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Attention Deficit Hyperactivity DisorderADHDNCT06064032

Cognitive Behavioral Therapy And Motor Learning Technique Among Attention Deficit Hyperactivity Disorder Adults

A study testing cognitive behavioral therapy and Motor Learning Techniques in people with Attention Deficit Hyperactivity Disorder, run by Shalamar Institute of Health Sciences.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 aim of our study to compare the effect of cognitive behavioral therapy and motor learning techniques in adults with Attention Deficit Hyperactivity Disorder. and help the adults to address and revise cognitive distortions and habits affecting your productivity and emotional mindset.participant allocated to control… Read more about this study

Who is it for?
Ages 18 to 29 yearsHealthy volunteers can take part
Conditions the study is for
Attention Deficit Hyperactivity Disorder
What is being tested?
cognitive behavioral therapy and Motor Learning Techniques
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
No sites listed yet
Study dates
2 Oct 2023to 30 Dec 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 18 to 29 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Medical \& Allied health students, both male and females, aged between (18-29).
  • Students who will score less than 26 out of 30 in MOCA test

Who cannot join

  • •Students with any history of systemic disease.

Trial locations and contacts

No sites are listed yet.

About this study

Official title: Comparing The Effects Of Cognitive Behavioral Therapy And Motor Learning Technique in Adults With Attention Deficit Hyperactivity Disorder.

The aim of our study to compare the effect of cognitive behavioral therapy and motor learning techniques in adults with Attention Deficit Hyperactivity Disorder. and help the adults to address and revise cognitive distortions and habits affecting your productivity and emotional mindset.participant allocated to control group will be asked to perform cognitive behavioural therapy and participants allocated to experimental group will be asked to perform motor learning activities and cognitive behavioral therapy.

Read the detailed description

Attention deficit disorder/hyperactivity (ADHD) among adults is a frequent but under-diagnosed clinical situation. Attention deficit hyperactivity disorder prevails from childhood to adulthood and most of the adults suffering from this disorder were the same who went through this syndrome in their childhood.

Basically, ADHD has 3 main types in adults: In attentive ADHD with lack of attention to task, Impulsive ADHD with lack of decision-making skills and Combination of type 1 and 2.

Risk factors that lead to this disorder include: genetics ,environmental factors and developmental factors.

Meyer and Sag olden also found motor impairments in all three subtypes but they reported the strongest motor control problems and difficulty with gross motor skills in the combined type of ADHD.

ADHD significantly impairs multiple aspects of life, leading to educational underachievement, unemployment, unsuccessful marriage and criminality, etc. Moreover, ADHD shows significant correlations with a wide range of co-morbid psychiatric disorders, including effective disorders, antisocial personality disorder, self-harm, substance misuse, placing a considerable burden on society and family .

This syndrome include difficulty in performing activities of daily living, difficulty in making decisions and loss of attention while performing a task. They feel trouble in following and remembering plans, important events and daily tasks.

Men and women suffering from ADHD also encounter some motor control problems in their lives like lack of dexterity, gripping and fine motor skills.

A random affect meta-analysis of these studies showed that the global prevalence of ADHD in children and adolescents was 8.0 %.

Attention deficit hyperactivity disorder (ADHD) is recognised as the most common neurodevelopmental disorder of childhood. A frequently cited study by Polanszky of 2007 reported a worldwide ADHD prevalence estimate of 5.3%.

The overall Canadian ADHD prevalence estimate is similar to worldwide estimates for adults that is 5.3%. Estimates for children include 7.5% in Australia and 10.2% in the United States.

Two studies on adolescents in Africa provided estimates of 7.5%. A 2021 survey conducted in the United States, for example, found an ADHD prevalence rate for adults of 4.25% One German study on children and adolescents combined provides an estimate of 6.1.

In china there is 7.5% of rural students are at risk of ADHD. A study at India showed that 24.3% of the total study population had the presence of adult ADHD.

In Pakistan, a study conducted on 1889 patients showed almost 11% patients had diagnosis of ADHD after a screening questionnaire from their consultant.

After analyzing the properties of the ASRS (sensitivity: 83.3% specificity: 66.1%), we administered the Adult ADHD Self-Report Scale (ASRS) to detect the participants with attention deficit hyperactive disorder.

To assess the cognitive part of ADHD we use MOCA test also known as Montreal cognitive assessment which involves a picture-based marking system.

Perceptual-motor training is the best physical activity intervention for children with ADHD regarding motor ability and working memory. This type of training combines physical activities such as coordination, balance, and strength with perceptual tasks.

Longer exercise intervention (motor learning techniques) duration was consistently associated with larger effect sizes (g .627). Results suggest that exercise has a modest positive impact on ADHD functional outcomes, such as executive functions and motor skills, with longer interventions yielding better results.

Cognitive behavioral therapy can be given individually as well as in groups to treat main behavioral and cognitive impairments in patients of different age groups and more importantly with attention deficit hyperactivity disorder.

A systematic review showed that CBT was superior to control and superior to active control groups with a small to moderate effect size (SMD 0.43, 95% CI [0.14, 0.71], p .004).

CBT reduced ADHD symptoms (self and independently rated) compared with the control treatment(s).

Cognitive-motor training is an intervention that integrates cognitive and motor tasks to promote an individual's physical and mental health. It has been shown that performing two or more cognitive-motor tasks simultaneously, such as computation in postural training and movement under computer games, will contribute more to improvements in cognitive domains compared to single-task training.

Attention-deficit hyperactivity disorder also known as ADHD, is a neurobiological disorder that affects children and adults. It is associated with increased activity level and lack of attention regarding daily activities of living.

Cognitive behavioural therapy is method to encounter the negative thoughts and converting them into positive ones by using the method of reinforcement. Also, it can help people change the way they think about their problems.

Motor learning strategies can be applied in such people. Motor learning techniques are used to enhance someone's ability to perform a task more effectively and efficiently. They progress from a stage of dependency to automacity. These techniques are used for the acquisition and modification of a task to make it more effective.

Being tested
cognitive behavioral therapy, Motor Learning Techniques
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 behavioral therapyBehavioural

    In control group there is 10 min session of PMR, 2 min deep breathing exercises,3 min training for life style modification which include use of planner, setting alarms breaking a task into parts positive reinforcement and communication.

  • Motor Learning TechniquesBehavioural

    In experimental group, participants will be given a 10 min PMR ,2 min deep breathing exercises, 3 min training for life style modification which include the use of planners setting alarms, breaking a difficult task into parts, positive reinforcement and communication combined with 3 min session of drawing a specific pattern with installing pegs on pegboard, 2 min session of balance board training, 3 min session of jigsaw puzzle training, 1 min session of squeezing a ball with maximum repetition and 1 min session of finding beads in puttey.

Study groups in NCT06064032
Study groupRoleWhat they receive
cognitive behvioral therapyActive comparatorThe subjects in the control group will be given a 10 minute session of Progressive Muscle Relaxation (PMR) 2 minutes deep breathing exercises and 3 minutes training for life style modification which includes the use of planners, setting alarms, breaking a difficult task into parts, positive reinforcement and communication. This would be taught for 15 days at one day interval.
Receives: Behavioral: cognitive behavioral therapy
motor learning techniquesExperimentalThe subjects in the experimental group will be given a 10 minute session of Progressive Muscle Relaxation (PMR), 2 minutes deep breathing exercises,3 minutes training for life style modification which includes the use of planners, setting alarms, breaking a difficult task into parts, positive reinforcement and communication combined with a 3 minute session of drawing a specific pattern with installing pegs on pegboard, 2 minutes session of balance board training, 3 min session of solving jigsaw puzzles, 1 minute session of squeezing a ball with maximum repetition and 1 minute session of finding beads in puttey. This would be taught for 15 days at one day interval.
Receives: Behavioral: cognitive behavioral therapy; Behavioral: Motor Learning Techniques

What is being measured

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

  1. Comparing the Effect of Cognitive Behavioral Therapy and Motor Learning Techniques in Adults with Attention Deficit Hyperactivity Disorder.

    After analyzing the properties of the Adult self report scale( sensitivity: 83.3%, specificity:66.1 %) we administered adult self report scale to detect the participants with attention deficit hyperactivity disorder. In this 0 will be considered as the normal score( 14 or 14 above will be considered positive for attention deficit hyperactivity disorder) and 72 shows the severity of attention deficit hyperactivity disorder participants.

    Measured: 1-Month

Timeline

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

  1. First posted3 Oct 2023
  2. Study start2 Oct 2023 (estimated)
  3. Primary completion10 Nov 2023 (estimated)
  4. Study completion30 Dec 2023 (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
Model description
The subjects in the experimental group will be given a 10 minute session of Progressive Muscle Relaxation (PMR), 2 minutes deep breathing exercises,3 minutes training for life style modification which includes the use of planners, setting alarms, breaking a difficult task into parts, positive reinforcement and communication combined with a 3 minute session of drawing a specific pattern with installing pegs on pegboard, 2 minutes session of balance board training, 3 min session of solving jigsaw puzzles, 1 minute session of squeezing a ball with maximum repetition and 1 minute session of finding beads in puttey. . After the completion of therapy, the participants will be assessed by the proforma used to diagnose the ADHD and their respective scores will be noted and compared with the previous ones.
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06064032
Sponsor's protocol ID
SSAHS 2023/03
Acronym
ADHD
Status last verified
Oct 2023
First submitted
8 Sep 2023
Last updated
12 Oct 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Weibel S, Menard O, Ionita A, Boumendjel M, Cabelguen C, Kraemer C, Micoulaud-Franchi JA, Bioulac S, Perroud N, Sauvaget A, Carton L, Gachet M, Lopez R. Practical considerations for the evaluation and management of Attention Deficit Hyperactivity Disorder (ADHD) in adults. Encephale. 2020 Feb;46(1):30-40. doi: 10.1016/j.encep.2019.06.005. Epub 2019 Oct 11.

    PubMed 31610922
  • Salvi V, Migliarese G, Venturi V, Rossi F, Torriero S, Vigano V, Cerveri G, Mencacci C. ADHD in adults: clinical subtypes and associated characteristics. Riv Psichiatr. 2019 Mar-Apr;54(2):84-89. doi: 10.1708/3142.31249.

    PubMed 30985833
  • Palladino VS, McNeill R, Reif A, Kittel-Schneider S. Genetic risk factors and gene-environment interactions in adult and childhood attention-deficit/hyperactivity disorder. Psychiatr Genet. 2019 Jun;29(3):63-78. doi: 10.1097/YPG.0000000000000220.

    PubMed 30741787
  • Lelong M, Zysset A, Nievergelt M, Luder R, Gotz U, Schulze C, Wieber F. How effective is fine motor training in children with ADHD? A scoping review. BMC Pediatr. 2021 Nov 4;21(1):490. doi: 10.1186/s12887-021-02916-5.

    PubMed 34736439
  • Song P, Zha M, Yang Q, Zhang Y, Li X, Rudan I; Global Health Epidemiology Reference Group (GHERG). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. J Glob Health. 2021 Feb 11;11:04009. doi: 10.7189/jogh.11.04009.

    PubMed 33692893
  • Thorell LB, Holst Y, Sjowall D. Quality of life in older adults with ADHD: links to ADHD symptom levels and executive functioning deficits. Nord J Psychiatry. 2019 Oct;73(7):409-416. doi: 10.1080/08039488.2019.1646804. Epub 2019 Aug 5.

    PubMed 31380715
  • Fietsam AC, Tucker JR, Kamath MS, Huang-Pollock C, Wang Z, Neely KA. Manual dexterity and strength and in young adults with and without Attention-Deficit/Hyperactivity Disorder (ADHD). Neurosci Lett. 2022 Jan 1;766:136349. doi: 10.1016/j.neulet.2021.136349. Epub 2021 Nov 14.

    PubMed 34785312
  • Ayano G, Demelash S, Gizachew Y, Tsegay L, Alati R. The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses. J Affect Disord. 2023 Oct 15;339:860-866. doi: 10.1016/j.jad.2023.07.071. Epub 2023 Jul 24.

    PubMed 37495084
  • Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007 Jun;164(6):942-8. doi: 10.1176/ajp.2007.164.6.942.

    PubMed 17541055
  • Graetz BW, Sawyer MG, Hazell PL, Arney F, Baghurst P. Validity of DSM-IVADHD subtypes in a nationally representative sample of Australian children and adolescents. J Am Acad Child Adolesc Psychiatry. 2001 Dec;40(12):1410-7. doi: 10.1097/00004583-200112000-00011.

    PubMed 11765286
  • Ayano G, Yohannes K, Abraha M. Epidemiology of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents in Africa: a systematic review and meta-analysis. Ann Gen Psychiatry. 2020 Mar 13;19:21. doi: 10.1186/s12991-020-00271-w. eCollection 2020.

    PubMed 32190100
  • London AS, Landes SD. Cohort Change in the Prevalence of ADHD Among U.S. Adults: Evidence of a Gender-Specific Historical Period Effect. J Atten Disord. 2021 Apr;25(6):771-782. doi: 10.1177/1087054719855689. Epub 2019 Jun 13.

    PubMed 31189421
  • Pang X, Wang H, Dill SE, Boswell M, Pang X, Singh M, Rozelle S. Attention Deficit Hyperactivity Disorder (ADHD) among elementary students in rural China: Prevalence, correlates, and consequences. J Affect Disord. 2021 Oct 1;293:484-491. doi: 10.1016/j.jad.2021.06.014. Epub 2021 Jun 18.

    PubMed 34280772
  • Samal B, Senjam G, Ravan JR, Ningombam HS, Das RC, Das SK. Prevalence of adult ADHD in patients with substance use disorder in North East India. Ind Psychiatry J. 2022 Jul-Dec;31(2):214-220. doi: 10.4103/ipj.ipj_250_21. Epub 2022 Aug 18.

    PubMed 36419685
  • Khan S, Qayyum R, Iqbal J. Prevalence of Autism Spectrum Disorders (ASD) and Attention Deficit Hyperactivity Disorders (ADHD) among Adult Psych. Pakistan Armed Forces Medical Journal. 201969(2):419-23

Questions about this trial

What is this clinical trial studying?

A study testing cognitive behavioral therapy and Motor Learning Techniques in people with Attention Deficit Hyperactivity Disorder, run by Shalamar Institute of Health Sciences.

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 2 inclusion and 1 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 12 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

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 Masooma Gull, MS (+92-42-111-205-205 ext. 28, masooma.gull@sihs.org.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comparing the Effect of Cognitive Behavioral Therapy and Motor Learning Techniques in Adults with Attention Deficit Hyperactivity Disorder. (time frame: 1-Month). 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 NCT06064032, which also lists 26 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 12 Oct 2023.

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