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Attention Deficit Hyperactivity Disorder (ADHD)NCT02142140

Follow up Treatment of Children With Attention Deficit Hyperactivity Disorder (ADHD)

A study testing Academic and Organization skills, Parent Training and Social Skills Training in people with Attention Deficit Hyperactivity Disorder (ADHD), run by McGill University Health Centre/Research Institute of the McGill University Health Centre at 2 sites in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of the study is to examine how well two types of treatment follow up work compared to one another: 1. standard community follow up 2. medication monitoring plus tailored case management follow up. Read more about this study

Who is it for?
Ages 6 to 12 yearsHealthy volunteers can take part
What is being tested?
Academic and Organization skills, Parent Training and Social Skills Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
326 participants
Where
2 sitesCanada
Study dates
Dec 2012to Feb 2019
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 6 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • age 6 to 12 years
  • DSM-IV ADHD diagnosis by a specialist i.e. child psychiatrist or developmental paediatrician (DSM 5 ADHD criteria do not differ dramatically from DSM IV criteria for children)
  • Intelligence Quotient (IQ) > 80 as per the Wechsler Intelligence Scale for Children (WISC-IV)
  • Proficiency in English or French

Who cannot join

  • History of Autism Spectrum Disorder (ASD) or psychosis
  • Significant brain traumas (encephalitis, head injury requiring hospitalization, etc.)
  • Major medical conditions or impairments that would interfere with the ability of the child to complete testing or take psychostimulants, e.g., epilepsy, cardiac abnormalities, or renal abnormalities.

Trial locations and contacts

2 sites in 1 country.

Canada2 sites
  • Montreal Children's Hospital

    Montreal, Quebec, H4A 3J1

  • Douglas Mental Health University Institute

    Montreal, Quebec, H4H 1R3

Other trials in Canada

About this study

Official title: Efficacy of Careful Medication and Tailored Case Management Follow up Treatment for Children With Attention Deficit Hyperactivity Disorder

The purpose of the study is to examine how well two types of treatment follow up work compared to one another:

  1. standard community follow up
  2. medication monitoring plus tailored case management follow up.
Read more

A child's participation will involve 3 months of treatment consisting of medication and psychological, behavioural, and academic interventions tailored to their individual needs.

Following this treatment, the child will be randomly assigned to receive two years of either community follow up or medication monitoring plus tailored case management follow up delivered by the study team. During both types of follow up, at 6 month intervals, the parent and child will be asked to complete interviews with our study personnel and comprehensive assessments pertaining to ADHD symptoms and various other areas of functioning.

Parents will also be asked to obtain information from the child's teacher regarding the child's functioning at 6 month intervals during the school year.

Being tested
Academic and Organization skills, Parent Training, Social Skills Training, Long-acting stimulant
Keywords
Treatment of ADHD, Long-term treatment follow-up
Medical subject headings
Attention Deficit Disorder with Hyperactivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Academic and Organization skillsBehavioural

    This program aims at teaching children organization, time management and stress management skills. They are also taught academic strategies in reading, writing, and math. The program consists of six, 90 minute sessions.

  • Parent TrainingBehavioural

    The Parent Training Program: The parent training program is designed to increase parental understanding of ADHD; establish attentive, positive interactions, and solve problems collaboratively. Eight weekly group sessions lasting about 2 hours each will be conducted by trained psychologists, social workers, or clinical nurses. Homework assignments and detailed summary sheets will be used to promote technique acquisition and generalization.

  • Social Skills TrainingBehavioural

    Social Skills and Anger Management Training: The social skills training program is based on understanding yourself and others, and being able to understand things from the other's perspective. The program uses direct instruction, modelling, behavioural rehearsal, feedback, and social reinforcement. The following are covered: joining in, understanding emotions, dealing with anger, using self-control, responding to teasing / bullying, and staying out of fights.

  • Long-acting stimulantDrug

    Also called Biphentin, Strattera, Concerta, Ritalin

    The medication prescribed is usually a long-acting stimulant that is carefully titrated to the child's optimal dose (normally that dose above which further improvement is not seen and side effects are manageable). Once optimal dose is reached, children are followed at regular once per three month visits for medication monitoring. In this group the child can be referred for a medication reevaluation and adjustment as many times as is needed.

  • Long-acting stimulantDrug

    Also called Biphentin, Strattera, Concerta, Ritalin

    The medication prescribed is usually a long-acting stimulant that is carefully titrated to the child's optimal dose (normally that dose above which further improvement is not seen and side effects are manageable). Once optimal dose is reached, children are followed by their pediatrician, with a frequency at his/her discretion.

Study groups in NCT02142140
Study groupRoleWhat they receive
Medication Monitoring & Case ManagementExperimentalAll children entered into this study will be prescribed medication for their ADHD symptoms (usually a long-acting stimulant). Based on the individual needs of the child and family, they could receive the following interventions - Academic and organization skills, social skills training and parent training. Participants randomized to this group will meet with the study clinicians 4 times a year for medication monitoring and adjustment. This group will also receive a monthly call from a case manager who will explore the child's academic, social and emotional functioning. Depending on the needs of the child and family, the case manager may offer 1 to 5 intervention sessions with the child (e.g. social skills, anger management), the family (e.g. family counselling), and the school (e.g. consultation with the teacher).
Receives: Behavioral: Academic and Organization skills; Behavioral: Parent Training; Behavioral: Social Skills Training; Drug: Long-acting stimulant
Community Follow-up GroupActive comparatorAll children entered into this study will be prescribed medication for their ADHD symptoms (usually a long-acting stimulant). Based on the individual needs of the child and family, they could receive the following interventions - Academic and organization skills, social skills training and parent training. Families randomized to this group will be referred to their pediatricians or family physicians for medication follow-up and their local Community Health Clinic (CLSC) for other psychosocial interventions that may be required and available.
Receives: Behavioral: Academic and Organization skills; Behavioral: Parent Training; Behavioral: Social Skills Training; Drug: Long-acting stimulant

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: At baseline - no medication

  2. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: Following 3 months of tailored treatment (including medication)

  3. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: Six months after tailored treatment ends - on medication

  4. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: Twelve months after tailored treatment has ended - on medication

  5. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: Eighteen months after tailored treatment has ended - on medication

  6. Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version)

    Measured: Twenty-four months after tailored treatment has ended - on medication

Secondary outcomes (31)
  1. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: At baseline - no medication

  2. Academic achievement (measured via Wechsler Individual Achievement Test (WIAT))

    Measured: At baseline - no medication

  3. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: At baseline - no medication

  4. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: At baseline - no medication

  5. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    Measured: Assessed at baseline

  6. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: Following 3 months of tailored treatment (including medication)

  7. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: Six months after tailored treatment ends - on medication

  8. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: Twelve months after tailored treatment has ended - on medication

  9. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: Eighteen months after tailored treatment has ended - on medication

  10. Social skills (measured via Parent and Teacher Social Skills Rating Scale)

    Measured: Twenty-four months after tailored treatment has ended - on medication

  11. Academic achievement (measured via Wechsler Individual Achievement Test (WIAT))

    Measured: Twelve month after tailored treatment has ended - on medication

  12. Academic achievement (measured via Wechsler Individual Achievement Test (WIAT))

    Measured: Twenty-four months after tailored treatment has ended

  13. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: Following 3 months of tailored treatment (including medication)

  14. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: Six months after tailored treatment ends - on medication

  15. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: Twelve months after tailored treatment has ended - on medication

  16. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: Eighteen months after tailored treatment has ended - on medication

  17. Emotional and symptomatic functioning (measured via the Achenbach Child Behavior Check List (CBCL))

    Measured: Twenty-four months after tailored treatment has ended - on medication

  18. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: Following 3 months of tailored treatment (including medication)

  19. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: Six months after tailored treatment ends - on medication

  20. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: Twelve months after tailored treatment has ended - on medication

  21. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: Eighteen months after tailored treatment has ended - on medication

  22. Overall functioning (measured via the Weiss Functional Impairment Scale (WFIRS))

    Measured: Twenty-four months after tailored treatment has ended - on medication

  23. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    Measured: Following 3 months of tailored treatment (including medication)

  24. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Three months after tailored treatment ends - on medication

  25. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Six months after tailored treatment ends - on medication

  26. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Nine months after tailored treatment ends - on medication

  27. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Twelve months after tailored treatment ends - on medication

  28. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Fifteen months after tailored treatment ends - on medication

  29. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Eighteen months after tailored treatment ends - on medication

  30. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Twenty-one months after tailored treatment ends - on medication

  31. Overall functioning (measured via the Clinical Global Impression Scale (CGI))

    For participants randomized to the medication monitoring and tailored case management follow-up group.

    Measured: Twenty-four months after tailored treatment ends - on medication

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 May 2014 (estimated)
  2. Study startDec 2012
  3. Primary completionFeb 2019 (estimated)
  4. Study completionFeb 2019 (estimated)

Resources

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
None (open label)
Enrolment
326 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02142140
Sponsor's protocol ID
MOP 123412
Status last verified
Aug 2018
First submitted
14 May 2014
Last updated
28 Aug 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Academic and Organization skills, Parent Training and Social Skills Training in people with Attention Deficit Hyperactivity Disorder (ADHD), run by McGill University Health Centre/Research Institute of the McGill University Health Centre at 2 sites in Canada.

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 4 inclusion and 3 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 28 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Canada. 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?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Attention Deficit Hyperactivity Disorder (ADHD) symptomatology (measured via Conners' Global Index - Parent and Teacher Version) (time frame: At baseline - no medication). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Aug 2018.

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