Mobile Behavioral Parent Training for Childhood ADHD: Pilot Trial

Study Overview
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Brief Summary
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The goal of the study is to develop and pilot a personalized behavioral parent training intervention for caregivers of children with attention deficit hyperactivity disorder. The behavioral intervention will teach positive parenting through videos and quizzes that caregivers can access through a smartphone application. The program also gives parents and caregivers in-the-moment feedback their use of parenting strategies. The main questions to answer are: Is parenting feedback provided by a smartphone application acceptable to caregivers? Is the phone application usable and acceptable to parents and caregivers of children with attention deficit hyperactivity disorder? In the pilot trial, participants (parents/caregivers) will be randomly assigned to either (1) use the positive parenting intervention phone application (mobile Behavioral Parent Training: mBPT) or (2) use mBPT and receive brief, personalized phone prompts throughout their participation that target parenting behavior and intervention engagement.

Official Title
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Personalizing Behavioral Parent Training: Improving Reach and Outcomes for Families of Children With ADHD

Conditions
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Attention Deficit Hyperactivity Disorder

Intervention / Treatment
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* Behavioral: Mobile Behavioral Parent Training (mBPT)
* Behavioral: Just-in-time intervention: Parenting Strategies


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: currently meets Diagnostic Statistical Manual 5 diagnostic criteria for ADHD ages 7 -12 has parent-reported impairment in homework performance defined as a score of 3 or greater on an Impairment Rating Scale measure (Fabiano et al., 2006) of homework performance has at least one parent or primary caregiver who is willing to participate and is able to access the intervention at home via smartphone. Exclusion Criteria: N/A

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 12 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants are randomly assigned to one of two groups
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: mBPT only<br> | Behavioral: Mobile Behavioral Parent Training (mBPT)<br>* The mobile phone application includes behavioral parent training content (for example, praise, effective commands, reward systems) delivered in videos, examples, and quizzes that parents/caregivers access.<br>|
| Experimental: mBPT and just-in-time adaptive intervention<br> | Behavioral: Mobile Behavioral Parent Training (mBPT)<br>* The mobile phone application includes behavioral parent training content (for example, praise, effective commands, reward systems) delivered in videos, examples, and quizzes that parents/caregivers access.<br>Behavioral: Just-in-time intervention: Parenting Strategies<br>* Parents will receive prompts via phone that provide parenting suggestions and parenting feedback when they are interacting with their child.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intervention Engagement | Number of mobile BPT sessions completed divided by the total number of sessions available. | Through study completion, average of 10 weeks | 
| Receipt of Prompts | Percent of prompts sent that were opened within 20 minutes of being sent | Through study completion, average of 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Passive Audio Data- Positive Parenting | Parenting Behavior- Dyadic Parent Child Interaction Coding System, number of labeled praises and unlabeled praises per hour during last week of study. | During the last 1 week of study completion |