AdhdHyper-mCBTNCT03437772
Third Generation Cognitive Behavioural Therapy vs Treatment-as-usual for ADHD
An observational study of Adhd, run by Centre Hospitalier Universitaire de Nīmes at 4 sites in France.
Trial summary
The investigators hypothesize that the mindfulness Cognitive Behavioral Therapy program will lead to a reduction in attention deficit and hyperactivity disorder symptoms, anxiety and depression, and improve self-confidence, emotional control, social integration and school results. Read more about this study
- Who is it for?
- Ages 7 to 15 years
- Conditions the study is for
- Adhd
- What is being tested?
- Mindfulness Cognitive Behavioral Therapy program
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 248 participants
- Where
- 4 sitesFrance
- Study dates
- 19 Feb 2018to 23 Nov 2022
- Phase
- Observational
- 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 7 to 15 years
- All sexes
- No healthy volunteers
- Child
Study population: Families consulting for attention deficit and hyperactivity disorder
Who may be able to join
- If deemed able, the patient must have given his/her informed and signed consent
- The parents (or legal guardian) of minor patients must have given their informed and signed consent.
- The patient and participating parents must be insured or beneficiary of a health insurance plan
- The patient is equal to or greater than 7 years old and less than or equal to 15 years old
- The patient presents with attention deficit and hyperactivity disorder with an ADHDRS-PI score > 27
- The patient is currently not under treatment - OR - is treated with methylphenidate with a stable posology (not expected to vary in the near future) but remains symptomatic
Who cannot join
- The patient is participating in, or has participated in over the past three months, another trial or another study that may interfere with the results or conclusion of the present study
- The patient is in an exclusion period determined by a previous study
- The participating parent(s) is(are) under judicial protection, or is an adult under guardianship
- It is impossible to correctly inform the patient or his/her parent or legal guardian
- Patients or parents refusing participation, signature of the signed consent or follow-up procedures
- Previously documented mental retardation (IQ < 70) or suspicion thereof by the investigator
Show all 10Show fewer
- The patient has already participated in cognitive behavioural therapy (individual or group) in the six months preceding inclusion
- Patients diagnosed with autism spectrum disorder, psychotic disorder or bipolar disorder
- The family has participated in a parental guidance programme in the last 6 months.
- The family has already participated in the present study
Trial locations and contacts
4 sites in 1 country.
France4 sites
CHU Montpellier
Montpellier, 34295
CHU Nimes
Nîmes, 30029
APHP - Hôpital Robert Debré
Paris, 75935
Chu de Strasbourg
Strasbourg, 67091
About this study
Official title: Third Generation Cognitive Behavioural Therapy Versus Treatment-as-usual for Attention Deficit and Hyperactivity Disorder: a Randomized, 2-parallel-group, Evaluator Blinded, Superiority Trial
The investigators hypothesize that the mindfulness Cognitive Behavioral Therapy program will lead to a reduction in attention deficit and hyperactivity disorder symptoms, anxiety and depression, and improve self-confidence, emotional control, social integration and school results.
- Conditions
- Adhd
- Being tested
- Mindfulness Cognitive Behavioral Therapy program
- 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.
Mindfulness Cognitive Behavioral Therapy programBehavioural
16 simultaneous-but-separate therapy sessions for parents and children.
| Study group | Role | What they receive |
|---|---|---|
| CBT with mindfulness | Not described Receives: Behavioral: Mindfulness Cognitive Behavioral Therapy program | |
| Treatment as Usual: Barkley therapy | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
ADHD symptom severity
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
Measured: baseline
ADHD symptom severity
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
Measured: Month 5
ADHD symptom severity
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
Measured: Month 8
Secondary outcomes (31)
Parenting styles
Parental Authority Questionnaire (PAQ); 30 items per parent
Measured: Baseline
Parenting styles
Parental Authority Questionnaire (PAQ); 30 items per parent
Measured: Month 5
Parenting styles
Parental Authority Questionnaire (PAQ); 30 items per parent
Measured: Month 8
The quality of life for parents.
Parental - Developmental Disorders - Quality of Life (PAR-DD-QoL) questionnaire; score ranges from 17-85
Measured: Baseline
The quality of life for parents.
Parental - Developmental Disorders - Quality of Life (PAR-DD-QoL) questionnaire; score ranges from 17-85
Measured: Month 5
The quality of life for parents.
Parental - Developmental Disorders - Quality of Life (PAR-DD-QoL) questionnaire; score ranges from 17-85
Measured: Month 8
Global function
Clinical Global Impression Scale (CGI-S) questionnaire; score from 1-7
Measured: Baseline
Global function
Clinical Global Impression Scale (CGI-S) questionnaire; score from 1-7
Measured: Month 5
Global function
Clinical Global Impression Scale (CGI-S) questionnaire; score from 1-7
Measured: Month 8
Global function
Children's Global Assessment Scale CGAS) questionnaire; score ranges from 0-100
Measured: Baseline
Global function
Children's Global Assessment Scale CGAS) questionnaire; score ranges from 0-100
Measured: Month 5
Global function
Children's Global Assessment Scale CGAS) questionnaire; score ranges from 0-100
Measured: Month 8
Social well-being and school parameters for children
CONNERS for school teachers; cut-off for significant behavioral problem >15 his questionnaire will be given to the first patients included to 149 th patient included
Measured: Baseline
Social well-being and school parameters for children
SDQ ; cut-off for significant behavioral problem >15 . his questionnaire will be given to the first patients included to 149 th patient included his questionnaire will be given to 150th patients included to 248th patient included
Measured: Baseline
Social well-being and school parameters for children
SDQ ; cut-off for significant behavioral problem >15 . his questionnaire will be given to the first patients included to 149 th patient included his questionnaire will be given to 150th patients included to 248th patient included
Measured: Month 5
Social well-being and school parameters for children
CONNERS for school teachers; cut-off for significant behavioral problem >15 his questionnaire will be given to the first patients included to 149 th patient included
Measured: Month 8
Anxiety in children
Multidimensional Anxiety Scale for Children (MASC) questionnaire; 39-item, 4-point Likert scale
Measured: Baseline
Anxiety in children
Multidimensional Anxiety Scale for Children (MASC) questionnaire; 39-item, 4-point Likert scale
Measured: Month 5
Anxiety in children
Multidimensional Anxiety Scale for Children (MASC) questionnaire; 39-item, 4-point Likert scale
Measured: Month 8
Depression in children
Children depression inventory (CDI) questionnaire; score ranges from 0-54
Measured: Baseline
Depression in children
Children depression inventory (CDI) questionnaire; score ranges from 0-54
Measured: Month 5
Depression in children
Children depression inventory (CDI) questionnaire; score ranges from 0-54
Measured: Month 8
Anxiety and depression in parents
Hospital Anxiety and Depression Scale (HADS) questionnaire; 2 subscores each ranging from 0-21
Measured: Baseline
Anxiety and depression in parents
Hospital Anxiety and Depression Scale (HADS) questionnaire; 2 subscores each ranging from 0-21
Measured: Month 5
Anxiety and depression in parents
Hospital Anxiety and Depression Scale (HADS) questionnaire; 2 subscores each ranging from 0-21
Measured: Month 8
Self-Esteem and behaviour for children.
Rosenberg scale; score ranges from 0-40
Measured: Baseline
Self-Esteem and behaviour for children.
Rosenberg scale; score ranges from 0-40
Measured: Month 5
Self-Esteem and behaviour for children.
Rosenberg scale; score ranges from 0-40
Measured: Month 8
Self-Esteem and behaviour for children.
CONNERS questionnaire for parents; cut-off for significant behavioral problem >15
Measured: Baseline
Self-Esteem and behaviour for children.
CONNERS questionnaire for parents; cut-off for significant behavioral problem >15
Measured: Month 5
Self-Esteem and behaviour for children.
CONNERS questionnaire for parents; cut-off for significant behavioral problem >15
Measured: Month 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Feb 2018
- Study start19 Feb 2018
- Primary completion23 Nov 2022
- Study completion23 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AdhdStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 248 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jorge Lopez Castroman, M.D, Principal investigator, CHU Nimes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03437772
- Sponsor's protocol ID
- PHRC-N/2016/JLC-01
- Acronym
- Hyper-mCBT
- Status last verified
- Jan 2023
- First submitted
- 13 Feb 2018
- Last updated
- 4 Jan 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Crouzet L, Gramond A, Suehs C, Fabbro-Peray P, Abbar M, Lopez-Castroman J. Third-generation cognitive behavioral therapy versus treatment-as-usual for attention deficit and hyperactivity disorder: a multicenter randomized controlled trial. Trials. 2022 Jan 28;23(1):83. doi: 10.1186/s13063-021-05983-2.
PubMed 35090544
Study at a glance
From the registry record, last updated by the sponsor on 4 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Third Generation Cognitive Behavioural Therapy Versus Treatment-as-usual for Attention Deficit and Hyperactivity Disorder: a Randomized, 2-parallel-group, Evaluator Blinded, Superiority Trial
- ClinicalTrials.gov ID
- NCT03437772
- Acronym / sponsor ID
- Hyper-mCBT / PHRC-N/2016/JLC-01
- Conditions
- Adhd
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 248 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- 19 Feb 2018 (actual)
- Primary completion
- 23 Nov 2022 (actual)
- Study completion
- 23 Nov 2022 (actual)
- First posted
- 19 Feb 2018 (actual)
- 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 investigators hypothesize that the mindfulness Cognitive Behavioral Therapy program will lead to a reduction in attention deficit and hyperactivity disorder symptoms, anxiety and depression, and improve self-confidence, emotional control, social integration and school results.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CBT with mindfulness | – | Behavioral: Mindfulness Cognitive Behavioral Therapy program |
| Treatment as Usual: Barkley therapy | – | – |
Who may qualify
- Ages
- 7 to 15 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
- Study population
- Families consulting for attention deficit and hyperactivity disorder
Key inclusion criteria (6 listed)
- If deemed able, the patient must have given his/her informed and signed consent
- The parents (or legal guardian) of minor patients must have given their informed and signed consent.
- The patient and participating parents must be insured or beneficiary of a health insurance plan
- The patient is equal to or greater than 7 years old and less than or equal to 15 years old
- The patient presents with attention deficit and hyperactivity disorder with an ADHDRS-PI score > 27
Key exclusion criteria (10 listed)
- The patient is participating in, or has participated in over the past three months, another trial or another study that may interfere with the results or conclusion of the present study
- The patient is in an exclusion period determined by a previous study
- The participating parent(s) is(are) under judicial protection, or is an adult under guardianship
- It is impossible to correctly inform the patient or his/her parent or legal guardian
- Patients or parents refusing participation, signature of the signed consent or follow-up procedures
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 |
|---|---|---|
| Mindfulness Cognitive Behavioral Therapy program16 simultaneous-but-separate therapy sessions for parents and children. | Behavioural | CBT with mindfulness |
Primary outcome
ADHD symptom severity
Time frame: baseline
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
ADHD symptom severity
Time frame: Month 5
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
ADHD symptom severity
Time frame: Month 8
clinical-rated ADHD rating scale (ADHDRS-PI) questionnaire; score ranges 0-54
31 secondary outcomes
Parenting styles
Time frame: Baseline
Parenting styles
Time frame: Month 5
Parenting styles
Time frame: Month 8
The quality of life for parents.
Time frame: Baseline
The quality of life for parents.
Time frame: Month 5
The quality of life for parents.
Time frame: Month 8
Global function
Time frame: Baseline
Global function
Time frame: Month 5
Global function
Time frame: Month 8
Global function
Time frame: Baseline
Global function
Time frame: Month 5
Global function
Time frame: Month 8
Social well-being and school parameters for children
Time frame: Baseline
Social well-being and school parameters for children
Time frame: Baseline
Social well-being and school parameters for children
Time frame: Month 5
Social well-being and school parameters for children
Time frame: Month 8
Anxiety in children
Time frame: Baseline
Anxiety in children
Time frame: Month 5
Anxiety in children
Time frame: Month 8
Depression in children
Time frame: Baseline
Depression in children
Time frame: Month 5
Depression in children
Time frame: Month 8
Anxiety and depression in parents
Time frame: Baseline
Anxiety and depression in parents
Time frame: Month 5
Anxiety and depression in parents
Time frame: Month 8
Self-Esteem and behaviour for children.
Time frame: Baseline
Self-Esteem and behaviour for children.
Time frame: Month 5
Self-Esteem and behaviour for children.
Time frame: Month 8
Self-Esteem and behaviour for children.
Time frame: Baseline
Self-Esteem and behaviour for children.
Time frame: Month 5
Self-Esteem and behaviour for children.
Time frame: Month 8
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 4 Jan 2023.
- Derived from this study: PubMed 35090544Crouzet L, Gramond A, Suehs C, Fabbro-Peray P, Abbar M, Lopez-Castroman J. Third-generation cognitive behavioral therapy versus treatment-as-usual for attention deficit and hyperactivity disorder: a multicenter randomized controlled trial. Trials. 2022 Jan 28;23(1):83. doi: 10.1186/s13063-021-05983-2.
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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.
Jorge Lopez Castroman, M.D principal investigator
CHU Nimes
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Adhd, run by Centre Hospitalier Universitaire de Nīmes at 4 sites in France.
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 6 inclusion and 10 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 4 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in France. 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 symptom severity (time frame: baseline). The study lists 3 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 NCT03437772, which also lists 1 linked publication.
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 4 Jan 2023.