Attention Deficit Disorder With HyperactivityNCT02937142
Cognitive Behavior Group Therapy in Adolescents With Attention Deficit Hyperactivity Disorder
A study testing cognitive behavior group therapy and Treatment as usual in people with Attention Deficit Disorder With Hyperactivity, run by St. Olavs Hospital at 1 site in Norway.
Trial summary
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder which starts in childhood and is characterized by symptoms of attention deficit, hyperactivity and impulsivity. Read more about this study
- Who is it for?
- Ages 14 to 18 years
- Conditions the study is for
- Attention Deficit Disorder With Hyperactivity
- What is being tested?
- cognitive behavior group therapy and Treatment as usual
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteNorway
- Study dates
- Jan 2017to Oct 2020
- 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 14 to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Attention deficit hyperactivity disorder (ICD-10)
- Clinical Global Impression (CGI) >=3
- Informed consent patient
- informed consent parents
- if on medication, dosage is stable since at least 2 months
Who cannot join
- mental retardation
- behavioral problems
- drug addiction
- psychosis
- suicidal
Trial locations and contacts
1 site in 1 country.
Norway1 site
Barne- og ungdomspsykiatrisk poliklinikk, St Olavs Hospital
Trondheim
About this study
Official title: Cognitive Behavior Group Therapy in Adolescents (14-18 Years) With Attention Deficit Hyperactivity Disorder (ADHD)
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder which starts in childhood and is characterized by symptoms of attention deficit, hyperactivity and impulsivity. Persistence into adolescence is frequently associated with among other low educational achievement, interpersonal difficulties, anxious and depressive symptoms and sleep problems. Treatment guidelines recommend psychological treatment as part of the treatment plan, however compared to children and adults, there is still a substantial lack of knowledge about appropriate psychological treatment in adolescents. The present study examines a psychological intervention for adolescents with ADHD, cognitive behavior group therapy. The intervention consists of 12 weekly cognitive behavioral therapy sessions addressing core difficulties and concerns of the adolescent population with ADHD. The investigators wish to determine the efficacy of group therapy in adolescents with ADHD who receive medical treatment but still have impairing ADHD symptoms.
Read the detailed description
Change February 1st 2017: Inclusion of patients with mild to moderate behavioral problems in order to achieve enough participants in the study.
Change February 1st 2017: The study primarily recruits patients who are on pharmacological treatment for ADHD. However, for ethical reasons and in order to achieve enough participants, the study will also recruit patients who have not responded to at least two drug trials or have been unable to continue pharmacological treatment because of intolerable side effects.
Change February 1st 2018: The Weiss Functional Impairment Rating Scale, Rosenberg and BRIEF questionnaires will not be collected at the 9-month follow-up due to lack of resources (project assistance).
- Being tested
- cognitive behavior group therapy, Treatment as usual
- Keywords
- Behavior Therapy, Cognitive Therapy, Adolescents, Psychotherapy, Group
- 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.
cognitive behavior group therapyBehavioural
1,5 hours weekly session during 12 weeks, 8 participants, 2 therapists.
Treatment as usualOther
Education on ADHD, and ADHD medication if indicated
| Study group | Role | What they receive |
|---|---|---|
| Cognitive behavior group therapy | Experimental | Cognitive behavior group therapy in weekly 1,5 hour sessions during 12 weeks, 8 participants and 2 therapists per group, in addition to education on ADHD, and ADHD medication if indicated. Receives: Behavioral: cognitive behavior group therapy; Other: Treatment as usual |
| Controls | Other | Treatment as usual: Education on ADHD, and ADHD medication if indicated. Receives: Other: Treatment as usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
ADHD-Rating Scale (ADHD-RS)
interview
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Secondary outcomes (15)
ADHD-Rating Scale (ADHD-RS)
Measured: 9 months
Clinical Global Impression (CGI)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Weiss Functional Impairment Rating Scale (WFIRS)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Weiss Functional Impairment Rating Scale (WFIRS)
Measured: 9 months
Children's Global Assessment Scale (CGAS)
Measured: 9 months
Anxiety symptoms (SCARED)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Depressive symptoms (Mood and Feelings Questionnaire (MFQ) Norwegian version "Humøret ditt")
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Sleep problems (Adolescent Sleep Wake Scale
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Self-esteem (Rosenberg Self-Esteem Scale)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Self-esteem (Rosenberg Self-Esteem Scale)
Measured: 9 months
Self-efficacy (General Perceived Self-Efficacy Scale)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Self-efficacy (General Perceived Self-Efficacy Scale)
Measured: 9 months
Executive functioning (Behavior Rating Scale of Executive Functioning, BRIEF)
Measured: 12 weeks (at baseline and immediately after the last group therapy session)
Executive functioning (Behavior Rating Scale of Executive Functioning, BRIEF)
Measured: 9 months
ASEBA Brief Problem Monitor
Measured: 9 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2016 (estimated)
- Study startJan 2017
- Primary completionJan 2020
- Study completionOct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Attention Deficit Disorder With HyperactivityStudies 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
- Outcomes assessor
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Olavs Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Norwegian University of Science and Technology
- Responsible party
- Sponsor
- Investigators
- Torunn Stene Nøvik, MD PhD, Principal investigator, St Olavs Hospital University Hospital Trondheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02937142
- Sponsor's protocol ID
- 2015/2115
- Status last verified
- Dec 2021
- First submitted
- 14 Oct 2016
- Last updated
- 16 Dec 2021
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Novik TS, Haugan AJ, Lydersen S, Thomsen PH, Young S, Sund AM. Cognitive-behavioural group therapy for adolescents with ADHD: study protocol for a randomised controlled trial. BMJ Open. 2020 Mar 25;10(3):e032839. doi: 10.1136/bmjopen-2019-032839.
PubMed 32213517Haugan AJ, Sund AM, Young S, Thomsen PH, Lydersen S, Novik TS. Cognitive behavioural group therapy as addition to psychoeducation and pharmacological treatment for adolescents with ADHD symptoms and related impairments: a randomised controlled trial. BMC Psychiatry. 2022 Jun 2;22(1):375. doi: 10.1186/s12888-022-04019-6.
PubMed 35655149
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cognitive Behavior Group Therapy in Adolescents (14-18 Years) With Attention Deficit Hyperactivity Disorder (ADHD)
- ClinicalTrials.gov ID
- NCT02937142
- Acronym / sponsor ID
- 2015/2115
- Keywords
- Behavior Therapy, Cognitive Therapy, Adolescents, Psychotherapy, Group
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- St. Olavs HospitalUniversity, hospital or other
- Collaborators
- Norwegian University of Science and Technology
- Study start
- Jan 2017 (actual)
- Primary completion
- Jan 2020 (actual)
- Study completion
- Oct 2020 (actual)
- First posted
- 18 Oct 2016 (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.
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder which starts in childhood and is characterized by symptoms of attention deficit, hyperactivity and impulsivity. Persistence into adolescence is frequently associated with among other low educational achievement, interpersonal difficulties, anxious and depressive symptoms and sleep problems. Treatment guidelines recommend psychological treatment as part of the treatment plan, however compared to children and adults, there is still a substantial lack of knowledge about appropriate psychological treatment in adolescents. The present study examines a psychological intervention for adolescents with ADHD, cognitive behavior group therapy. The intervention consists of 12 weekly cognitive behavioral therapy sessions addressing core difficulties and concerns of the adolescent population with ADHD. The investigators wish to determine the efficacy of group therapy in adolescents with ADHD who receive medical treatment but still have impairing ADHD symptoms.
Detailed description
Change February 1st 2017: Inclusion of patients with mild to moderate behavioral problems in order to achieve enough participants in the study.
Change February 1st 2017: The study primarily recruits patients who are on pharmacological treatment for ADHD. However, for ethical reasons and in order to achieve enough participants, the study will also recruit patients who have not responded to at least two drug trials or have been unable to continue pharmacological treatment because of intolerable side effects.
Change February 1st 2018: The Weiss Functional Impairment Rating Scale, Rosenberg and BRIEF questionnaires will not be collected at the 9-month follow-up due to lack of resources (project assistance).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cognitive behavior group therapy | Experimental | Behavioral: cognitive behavior group therapy, Other: Treatment as usualCognitive behavior group therapy in weekly 1,5 hour sessions during 12 weeks, 8 participants and 2 therapists per group, in addition to education on ADHD, and ADHD medication if indicated. |
| Controls | Other | Other: Treatment as usualTreatment as usual: Education on ADHD, and ADHD medication if indicated. |
Who may qualify
- Ages
- 14 to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (5 listed)
- Attention deficit hyperactivity disorder (ICD-10)
- Clinical Global Impression (CGI) >=3
- Informed consent patient
- informed consent parents
- if on medication, dosage is stable since at least 2 months
Key exclusion criteria (5 listed)
- mental retardation
- behavioral problems
- drug addiction
- psychosis
- suicidal
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 behavior group therapy1,5 hours weekly session during 12 weeks, 8 participants, 2 therapists. | Behavioural | Cognitive behavior group therapy |
| Treatment as usualEducation on ADHD, and ADHD medication if indicated | Other | Cognitive behavior group therapy, Controls |
Primary outcome
ADHD-Rating Scale (ADHD-RS)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
interview
15 secondary outcomes
ADHD-Rating Scale (ADHD-RS)
Time frame: 9 months
Clinical Global Impression (CGI)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Weiss Functional Impairment Rating Scale (WFIRS)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Weiss Functional Impairment Rating Scale (WFIRS)
Time frame: 9 months
Children's Global Assessment Scale (CGAS)
Time frame: 9 months
Anxiety symptoms (SCARED)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Depressive symptoms (Mood and Feelings Questionnaire (MFQ) Norwegian version "Humøret ditt")
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Sleep problems (Adolescent Sleep Wake Scale
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Self-esteem (Rosenberg Self-Esteem Scale)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Self-esteem (Rosenberg Self-Esteem Scale)
Time frame: 9 months
Self-efficacy (General Perceived Self-Efficacy Scale)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Self-efficacy (General Perceived Self-Efficacy Scale)
Time frame: 9 months
Executive functioning (Behavior Rating Scale of Executive Functioning, BRIEF)
Time frame: 12 weeks (at baseline and immediately after the last group therapy session)
Executive functioning (Behavior Rating Scale of Executive Functioning, BRIEF)
Time frame: 9 months
ASEBA Brief Problem Monitor
Time frame: 9 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Dec 2021.
- Background: PubMed 32213517Novik TS, Haugan AJ, Lydersen S, Thomsen PH, Young S, Sund AM. Cognitive-behavioural group therapy for adolescents with ADHD: study protocol for a randomised controlled trial. BMJ Open. 2020 Mar 25;10(3):e032839. doi: 10.1136/bmjopen-2019-032839.
- Derived from this study: PubMed 35655149Haugan AJ, Sund AM, Young S, Thomsen PH, Lydersen S, Novik TS. Cognitive behavioural group therapy as addition to psychoeducation and pharmacological treatment for adolescents with ADHD symptoms and related impairments: a randomised controlled trial. BMC Psychiatry. 2022 Jun 2;22(1):375. doi: 10.1186/s12888-022-04019-6.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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.
Torunn Stene Nøvik, MD PhD principal investigator
St Olavs Hospital University Hospital Trondheim
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 behavior group therapy and Treatment as usual in people with Attention Deficit Disorder With Hyperactivity, run by St. Olavs Hospital at 1 site in Norway.
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 5 inclusion and 5 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: finished, as of the sponsor's last update on 16 Dec 2021. 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 Norway. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
ADHD-Rating Scale (ADHD-RS) (time frame: 12 weeks (at baseline and immediately after the last group therapy session)). 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 NCT02937142, which also lists 2 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 16 Dec 2021.