Organizational Skills Treatment for ADHD Children

多动症儿童的组织技能治疗

• 批准号: 7047667
• 负责人: HOWARD Barry ABIKOFF
• 金额: $ 84.67万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2011-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7047667
• 关键词: academic achievement; attention deficit disorder; attitude; behavior test; behavior therapy; behavioral /social science research tag; child behavior; clinical research; clinical trials; family structure /dynamics; health care service utilization; human subject; human therapy evaluation; longitudinal human study; mental health services; middle childhood (6-11); patient oriented research; satisfaction; therapy compliance

DESCRIPTION (provided by applicant): Organizational, time management and planning (OTMP) skills deficits are seriously impairing features of Attention-Deficit/Hyperactivity Disorder (ADHD) that compromise school performance and family relations. There have been minimal advancements in the treatment of OTMP deficits in child with ADHD. Via an R21 grant we conducted a research program aimed at remedying organizational skills deficit in children with ADHD. To this end, we: 1) developed assessments to quantify OTMP deficits in children with ADHD, 2) developed a 10-week, 20-session manualized organizational skills training (OST) program designed to target children's specific OTMP deficits, and 3) conducted a pilot study to generate estimates of effect for this novel intervention. Our open pilot study demonstrated treatment feasibility, satisfaction with treatment, and significant improvements in OTMP behaviors at school and home. Findings provide a basis for a larger test of the intervention through a randomized controlled trial. This application proposes a dual-site (NYU and Duke) efficacy study of OST in 180 children with ADHD and organizational skills deficits, ages 8-11, in grades 3-5, randomized to one of three conditions: OST (N = 72), Contingency Management (CM; N = 72), or Wait List (WL; N = 36). The study is designed to control for 1) simple contingency management with target tasks, without organizational skills training, 2) time, and 3) repeat assessments. Treatment contrasts will examine children's 1) OTMP skills, 2) academic planning skills, 3) academic performance, 4) homework behaviors, 5) report card grades, 6) attitudes toward school and teachers, 7) family relationships, and 8) treatment satisfaction. It is predicted that OST will be superior to WL control and CM. We will evaluate children's long-term function, and hypothesize that at one-month follow-up, as well in the next grade, children provided with OST will demonstrate significantly better organizational skills compared to those who received CM. The impact of parents' ADHD symptomatology on their treatment implementation and child outcomes will be explored. If successful, the study will be a major advance in the treatment of children with ADHD, and provide the field with an intervention that addresses one of the more vexing clinical features of the disorder.

描述（由申请人提供）：组织、时间管理和计划 (OTMP) 技能缺陷严重损害注意力缺陷/多动症 (ADHD) 的特征，从而影响学校表现和家庭关系。 ADHD 儿童 OTMP 缺陷的治疗进展甚微。通过 R21 拨款，我们开展了一项研究计划，旨在弥补多动症儿童的组织技能缺陷。为此，我们：1) 制定了量化 ADHD 儿童 OTMP 缺陷的评估，2) 制定了为期 10 周、20 节的手动组织技能培训 (OST) 计划，旨在针对儿童的特定 OTMP 缺陷，以及 3) 进行一项试点研究，旨在评估这种新颖干预措施的效果。我们的开放试点研究证明了治疗的可行性、对治疗的满意度以及学校和家庭 OTMP 行为的显着改善。研究结果为通过随机对照试验进行更大规模的干预测试提供了基础。 本申请提出了一项双中心（纽约大学和杜克大学）对 OST 功效进行的研究，研究对象为 180 名 8-11 岁、3-5 年级患有 ADHD 和组织技能缺陷的儿童，随机分配到以下三种情况之一：OST (N = 72) 、应急管理（CM；N = 72）或等候名单（WL；N = 36）。该研究旨在控制 1）具有目标任务的简单应急管理，无需组织技能培训，2）时间，以及 3）重复评估。治疗对比将检查儿童的 1) OTMP 技能，2) 学业规划技能，3) 学业成绩，4) 家庭作业行为，5) 成绩单成绩，6) 对学校和老师的态度，7) 家庭关系，以及 8) 治疗满意度。预计OST将优于WL控制和CM。我们将评估儿童的长期功能，并假设在一个月的随访以及下一年级中，接受 OST 的儿童将比接受 CM 的儿童表现出明显更好的组织能力。将探讨父母的多动症症状对其治疗实施和儿童结局的影响。如果成功，这项研究将成为治疗多动症儿童的重大进步，并为该领域提供一种干预措施，解决该疾病更令人烦恼的临床特征之一。