Online Parent Training for The Initial Management of ADHD referrals (OPTIMA): the protocol for a randomised controlled trial of a digital parenting intervention implemented to support parents and children on a treatment waitlist

Trials

Study Protocol

Charlotte L. Hall¹  Blandine French¹  Cristine Glazebrook¹  Kapil Sayal¹  Jana Kreppner²  Hanna Kovshoff²  Ellen Hedstrom²  Samuele Cortese³  Margaret Thompson⁴  Kimberley Goldsmith⁵  Nancy Lean⁶  Katarzyna Kostyrka-Allchorne⁶  Emily Simonoff⁶  Claire Ballard⁶  Johnny Downs⁶  Edmund J. S. Sonuga-Barke⁷  James Shearer⁸  Sarah Byford⁸  David Daley⁹ 

[1] Academic Unit of Mental Health & Clinical Neurosciences, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK;Centre for ADHD and Neurodevelopmental Disorders Across the Lifespan CANDAL Institute of Mental Health, University of Nottingham, Nottingham, UK;Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK;Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK;Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, University of Southampton, Southampton, UK;Solent NHS Trust, Southampton, UK;Hassenfeld Children’s Hospital at NYU Langone, New York University Child Study Center, New York City, NY, USA;Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK;Solent NHS Trust, Southampton, UK;Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK;Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park, SE5 8AF, London, UK;Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park, SE5 8AF, London, UK;Department of Child & Adolescent Psychiatry, Aarhus University, Aarhus, Denmark;Department of Health Service and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK;NTU Psychology, School of Social Science, Nottingham Trent University, Nottingham, UK;

关键词: ADHD;    Conduct problems;    Oppositional defiant disorder;    Waiting list;    Digital intervention;    Mobile app;    Parent training;   

DOI  :  10.1186/s13063-022-06952-z

 received in 2022-09-30, accepted in 2022-11-22,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundChildren referred for attention-deficit/hyperactivity disorder (ADHD) often present with a broader pattern of conduct problems including oppositionality and defiance. This combination can be extremely stressful to parents, lower parents’ self-esteem and negatively impact family life. The National Institute for Health and Care Excellence (NICE) recommends that families receive support as soon as possible after their referral. However, as clinical services are overstretched, and traditional in-person parenting intervention programmes are expensive, families often must wait times a long time prior to receiving this vital input. To address this, we have created a digital parenting programme called STEPS. It is delivered as a mobile phone app providing a set of tools and resources that can be easily accessed at parents’ convenience. This study aims to evaluate the clinical and cost-effectiveness of STEPS in supporting parents of children with high levels of hyperactivity/impulsivity, inattention and conduct problems, who are waiting to be assessed by specialist children’s clinical services.MethodsOnline Parent Training for The Initial Management of ADHD referrals (OPTIMA) is a two-arm superiority parallel randomised controlled trial with an internal pilot study. We aim to recruit 352 parents and their children, who have been accepted onto a waitlist in Child and Adolescent Mental Health Services or similar child health services. Parents who consent will be randomised 1:1 to either the STEPS or wait-as-usual (WAU) group. The trial will be conducted remotely (online and telephone) with measures taken at baseline and 3, 6, 9 and 12 months post-randomisation. The primary objective is to evaluate whether STEPS reduces the severity of children’s oppositional and defiant behaviour, as rated by parents, measured at 3 months post-randomisation compared to WAU.DiscussionDigital solutions, such as mobile phone apps, have potential for delivering psychological support for parents of children with clinical-level needs in a timely and inexpensive manner. This trial will provide data on the clinical and cost-effectiveness of the STEPS app, which could support the implementation of this scalable parenting intervention programme into standard clinical care and, ultimately, improve the outcomes for families of children referred to specialist child and adolescent health services.Trial registrationISRCTN 16523503. Prospectively registered on 18 November 2021. https://www.isrctn.com/ISRCTN16523503

【 授权许可】

CC BY   
© The Author(s) 2022

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