Clinical trial NCT04121650: Executive Function and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving
Official title: Executive Functions and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Child Behavior
Problem Behavior
Executive Dysfunction
Keywords: Executive Functioning
ADHD
Behavior Problems
Youth
CPS
Collaborative Problem Solving
Disruptive Behavior
Parenting
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: Gerstner Philanthropies
name: Youth Villages
First posted: 2019-10-10
Enrollment: 54
Sex: ALL
Minimum age (years): 7
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The participants of this study are youth (ages 7 to 14) who are the identified clients being seen in home-based therapy at identified Youth Villages sites in Massachusetts.

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Change in Behavioral Symptoms
timeFrame: Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge
measure: Change in Behavioral Symptoms
timeFrame: Baseline, 4 months, and discharge
measure: Change in Executive Functioning Skills
timeFrame: Baseline and 4 months
measure: Change in Executive Functioning Skills
timeFrame: Baseline and 4 months
Secondary outcomes:
measure: Change in Child-Parent Relationship
timeFrame: Baseline and 4 months
measure: Treatment providers' fidelity to Collaborative Problem Solving (as a moderator)
timeFrame: provider rating made closest in proximity to four-month timepoint
Other outcomes:
Locations:
city: Boston
country: United States
facility: Massachusetts General Hospital
state: Massachusetts
Study officials:
affiliation: Massachusetts General Hospital
name: Alisha R Pollastri, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: