1/2-Multisite Study of School Based Treatment Approaches for ADHD Adolescents

ADHD 青少年学校治疗方法的 1/2 多中心研究

• 批准号: 7728096
• 负责人: Steven W. Evans
• 金额: $ 36.88万
• 依托单位: OHIO UNIVERSITY ATHENS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7728096
• 关键词: Accounting; Address; Adolescence; Adolescent; Aftercare; Age; Alcohol or Other Drugs use; Area; Attention deficit hyperactivity disorder; Automobile Driving; Behavior Therapy; Caring; Characteristics; Child; Chronic; Communities; Conflict (Psychology); Consultations; Costs and Benefits; Coupled; Data; Data Collection; Decision Making; Development; Disease; Distress; Effectiveness; Emotional; Evaluation; Failure; Family; Family Characteristics; Grant; Human Resources; Impairment; Imprisonment; Individual Differences; Intervention; Life; Literature; Longevity; Measures; Mediating; Mediator of activation protein; Mental disorders; Methods; Modeling; Occupational; Outcome; Parents; Participant; Pharmaceutical Preparations; Pharmacotherapy; Pilot Projects; Policies; Pregnancy in Adolescence; Problem behavior; Process; Professional counselor; Psychosocial Assessment and Care; Public Health; Public Sector; Publishing; Randomized; Recruitment Activity; Relative (related person); Research; Resources; Risk; Robin bird; Sampling; School Teachers; School-Age Population; Schools; Services; Severities; Site; Social Functioning; Societies; Student Dropouts; Students; Study Section; Suspension substance; Suspensions; Symptoms; Teenagers; Time; Training; Unemployment; Work; Youth; active method; after-school program; age group; automobile accident; base; cost; cost effectiveness; effective therapy; elementary school; intervention program; meetings; middle school; peer; programs; psychosocial; public health relevance; research and development; response; social; teacher; therapy development; treatment program; treatment response

DESCRIPTION (provided by applicant): The long term objective of this study is to determine the value of adding treatment programs like the Challenging Horizons Program (CHP) to the services available to youth with ADHD in a community. There continues to be a lack of data on effective psychosocial treatments for adolescents with ADHD. This is problematic, as medication is inadequate for most youth as a sole form of treatment and adolescence is a time where the impairment associated with ADHD becomes increasingly dangerous, life-altering, and serious. Specifically, this study aims to: 1) Evaluate the efficacy of the after-school program model and the consultation model of CHP as compared to each other and as compared to community care, 2) Estimate cost-effectiveness ratios for each of the two levels of services, and 3) Identify moderators and mediators of treatment response for the two CHP intervention models. In addition, the findings should inform treatment decisions about which children need which level of care. Treatment services are delivered either through an after-school program (CHP-AS) or through teachers employed by the school who are trained and provided with ongoing consultation on the CHP methods (CHP-C). Over five years 315 participants who meet criteria for ADHD will be recruited at seven middle schools across two sites and randomly assigned to receive either the CHP-AS, CHP-C or community care. Costs of providing the services for all three conditions will be measured as well as symptom and impairment outcomes. Data collection will occur on an ongoing basis over the academic year of a child's participation in the project. In addition, formal evaluations will occur at baseline, immediately post-treatment, and 6 months post-treatment. Consistent with findings from preliminary studies it is expected that response to both active treatment conditions will vary across participants. Assessments will be collected that identify potential moderators and mediators of treatment response and these will be included in the analyses in order to identify child and parent characteristics that may predict response to treatment as well as variables related to the treatment process (e.g., attendance) that predicts response. PUBLIC HEALTH RELEVANCE: The lack of adequate treatments for youth with problems related to substance use, automobile accidents, school failure and other difficulties associated with adolescents with ADHD presents a serious public health problem. This study evaluates the effectiveness and cost associated with two emerging comprehensive treatment options for youth and identifies characteristics of the teens (moderators) and the treatment (mediators) that predict positive outcomes. The development of a cost-effective treatment for young adolescents with ADHD that can be integrated into schools and the community will provide invaluable assistance to the public health field and address problems across multiple sectors of public well being.

描述（由申请人提供）：本研究的长期目标是确定将挑战视野计划 (CHP) 等治疗计划添加到为社区中患有多动症的青少年提供的服务中的价值。对于患有多动症的青少年，仍然缺乏有效的心理社会治疗的数据。这是有问题的，因为对于大多数青少年来说，药物作为唯一的治疗形式是不够的，而青春期是与多动症相关的损伤变得越来越危险、改变生活和严重的时期。具体而言，本研究旨在： 1) 评估课后计划模式和 CHP 咨询模式之间以及与社区护理相比的有效性，2) 估计两个级别中每个级别的成本效益比服务，以及 3) 确定两种 CHP 干预模型的治疗反应的调节因素和中介因素。此外，研究结果还应为治疗决策提供信息，以决定哪些儿童需要哪种程度的护理。治疗服务通过课外计划 (CHP-AS) 或通过学校雇用的接受过 CHP 方法培训并提供持续咨询的教师 (CHP-C) 提供。五年内，将在两个地点的七所中学招募 315 名符合 ADHD 标准的参与者，并随机分配接受 CHP-AS、CHP-C 或社区护理。将衡量为所有三种情况提供服务的成本以及症状和损害结果。数据收集将在儿童参与该项目的整个学年持续进行。此外，正式评估将在基线、治疗后立即和治疗后 6 个月进行。与初步研究的结果一致，预计参与者对两种积极治疗条件的反应会有所不同。将收集评估，以确定治疗反应的潜在调节因素和调节因素，并将这些评估纳入分析中，以便确定可预测治疗反应的儿童和家长特征以及与治疗过程相关的变量（例如出勤率）预测响应。 公共卫生相关性：对于患有药物滥用、车祸、学业失败以及与多动症青少年相关的其他困难的青少年缺乏适当的治疗，这是一个严重的公共卫生问题。本研究评估了两种新兴的青少年综合治疗方案的有效性和成本，并确定了青少年（调节者）和预测积极结果的治疗（调节者）的特征。为患有多动症的青少年开发一种具有成本效益的治疗方法，并将其纳入学校和社区，将为公共卫生领域提供宝贵的援助，并解决公共福祉多个部门的问题。