Extra Time on Brazilian College Level Exam for Students With and Without ADHD

Study Overview
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Brief Summary
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Standardized tests such as the Scholastic Aptitude Test (SAT) and the brazilian National High School Exam (ENEM) give more time for students with Attention Deficit and Hyperactivity Disorders (ADHD) to complete the exam. The goal of this study is to find out if giving students with ADHD more time on tests actually helps them. Additionally, the research aims to find out if more time helps students without ADHD too or not, or even if it only helps students with certain traits.

Detailed Description
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Initially, the participants of this study will fill out forms and questionnaires online. Then, they will go through a psychiatric evaluation, where they will talk to a psychiatrist, and neuropsychological testing, where they will do some mental activities. Later on, they will do a mock test of the ENEM, with and without extra time.

Official Title
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Extended Time on Exams as an Accommodation at First Level of Higher Education: A Randomized Controlled Study

Conditions
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Attention Deficit Disorder With Hyperactivity

Intervention / Treatment
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* Behavioral: Exam


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Brazilian citizen; Planing to participate in college-entry standardized tests (ENEM, Vestibulares); Exclusion Criteria: Medical condition and/or disability that may hinder the neuropsychological testing; Intelligence Quotient (IQ) lower than 80; Psychotic disorders, bipolar disorders, current moderate or severe depressive episode, suicide risk, autism spectrum disorders, learning disabilities.

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be assigned either to the ADHD group or non-ADHD group based on diagnosis. Both groups will receive the same intervention, which is to perform three academic exams based on the Brazilian National High School Exam (ENEM) under three different time conditions (40 minutes, 50 minutes and 60 minutes). The order in which they will perform each exam and with which time condition will be randomized. In order to emulate real-life conditions in which students compete for college entry and motivate them, the participants will be competing for valuable prizes (ebook readers).
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Standard time<br>40 minutes provided to complete the exam. | Behavioral: Exam<br>* Academic exam based on the Brazilian National High School Exam (ENEM).<br>* Other names: Brazilian National High School Exam;|
| Experimental: 25% extra time<br>50 minutes provided to complete the exam. | Behavioral: Exam<br>* Academic exam based on the Brazilian National High School Exam (ENEM).<br>* Other names: Brazilian National High School Exam;|
| Experimental: 50% extra time<br>60 minutes provided to complete the exam. | Behavioral: Exam<br>* Academic exam based on the Brazilian National High School Exam (ENEM).<br>* Other names: Brazilian National High School Exam;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Test performance | Proportion of correct answers weighted by item difficulty, according to the standard scoring of this exam. | During Intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time spent | Time spent doing the exam. | During Intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Extended time, Academic test Performance, Academic Achievement, Neuropsychological Testing, Cognitive Function