Clinical trial NCT01322646: A Randomized Trial of Interventions for Teenage Drivers With Attention Deficit Hyperactivity Disorder (ADHD)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Attention Deficit Hyperactivity Disorder
Keywords: ADHD
Driving
Behavior modification
Lead sponsor: State University of New York at Buffalo
Sponsor class: OTHER
First posted: 2011-03-24
Enrollment: 172
Sex: ALL
Minimum age (years): 16
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents and other adverse driving outcomes. Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes. For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent-teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. It is hypothesized that the STEER program will result in improved outcomes relative to the standard care group at the end of intervention and 6 and 12 month follow-up assessments.


Eligibility criteria: Inclusion Criteria:

* Clinical Diagnosis of ADHD, Combined Type
* At least 16 years old
* Has a driving Permit

Exclusion Criteria:

* No parent willing to be involved
* Seizure disorder, eating disorder, psychotic disorder, current diagnosis of substance/alcohol dependence
* Prior Driver's education class

Primary outcomes:
measure: Number of Risky Driving Events Assessed by On-Board Driving Monitor
timeFrame: Follow up period after the intervention (1 year)
measure: Positive Parenting Observational Data
timeFrame: Follow-up period after the intervention (12 weeks)
Secondary outcomes:
Other outcomes:
Locations:
city: Buffalo
country: United States
facility: SUNY at Buffalo
state: New York
Study officials:
affiliation: SUNY at Buffalo
name: Gregory A Fabiano, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fabiano GA, Schatz NK, Morris KL, Willoughby MT, Vujnovic RK, Hulme KF, Riordan J, Howard M, Hennessy D, Lewis K, Hawk L, Wylie A, Pelham WE. Efficacy of a family-focused intervention for young drivers with attention-deficit hyperactivity disorder. J Consult Clin Psychol. 2016 Dec;84(12):1078-1093. doi: 10.1037/ccp0000137. Epub 2016 Sep 12.