Executive Function and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving

Study Overview
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Brief Summary
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In this project, the investigators will extend prior results of parent-reported executive function growth and symptom reduction in children receiving home-based treatment with the Collaborative Problem Solving treatment approach (CPS), with a particular focus on examining children who have attention deficit hyperactivity disorder (ADHD). The investigators will examine executive functioning (EF) of children who are receiving CPS, measuring EF with parent-report and objective computer-based tasks, at two timepoints: at the start of treatment and approximately four months later, and will collect symptoms at these plus three additional timepoints: at discharge, 6-months after discharge, and 12-months after discharge.

Official Title
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Executive Functions and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving

Conditions
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Child Behavior, Problem Behavior, Executive Dysfunction

Intervention / Treatment
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* Behavioral: Collaborative Problem Solving


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clients of participating non-profit organization that are receiving home-based youth mental health care Speaking and writing English at level necessary to complete study requirements Exclusion Criteria: Youth is in full state custody and consent cannot be obtained by a guardian Youth and/or guardians do not speak English well enough to complete standardized measures Youth has a confirmed or suspected Full Scale IQ below 70, or carries a prior diagnosis of Autism Spectrum Disorder at the moderate or severe level

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Collaborative Problem Solving|CPS is an approach for understanding and reducing challenging behavior in youth. Under CPS, caregivers are taught to understand and identify the specific neurocognitive skill deficits that underlie their child's challenging behavior. Then the caregivers are taught to interact with the child in a way that solves chronic behavior problems while building the lagging neurocognitive skills to avoid future problems.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Behavioral Symptoms | Strengths and Difficulties Questionnaire (Parent-report measuring child emotional problems, conduct issues, hyperactivity/inattention, peer relationship problems, and pro- social behavior) | Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge | 
| Change in Behavioral Symptoms | Clinical Global Impressions (Measures clients' symptom severity, global improvement, and therapeutic response) | Baseline, 4 months, and discharge | 
| Change in Executive Functioning Skills | Behavior Rating Inventory of Executive Functioning (Parent-report measuring deficits in different domains of executive functioning) | Baseline and 4 months | 
| Change in Executive Functioning Skills | CANTAB computer-based cognitive tasks (Motor Screening Task, Stop Signal Task, Spatial Span, Multitasking Test, Stockings of Cambridge, Intra-Extra Dimensional Set Shift) | Baseline and 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Child-Parent Relationship | Child-Parent Relationship Scale (A 15-question measure of parents perceptions of their relationship with their child by using a scale of 1-5 where 1 definitely does not apply and a 5 definitely applies to the child-parent relationship) | Baseline and 4 months | 
| Treatment providers' fidelity to Collaborative Problem Solving (as a moderator) | CPS Treatment Integrity Rating Form Short (Observational ratings by trained CPS coaches that quantitatively measure providers' fidelity to the practice of the CPS treatment approach) | provider rating made closest in proximity to four-month timepoint | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CPS, Executive Functioning, ADHD, Behavior Problems, Youth, Collaborative Problem Solving, Disruptive Behavior, Parenting