Text Messaging Adherence to Stimulant Medication

Study Overview
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Brief Summary
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The purpose of this study is to determine if an individualized text messaging intervention for the parents of children with Attention Deficit/Hyperactivity Disorder is effective in improving medication adherence and disease management.

Official Title
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Text Messaging Adherence to Stimulant Medication

Conditions
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Attention Deficit Hyperactivity Disorder

Intervention / Treatment
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* Other: Text- Messaging
* Other: Treatment as usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female children ages 6-17 years A diagnosis of ADHD (inattentive, hyperactive/impulsive, or combined type) according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) based on clinical assessment and supported by a Clinical Global Impression- ADHD (CGI-ADHD) Severity Score of at least 4 (Moderately Ill) Has a parent in possession of a cellular phone with text messaging capabilities and is interested in and willing to receive planned text messages Has never been treated with stimulant medication, or has begun treatment with stimulant medication within three months of study enrollment. Exclusion Criteria: Any serious, unstable, chronic medical condition, per clinician assessment Cardiovascular disease Current or past history of seizures Treatment with stimulant medication beyond three months prior to enrollment Pregnant or nursing females Investigator and his/her immediate family; defined as the investigator's spouse, parent, child, grandparent, or grandchild Unstable psychiatric illness other than ADHD, including, but not limited to: Autism, Bipolar Disorder, Psychosis, Major Depressive Disorder, Anorexia, Bulimia, Post-Traumatic Stress Disorder and Anxiety Disorders History of multiple adverse drug reactions Presence of suicidal risk, or homicidality Unwilling/unable to comply with study procedures Poor command of the English language

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 17 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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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Text Messaging<br>Text messaging to the parents of children. Children will receive open treatment for Attention Deficit/Hyperactivity Disorder (ADHD) with stimulant medication. | Other: Text- Messaging<br>* Text messages will be sent to the parents of children enrolled in the study.<br>Other: Treatment as usual<br>* Children will receive stimulant treatment for ADHD.<br>|
| Active Comparator: No Text Messaging<br>Children will receive open treatment for ADHD with stimulant medication. This group will not get the text messaging intervention, but will receive treatment as usual. | Other: Treatment as usual<br>* Children will receive stimulant treatment for ADHD.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Medication Adherence | Adherence to the individualized medication regimen | Six Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Attention Deficit Hyperactivity Disorder, Medication adherence, Disease management, Text message, Children, Reminder systems, Text Messaging, Telemedicine, ADHD