Attention Deficit Hyperactivity DisorderLEAPNCT04779333
Lifestyle Enhancement for ADHD Program 2
A study testing LEAP and Standard BMT in people with Attention Deficit Hyperactivity Disorder, run by Seattle Children's Hospital at 1 site in United States.
Trial summary
The purpose of this study is to increase physical activity (PA) in children with ADHD using a novel, family-based intervention that promotes PA within the context of evidence-based behavioral management training (BMT) for caregivers, enhanced with mobile health (mHealth) behavior change strategies. Read more about this study
- Who is it for?
- Ages 6 to 10 yearsHealthy volunteers can take part
- Conditions the study is for
- Attention Deficit Hyperactivity Disorder
- What is being tested?
- LEAP and Standard BMT
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 88 participants
- Where
- 1 siteUnited States
- Study dates
- 9 Sep 2020to 28 Apr 2023
- 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 10 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Age 6-10 years
- ADHD diagnosis
- CGI-S rating ranging from 4 to 7.
- Child not wearing a wrist-worn activity tracker more than 50% of days in the past month
- One adult custodial caregiver (resides with the child at least 50% of the time) willing to participate in the study and complete baseline/follow-up measures
- Caregiver able to complete forms in English
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- Caregiver owns a smart phone or similar Garmin compatible mobile device (e.g. iPod Touch) or willing to borrow iPod from study coordinators during the study period
- Agree to install and share data from the Garmin smart phone app with investigators
- An additional caregiver designated by the participating caregiver who provides care for the participating child on at least one occasion every other week
- Able to participate in one or more group sessions
- Able to consent in English
Who cannot join
- - Younger than 6 years old or older than 10 years old
- Do not meet criteria currently for ADHD diagnosis
- Meet diagnostic criteria for psychiatric co-morbidities of Autism Spectrum Disorder, Depressive Disorder, Mood Disorder, Psychotic Disorder, or Intellectual Disability (by history)
- Per caregiver report, engage in >60 min/day of MVPA consistently for at least 5 days per week
- Any physical or medical restrictions on PA
- Child currently/previously used a wearable physical activity sensing device at least 50% of days in the past month
- Caregiver participated in an evidence-based parent behavior management training program (i.e., Incredible Years, Triple P, PCIT, Barkley's Defiant Child) in the past 24 months.
Trial locations and contacts
1 site in 1 country.
United States1 site
Seattle Children's Research Institute
Seattle, Washington, 98145
About this study
Official title: Lifestyle Enhancement for ADHD Program (LEAP) Study 2
The purpose of this study is to increase physical activity (PA) in children with ADHD using a novel, family-based intervention that promotes PA within the context of evidence-based behavioral management training (BMT) for caregivers, enhanced with mobile health (mHealth) behavior change strategies.
Primary Objective: To evaluate the primary effects of a 9-week, family-based intervention (Lifestyle Enhancement for ADHD Program - LEAP) to promote PA in young children with ADHD
Secondary: To evaluate secondary effects of the LEAP program on child ADHD symptoms and executive functioning
Read the detailed description
This is a randomized trial comparing the LEAP program to standard BMT for ADHD (without the enhanced focus on health behaviors, mHealth technology, or social media). Specifically, 80 families will be randomized to receive either LEAP or a standard BMT program based on Russell Barkley's Defiant Children intervention manual. Moderators (e.g., child sex, medication, BMI) and mediators (e.g., change in PA) will be analyzed as exploratory outcomes. Hypotheses being tested include: 1) LEAP will be successful in increasing PA in children with ADHD in the short-term and over a year, more so than standard BPT and 2) children randomized to LEAP will exhibit greater and more sustained improvement in clinical outcomes relative to standard BMT. If successful, the R33 phase will inform the development of a larger and longer, confirmatory trial.
- Conditions
- Attention Deficit Hyperactivity Disorder
- Being tested
- LEAP, Standard BMT
- 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.
LEAPBehavioural
LEAP will be delivered through the typical 9 weekly BMT group sessions lasting 90 minutes. Plus wrist worn activity tracker \& facebook group.
Standard BMTBehavioural
Weekly BMT groups sessions which follow the Barkley curriculum
| Study group | Role | What they receive |
|---|---|---|
| LEAP Group | Experimental | In addition to the components of the BMT group, the LEAP program includes an emphasis on supporting optimal physical activity, limiting screen time, and encouraging adequate sleep. The child and caregiver are also given a wrist-worn activity tracker and caregivers participate in a motivational Facebook group. Receives: Behavioral: LEAP |
| BMT Group | Active comparator | The BMT Group will take part in a family-based intervention within the context of evidence-based behavioral management training (BMT) for caregivers. Standard BMT represents the current standard of care for childhood ADHD. Receives: Behavioral: Standard BMT |
What is being measured
The primary outcome is the main question the study is designed to answer.
Effects of intervention on Physical Activity
Comparing within-subject pre to post activity (MVPA) using accelerometer data
Measured: Baseline to 10 weeks
Effects of intervention on Physical Activity
Comparing within-subject pre to post activity (MVPA) using accelerometer data
Measured: Baseline to 20 weeks
Effects of intervention on Physical Activity
Comparing within-subject pre to post activity (MVPA) using accelerometer data
Measured: Baseline to 1 year
Secondary outcomes (6)
Effects of LEAP participation on child executive function
Evaluate effects of LEAP participation on the child's executive functioning using the parent reported BRIEF-2 measure
Measured: Baseline to 10 weeks
Effects of LEAP participation on child executive function
Evaluate effects of LEAP participation on the child's executive functioning using the parent reported BRIEF-2 measure
Measured: Baseline to 20 weeks
Effects of LEAP participation on child executive function
Evaluate effects of LEAP participation on the child's executive functioning using the parent reported BRIEF-2 measure
Measured: Baseline to 1 year
Effects of LEAP participation on child ADHD symptoms
Evaluate effects of LEAP participation on the child's ADHD symptoms using the Conners-3 Parent Rating Scale
Measured: Baseline to 10 weeks
Effects of LEAP participation on child ADHD symptoms
Evaluate effects of LEAP participation on the child's ADHD symptoms using the Conners-3 Parent Rating Scale
Measured: Baseline to 20 weeks
Effects of LEAP participation on child ADHD symptoms
Evaluate effects of LEAP participation on the child's ADHD symptoms using the Conners-3 Parent Rating Scale
Measured: Baseline to 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Mar 2021
- Study start9 Sep 2020
- Primary completion28 Apr 2023
- Study completion28 Apr 2023
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 Attention Deficit Hyperactivity 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
- None (open label)
- Enrolment
- 88 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seattle Children's Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- National Institutes of Health (NIH), National Center for Complementary and Integrative Health (NCCIH)
- Responsible party
- Principal investigator, Pooja Tandon, Seattle Children's Hospital
- Investigators
- Pooja Tandon, MD, Principal investigator, Seattle Children's HospitalErin Gonzalez, PHD, Principal investigator, Seattle Children's Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04779333
- Sponsor's protocol ID
- STUDY00002356
- Other IDs
- R33AT010041
- Acronym
- LEAP
- Status last verified
- May 2023
- First submitted
- 24 Feb 2021
- Last updated
- 6 May 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Tandon PS, Gabert T, Kuhn M, Tran N, Ola C, Sullivan E, Zhou C, Stein M, Mendoza JA, Sasser T, Gonzalez E. Modernizing behavioral parent training program for ADHD with mHealth strategies, telehealth groups, and health behavior curriculum: a randomized pilot trial. J Pediatr Psychol. 2024 Sep 1;49(9):664-675. doi: 10.1093/jpepsy/jsae073.
PubMed 39279226
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Lifestyle Enhancement for ADHD Program (LEAP) Study 2
- ClinicalTrials.gov ID
- NCT04779333
- Acronym / sponsor ID
- LEAP / STUDY00002356
- Conditions
- Attention Deficit Hyperactivity Disorder
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 88 participants (actual)
- Lead sponsor
- Seattle Children's HospitalUniversity, hospital or other
- Collaborators
- National Institutes of Health (NIH), National Center for Complementary and Integrative Health (NCCIH)
- Study start
- 9 Sep 2020 (actual)
- Primary completion
- 28 Apr 2023 (actual)
- Study completion
- 28 Apr 2023 (actual)
- First posted
- 3 Mar 2021 (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 purpose of this study is to increase physical activity (PA) in children with ADHD using a novel, family-based intervention that promotes PA within the context of evidence-based behavioral management training (BMT) for caregivers, enhanced with mobile health (mHealth) behavior change strategies.
Primary Objective: To evaluate the primary effects of a 9-week, family-based intervention (Lifestyle Enhancement for ADHD Program - LEAP) to promote PA in young children with ADHD
Secondary: To evaluate secondary effects of the LEAP program on child ADHD symptoms and executive functioning
Detailed description
This is a randomized trial comparing the LEAP program to standard BMT for ADHD (without the enhanced focus on health behaviors, mHealth technology, or social media). Specifically, 80 families will be randomized to receive either LEAP or a standard BMT program based on Russell Barkley's Defiant Children intervention manual. Moderators (e.g., child sex, medication, BMI) and mediators (e.g., change in PA) will be analyzed as exploratory outcomes. Hypotheses being tested include: 1) LEAP will be successful in increasing PA in children with ADHD in the short-term and over a year, more so than standard BPT and 2) children randomized to LEAP will exhibit greater and more sustained improvement in clinical outcomes relative to standard BMT. If successful, the R33 phase will inform the development of a larger and longer, confirmatory trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| LEAP Group | Experimental | Behavioral: LEAPIn addition to the components of the BMT group, the LEAP program includes an emphasis on supporting optimal physical activity, limiting screen time, and encouraging adequate sleep. The child and caregiver are also given a wrist-worn activity tracker and caregivers participate in a motivational Facebook group. |
| BMT Group | Active comparator | Behavioral: Standard BMTThe BMT Group will take part in a family-based intervention within the context of evidence-based behavioral management training (BMT) for caregivers. Standard BMT represents the current standard of care for childhood ADHD. |
Who may qualify
- Ages
- 6 to 10 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (11 listed)
- Age 6-10 years
- ADHD diagnosis
- CGI-S rating ranging from 4 to 7.
- Child not wearing a wrist-worn activity tracker more than 50% of days in the past month
- One adult custodial caregiver (resides with the child at least 50% of the time) willing to participate in the study and complete baseline/follow-up measures
Key exclusion criteria (7 listed)
- - Younger than 6 years old or older than 10 years old
- Do not meet criteria currently for ADHD diagnosis
- Meet diagnostic criteria for psychiatric co-morbidities of Autism Spectrum Disorder, Depressive Disorder, Mood Disorder, Psychotic Disorder, or Intellectual Disability (by history)
- Per caregiver report, engage in >60 min/day of MVPA consistently for at least 5 days per week
- Any physical or medical restrictions on PA
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 |
|---|---|---|
| LEAPLEAP will be delivered through the typical 9 weekly BMT group sessions lasting 90 minutes. Plus wrist worn activity tracker \& facebook group. | Behavioural | LEAP Group |
| Standard BMTWeekly BMT groups sessions which follow the Barkley curriculum | Behavioural | BMT Group |
Primary outcome
Effects of intervention on Physical Activity
Time frame: Baseline to 10 weeks
Comparing within-subject pre to post activity (MVPA) using accelerometer data
Effects of intervention on Physical Activity
Time frame: Baseline to 20 weeks
Comparing within-subject pre to post activity (MVPA) using accelerometer data
Effects of intervention on Physical Activity
Time frame: Baseline to 1 year
Comparing within-subject pre to post activity (MVPA) using accelerometer data
6 secondary outcomes
Effects of LEAP participation on child executive function
Time frame: Baseline to 10 weeks
Effects of LEAP participation on child executive function
Time frame: Baseline to 20 weeks
Effects of LEAP participation on child executive function
Time frame: Baseline to 1 year
Effects of LEAP participation on child ADHD symptoms
Time frame: Baseline to 10 weeks
Effects of LEAP participation on child ADHD symptoms
Time frame: Baseline to 20 weeks
Effects of LEAP participation on child ADHD symptoms
Time frame: Baseline to 1 year
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 6 May 2023.
- Derived from this study: PubMed 39279226Tandon PS, Gabert T, Kuhn M, Tran N, Ola C, Sullivan E, Zhou C, Stein M, Mendoza JA, Sasser T, Gonzalez E. Modernizing behavioral parent training program for ADHD with mHealth strategies, telehealth groups, and health behavior curriculum: a randomized pilot trial. J Pediatr Psychol. 2024 Sep 1;49(9):664-675. doi: 10.1093/jpepsy/jsae073.
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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.
Pooja Tandon, MD principal investigator
Seattle Children's Hospital
Erin Gonzalez, PHD principal investigator
Seattle Children's Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing LEAP and Standard BMT in people with Attention Deficit Hyperactivity Disorder, run by Seattle Children's Hospital at 1 site in United States.
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 11 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: finished, as of the sponsor's last update on 6 May 2023. 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 United States. 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?
Effects of intervention on Physical Activity (time frame: Baseline to 10 weeks). 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 NCT04779333, 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 6 May 2023.