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ADHDAHEADNCT07381855

Biosignatures for the Development of Attention Deficit Hyperactivity Disorder

A study testing Summer treatment program for children transitioning to and from kindergarten (STP-K) in people with ADHD and Disruptive Behaviours, run by Florida International University.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

As an exploratory aim of this grant, we examined the extent to which a comprehensive psychosocial intervention conducted in the summer can improve young children with disruptive behavior challenges as it relates to their social-emotional and academic functioning. Read more about this study

Who is it for?
Ages 4 to 7 yearsHealthy volunteers can take part
Conditions the study is for
ADHD, Disruptive Behaviours
What is being tested?
Summer treatment program for children transitioning to and from kindergarten (STP-K)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
323 participants
Where
No sites listed yet
Study dates
1 Jan 2017to 1 Jan 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 4 to 7 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Children had to be attending school and between the ages of 4 and 7
  • Children in the typically developing (TD) group had to have their parents and/or their teachers endorse them as having less than four ADHD symptoms (across either Inattention or Hyperactivity/Impulsivity), less than four ODD symptoms, less than three CD symptoms, and indicated no clinically significant impairment (score below 3 on the IRS).
  • Children in the ADHD group had to have endorsed at least 6 ADHD symptoms of Inattention and/or Hyperactivity/Impulsivity, land indicated clinically significant impairment (score above 3 on the IRS) across parent and/or teacher report.
  • Children in the ADHD group also had to attend the STP-K.

Who cannot join

  • Diagnosis of Autism Spectrum Disorder
  • Full scale IQ below 70
  • Currently taking any psychotropic medication

About this study

As an exploratory aim of this grant, we examined the extent to which a comprehensive psychosocial intervention conducted in the summer can improve young children with disruptive behavior challenges as it relates to their social-emotional and academic functioning.

Read the detailed description

Due to the high prevalence rates and significant impairments associated with ADHD and comorbid disruptive behavior disorders, it is not surprising that a great deal of research has focused on psychosocial interventions, with the Summer Treatment Program (STP) emerging as one of the most widely regarded and effective multimodal psychosocial treatments for children with ADHD and comorbid disruptive behavior disorders. Over the last 15 years, the STP has been adapted for preschoolers transitioning into kindergarten, with similar success in not only improving general externalizing behavior problems (EBP), but also other school readiness outcomes.

Part of the STP for pre-kindergarteners' (STP-PreK) successful adaption is due to the recognition of the importance of addressing children's emotion dysregulation, which has not only been identified as a core impairment among children with ADHD but also a contributing factor in the development of DBDs. Callous-unemotional traits (CU) is one emotion dysregulation domain that amplifies impairments associated with ADHD and DBDs, and can attenuate the response to evidence-based treatments. The current study examines the extent to which the STP-PreK can improve these emotion dysregulation outcomes along with other school readiness outcomes (i.e., academic functioning and social skills) in a sample of young children with ADHD and co-occurring DBDs, compared to their TD peers.

Being tested
Summer treatment program for children transitioning to and from kindergarten (STP-K)
Keywords
ADHD, callous-unemotional behaviors, summer treatment program, young children, school readiness, emotion dysregulation, parenting
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.

  • Summer treatment program for children transitioning to and from kindergarten (STP-K)Behavioural

    Also called Summer Treatment Program, Summer Treatment Program for Prekindergarteners (STP-PreK)

    The STP-K is a multimodal intervention including a school readiness class, which consists of a behavior modification program as well as an academic and social-emotional curriculum, along with a parenting program.

    Throughout the day children participate in activities designed to promote a) behavioral and social-emotional skills consistent with the expectations of kindergarten and first grade, b) academic skills, c) physical activity, good sportsmanship, basic sports skills, and c) a positive attitude towards learning and school. Fifteen children are assigned to a classroom, staffed by one lead teacher, one lead counselor, and four paraprofessional developmental aides, yielding a 2:5 staff to student ratio. A behavior modification program is used across activities to promote positive behaviors.

    Parents then receive feedback everyday on how their child is doing and also attend a weekly parenting program lasting between 1.5 to 2 hours.

Study groups in NCT07381855
Study groupRoleWhat they receive
Summer Treatment Program for children transitioning to and from kindergarten (STP-K)ExperimentalParticipants in the STP-K included children ages 4 to 7 who attended a school readiness class during the summer, Monday-Friday from 8 a..m to 4:00 p.m. for 7 to 8 weeks. Parents received feedback everyday in the form of daily report card regarding how their children performed during the day. Parents also attended a weekly parenting program lasting between 1.5 to 2 hours.
Receives: Behavioral: Summer treatment program for children transitioning to and from kindergarten (STP-K)

What is being measured

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

  1. Overall Emotion Regulation as measured by the Emotion Regulation Checklist

    The average score on the emotion regulation subscale of the 24-item Emotion Regulation Checklist was used with higher scores indicating better emotion regulation skills.

    Measured: Baseline

  2. Overall Emotion Regulation as measures by the Emotion regulation Checklist

    The average score on the emotion regulation subscale of the 24-item Emotion Regulation Checklist was used with higher scores indicating better emotion regulation skills.

    Measured: 6 months after enrollment (post treatment)

  3. Overall Emotion Regulation as measured by the Emotion regulation Checklist

    The average score on the emotion regulation subscale of the 24-item Emotion Regulation Checklist was used with higher scores indicating better emotion regulation skills.

    Measured: 1 year after enrollment

  4. ADHD symptoms as assesed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ADHD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse ADHD severity.

    Measured: Baseline

  5. ADHD symptoms as assessed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ADHD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse ADHD severity.

    Measured: 6 months after enrollment (post-treatment)

  6. ADHD symptoms as assessed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ADHD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse ADHD severity.

    Measured: Completed 1 year after enrollment

  7. Overall Adaptive Functioning as assessed by the Behavior Assessment System for Children

    T-score on the adaptive functioning subscale of the Behavior Assessment System for Children with higher scores indicating better adaptive functioning skills

    Measured: baseline

  8. Overall adaptive functioning as measured by the Behavior Assessment System for Children

    T-score on the adaptive functioning subscale of the Behavior Assessment System for Children with higher scores indicating better adaptive functionining skills

    Measured: 6 months after enrollment (post-treatment)

  9. Overall adaptive functioning as assessed by the Behavior Assessment System for Children

    t-score on the adaptive functioning subscale of the Behavior Assessment System for Children with higher scores indicating better adaptive functionining skills

    Measured: Completed 1 year after enrollment

  10. Severity of Disruptive Behaviors as assessed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ODD and CDD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse disruptive behaviors.

    Measured: baseline

  11. Severity of Disruptive behaviors as assessed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ODD and CDD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse disruptive behaviors.

    Measured: 6 months after enrollment (post-treatment)

  12. Severity of Disruptive Behaviors as assessed by the Disruptive Behavior Disorders Rating Scale

    Average symptom severity of the ODD and CDD items of the Disruptive Behavior Disorders Rating Scale with higher scores indicating worse disruptive behaviors.

    Measured: 1 year after enrollment

  13. Severity of callous-unemotional behaviors as assessed by the abbreviated version of the Inventory of Callous-Unemotional Traits.

    Average frequency of callous-unemotional behaviors across the 12 items of the questionnaire with higher scores indicating more severe behaviors.

    Measured: baseline

  14. Severity of callous-unemotional behaviors as assessed by the abbreviated version of the Inventory of Callous-Unemotional Traits

    Average frequency of callous-unemotional behaviors across the 12 items of the questionnaire with higher scores indicating more severe behaviors.

    Measured: 6 months after enrollment (post-treatment)

  15. Severity of callous-unemotional behaviors as assessed by the abbreviated version of the Inventory of Callous-unemotional traits.

    Average frequency of callous-unemotional behaviors across the 12 items of the questionnaire with higher scores indicating more severe behaviors.

    Measured: 1 year after enrollment

  16. Social Skills as assessed via the Behavior Assessment System for Children

    T-score on the social skills subtest of the Behavior Assessment System for Children with higher scores indicating better social skills.

    Measured: baseline

  17. Social Skills as assessed by the Behavior Assessment System for Children

    T-score on the social skills subtest of the Behavior Assessment System for Children with higher scores indicating better social skills.

    Measured: 6 months after enrollment (post-treatment)

  18. Social Skills as assessed by the Behavior Assessment System for Children

    T-test on the social skills subtest of the Behavior Assessment System for Children with higher scores indicating better social skills

    Measured: 1 year after enrollment

  19. Overall social problem solving as assessed by the Challenging Situations Task

    Total prosocial score across the six hypothetical peer situations from the Challenging Situations task with higher scores indicating better social-problem solving.

    Measured: baseline

  20. Overall social problem solving as assessed by the Challenging Situations Task

    Total prosocial score across the six hypothetical peer situations from the Challenging Situations task with higher scores indicating better social-problem solving.

    Measured: 6 months after enrollment (post-treatment)

  21. Overall social problem solving as assessed by the Challenging Situations Task

    Total prosocial score across the six hypothetical peer situations from the Challenging Situations task with higher scores indicating better social-problem solving.

    Measured: 1 year after enrollment

  22. Overall Academic Achievement as measured by the Woodcock Johnson Test of Achievement

    The current study examined the mean raw scores of the derived composite scores on the Woodcock-Johnson Test of Achievement: Brief Reading (letter-word identification, passage comprehension), Brief Math (applied problems, calculation), and Brief Writing (spelling, writing samples). However, given the high correlations among these composites, an overall achievement composite was used with higher scores indicating better academic functioning.

    Measured: baseline

  23. Overall Academic Achievement as measured by the Woodcock Johnson Test of Achievement

    The current study examined the mean raw scores of the derived composite scores on the Woodcock-Johnson Test of Achievement: Brief Reading (letter-word identification, passage comprehension), Brief Math (applied problems, calculation), and Brief Writing (spelling, writing samples). However, given the high correlations among these composites, an overall achievement composite was used with higher scores indicating better academic functioning.

    Measured: 6-months after enrollment (post-treatment)

  24. Overall Academic Achievement as measured by the Woodcock Johnson Test of Achievement

    The current study examined the mean raw scores of the derived composite scores on the Woodcock-Johnson Test of Achievement: Brief Reading (letter-word identification, passage comprehension), Brief Math (applied problems, calculation), and Brief Writing (spelling, writing samples). However, given the high correlations among these composites, an overall achievement composite was used with higher scores indicating better academic functioning.

    Measured: 1 year after enrollment

  25. Overall readiness for kindergarten as assessed by the Kindergarten Behavior and Academic Competency Scale

    An overall score from the 23-items of the Kindergarten Behavior and Academic Competency Scale, which measures kindergarten readiness across domains (following clasroom rules, completing academic work) was derived by averaging across all items (along a 5-point scale) with higher scores indicating greater kindergarten readiness

    Measured: baseline

  26. Overall readiness for kindergarten as assessed by the Kindergarten Behavior and Academic Competency Scale

    An overall score from the 23-items of the Kindergarten Behavior and Academic Competency Scale, which measures kindergarten readiness across domains (following clasroom rules, completing academic work) was derived by averaging across all items (along a 5-point scale) with higher scores indicating greater kindergarten readiness

    Measured: 6 months after enrollment

  27. Overall readiness for kindergarten as assessed by the Kindergarten Behavior and Academic Competency Scale

    An overall score from the 23-items of the Kindergarten Behavior and Academic Competency Scale, which measures kindergarten readiness across domains (following clasroom rules, completing academic work) was derived by averaging across all items (along a 5-point scale) with higher scores indicating greater kindergarten readiness

    Measured: 1 year after enrollment

  28. Overall academic readiness for kindergarten as assessed by the Bracken School Readiness Assessment

    The Bracken School Readiness Assessment is a widely-used and psychometrically sound test consisting of five subtests assessing children's receptive knowledge of colors, letters, numbers/counting, sizes/comparisons, and shapes. For this study, the overall school readiness composite raw score was used with higher scores indicating better academic skills.

    Measured: baseline

  29. Overall academic readiness for kindergarten as assessed by the Bracken School Readiness Assessment

    The Bracken School Readiness Assessment is a widely-used and psychometrically sound test consisting of five subtests assessing children's receptive knowledge of colors, letters, numbers/counting, sizes/comparisons, and shapes. For this study, the overall school readiness composite raw score was used with higher scores indicating better academic skills.

    Measured: Completed 6 months after enrollment

  30. Overall academic readiness for kindergarten as assessed by the Bracken School Readiness Assessment

    The Bracken School Readiness Assessment is a widely-used and psychometrically sound test consisting of five subtests assessing children's receptive knowledge of colors, letters, numbers/counting, sizes/comparisons, and shapes. For this study, the overall school readiness composite raw score was used with higher scores indicating better academic skills.

    Measured: Completed 1 year after enrollment

  31. Observed Emotion Regulation as assessed via the Laboratory Temperament Assessment Battery

    A global measure of emotion regulation was coded (on a scale of 0 to 4) from two frustration tasks from the Laboratory Temperament Assessment Battery with higher average scores indicating better emotion regulation skills.

    Measured: baseline

  32. Observed Emotion Regulation as assessed via the Laboratory Temperament Assessment Battery

    A global measure of emotion regulation was coded (on a scale of 0 to 4) from two frustration tasks from the Laboratory Temperament Assessment Battery with higher average scores indicating better emotion regulation skills.

    Measured: 6 months after enrollment (post treatment)

  33. Observed Emotion Regulation as assessed via the Laboratory Temperament Assessment Battery

    A global measure of emotion regulation was coded (on a scale of 0 to 4) from two frustration tasks from the Laboratory Temperament Assessment Battery with higher average scores indicating better emotion regulation skills.

    Measured: 1 year after enrollment

  34. Overall Executive functioning as measured by the Behavior Rating Inventory of Executive Function

    T-score of the emergent metacognitive index of the Behavior Rating Inventory of Executive Function was used (items are rated on a three point liker scale) with higher scores indicating poorer executive functioning

    Measured: baseline

  35. Overall Executive functioning as measured by the Behavior Rating Inventory of Executive Function

    T-score of the emergent metacognitive index of the Behavior Rating Inventory of Executive Function was used (items are rated on a three point liker scale) with higher scores indicating poorer executive functioning

    Measured: 6 months after enrollment

  36. Overall Executive functioning as measured by the Behavior Rating Inventory of Executive Function

    T-score of the emergent metacognitive index of the Behavior Rating Inventory of Executive Function was used (items are rated on a three point liker scale) with higher scores indicating poorer executive functioning

    Measured: 1 year after enrollment

  37. Overall Executive Functioning Performance as measured by the Head-Toes-Knees-Shoulders task

    Total score on the Head-Toes-Knees-Shoulders task, which consists of 10 test trials. Scores range from 0 to 40 with higher scores indicative of better executive functioning.

    Measured: baseline

  38. Overall Executive Functioning Performance as measured by the Head-Toes-Knees-Shoulders task

    Total score on the Head-Toes-Knees-Shoulders task, which consists of 10 test trials. Scores range from 0 to 40 with higher scores indicative of better executive functioning.

    Measured: 6 months after enrollment

  39. Overall Executive Functioning Performance as measured by the Head-Toes-Knees-Shoulders task

    Total score on the Head-Toes-Knees-Shoulders task, which consists of 10 test trials. Scores range from 0 to 40 with higher scores indicative of better executive functioning.

    Measured: 1 year after enrollment

  40. Peer status as assessed by sociometrics ratings during the intervention

    A Social Preference Index score capturing overall peer status within the classroom was derived by subtracting the child's "like least" nominations from their peers from their standardized "like most" nominations from their peers, then re-standardized, as is commonly done in sociometric analyses. Higher social preference scores indicate higher peer status relative to other children in their class.

    Measured: Through study completion, an average of 1 year

Secondary outcomes (2)
  1. Intervetion Attendance

    As part of the intervention (STP-K), children attend the summer camp and parents attend weekly parent training. The overall number of days attended will be used with higher numbers indicating greater participation in the intervention.

    Measured: Through study completion, an average of 1 year

  2. Daily Report Card

    Children's daily report card performance defined by percentage of days in which their behavior and academic goals were achieved leading to a "green" (75% or better) "yellow (50-74%)" or "red (below 50%)" day across the STP-K.

    Measured: Through study completion, an average of 1 year

Timeline

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

  1. First posted2 Feb 2026
  2. Study start1 Jan 2017
  3. Primary completion1 Jan 2023
  4. Study completion1 Jan 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
323 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07381855
Sponsor's protocol ID
IRB-14-0158-CR11
Other IDs
R01MH112588
Acronym
AHEAD
Status last verified
Jan 2026
First submitted
20 Jan 2026
Last updated
2 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: We already have our data in the National Institute of Mental Health Data Archive (NDA)

Questions about this trial

What is this clinical trial studying?

A study testing Summer treatment program for children transitioning to and from kindergarten (STP-K) in people with ADHD and Disruptive Behaviours, run by Florida International University.

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: finished, as of the sponsor's last update on 2 Feb 2026. 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?

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?

Overall Emotion Regulation as measured by the Emotion Regulation Checklist (time frame: Baseline). The study lists 40 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 2 Feb 2026.

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