The feasibility of a strategy for the remote recruitment, consenting and assessment of recent referrals: a protocol for phase 1 of the On-Line Parent Training for the Initial Management of ADHD referrals (OPTIMA).
The feasibility of a strategy for the remote recruitment, consenting and assessment of recent referrals: a protocol for phase 1 of the On-Line Parent Training for the Initial Management of ADHD referrals (OPTIMA).
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DOI：
10.1186/s40814-021-00959-0
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发表时间：
2022-01-03
影响因子：
1.7
通讯作者：
Sonuga-Barke EJS
中科院分区：
文献类型：
--
作者：
Kostyrka-Allchorne K;Ballard C;Byford S;Cortese S;Daley D;Downs J;French B;Glazebrook C;Goldsmith K;Groom MJ;Hall CL;Hedstrom E;Ibrahim Z;Jarvis C;Kovshoff H;Kreppner J;Lean N;Morris A;Gutierrez WM;Sayal K;Shearer J;Simonoff E;Thompson M;Zalewski L;Sonuga-Barke EJS
在英国，患有高度多动、冲动和注意力不集中的儿童转诊至可能患有注意力缺陷/多动障碍 (ADHD) 的临床服务机构时，通常需要等待很长时间才能接受专家诊断评估。家长培训（PT）有可能在这个困难时期为家长提供支持，特别是在管理多动症经常伴随的挑战性和破坏性行为方面。然而，传统的面对面PT成本高昂且难以及时组织。我们创建了一个低成本、易于访问的 PT 计划，通过手机应用程序提供，即结构化电子育儿支持 (STEPS)，来解决这个问题。整个 OPTIMA 计划将评估 STEPS 的有效性和成本效益，作为帮助父母管理候补名单上孩子行为的一种方式。为了确保及时有效地评估 OPTIMA 中的 STEPS，我们与儿童健康服务机构合作，实施远程策略来招募、筛选和评估最近转介的家庭。该策略的一部分已纳入常规临床实践，一部分是 OPTIMA 特有的。在这里，我们提出了 OPTIMA 第一阶段的方案——一项对这种远程策略可行性的研究，作为大规模 STEPS 随机对照试验 (RCT) 的基础。这是一项单臂观察可行性研究。参与者将是最多 100 名 5-11 岁儿童的父母，他们患有高度多动/冲动、注意力不集中和挑战性行为，正在等待英国五个儿童和青少年心理健康或行为服务机构之一的评估。招募、同意和数据收集将远程进行。主要结果将是符合纳入标准的家庭原则上同意参加完整的 STEPS RCT 的比率。次要结果包括远程同意和在线数据收集程序的可接受性；在规定的时间内远程收集教师数据的可行性，以及完成在线调查问卷的技术困难。参与研究的所有家长都将获得 STEPS 的访问权限。确定我们的远程招募、同意和评估策略的可行性是 OPTIMA 全面试验的先决条件。它还可以为未来远程进行的试验提供模型。在线版本包含可在 10.1186/s40814-021-00959-0 获取的补充材料。
In the UK, children with high levels of hyperactivity, impulsivity and inattention referred to clinical services with possible attention-deficit/hyperactivity disorder (ADHD) often wait a long time for specialist diagnostic assessment. Parent training (PT) has the potential to support parents during this difficult period, especially regarding the management of challenging and disruptive behaviours that often accompany ADHD. However, traditional face-to-face PT is costly and difficult to organise in a timely way. We have created a low-cost, easily accessible PT programme delivered via a phone app, Structured E-Parenting Support (STEPS), to address this problem. The overall OPTIMA programme will evaluate the efficacy and cost-effectiveness of STEPS as a way of helping parents manage their children behaviour while on the waitlist. To ensure the timely and efficient evaluation of STEPS in OPTIMA, we have worked with children’s health services to implement a remote strategy for recruitment, screening and assessment of recently referred families. Part of this strategy is incorporated into routine clinical practice and part is OPTIMA specific. Here, we present the protocol for Phase 1 of OPTIMA—a study of the feasibility of this remote strategy, as a basis for a large-scale STEPS randomised controlled trial (RCT). This is a single arm observational feasibility study. Participants will be parents of up to 100 children aged 5-11 years with high levels of hyperactivity/impulsivity, inattention and challenging behaviour who are waiting for assessment in one of five UK child and adolescent mental health or behavioural services. Recruitment, consenting and data collection will occur remotely. The primary outcome will be the rate at which the families, who meet inclusion criteria, agree in principle to take part in a full STEPS RCT. Secondary outcomes include acceptability of remote consenting and online data collection procedures; the feasibility of collecting teacher data remotely within the required timeframe, and technical difficulties with completing online questionnaires. All parents in the study will receive access to STEPS. Establishing the feasibility of our remote recruitment, consenting and assessment strategy is a pre-requisite for the full trial of OPTIMA. It can also provide a model for future trials conducted remotely. The online version contains supplementary material available at 10.1186/s40814-021-00959-0.