steps towards personalised treatment recommendations. Behav Res Ther. 2023 Apr;163:104271. doi: 10.1016/j.brat.2023.104271. Epub 2023 Feb 1.
- Derived from this study: PubMed 36064990Treier AK, Hautmann C, Dose C, Nordmann L, Katzmann J, Pinior J, Scholz KK, Dopfner M. Process Mechanisms in Behavioral Versus Nondirective Guided Self-help for Parents of Children with Externalizing Behavior. Child Psychiatry Hum Dev. 2024 Apr;55(2):453-466. doi: 10.1007/s10578-022-01400-0. Epub 2022 Sep 6.
- Derived from this study: PubMed 34560813Treier AK, Hautmann C, Katzmann J, Nordmann L, Pinior J, Scholz KK, Dopfner M. Treatment components in behavioral versus nondirective telephone-assisted self-help interventions for parents of children with externalizing behavior problems. J Clin Psychol. 2022 May;78(5):735-746. doi: 10.1002/jclp.23255. Epub 2021 Sep 24.
- Derived from this study: PubMed 32322227Del Giudice T, Tervoort J, Hautmann C, Walter D, Dopfner M. Cross-Cultural Validity of the Child and Adolescent Dispositions Model in a Clinical Sample of Children With Externalizing Behavior Problems. Front Psychol. 2020 Apr 8;11:641. doi: 10.3389/fpsyg.2020.00641. eCollection 2020.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Manfred Döpfner, PhD principal investigator
University of Cologne
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls and Non-Directive Self-Help Workbook + Counseling Telephone Calls in people with Oppositional Defiant Disorder and Attention Deficit Hyperactivity Disorders, run by German Research Foundation at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 May 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Manfred Döpfner, PhD (+49 221 4786105, manfred.doepfner@uk-koeln.de), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change Oppositional Defiant Disorder subscale score of the Symptom Checklist Disruptive Behavior Disorder (SCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008) (time frame: pre, intermediate, post, 6-month FU, 12-month FU). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01350986, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 May 2011.