Organizational Skills Treatment for ADHD Children

多动症儿童的组织技能治疗

• 批准号: 7366989
• 负责人: HOWARD Barry ABIKOFF
• 金额: $ 79万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2011-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7366989
• 关键词: 13 year old; Address; Affect; Aftercare; Age; Attention deficit hyperactivity disorder; Attitude; Behavior; Child; Clinical; Condition; Conflict (Psychology); Disease; Educational process of instructing; Family; Family Relationship; Family history of; Goals; Grant; Home environment; Intervention; Knowledge; Maintenance; Measures; Outcome; Parents; Performance; Pharmaceutical Preparations; Pilot Projects; Progress Reports; Psychological reinforcement; Randomized; Randomized Controlled Trials; Reporting; Research; Research Personnel; Rest; School Teachers; Schools; Score; Site; Sum; Symptoms; Testing; Time; Time Management; Training; Training Programs; Waiting Lists; Week; Work; base; contingency management; design; efficacy trial; follow-up; heuristics; improved; innovation; novel; programs; response; satisfaction; skills; skills training; therapy development; treatment program

DESCRIPTION (provided by applicant): Organizational, time management and planning (OTMP) skills deficits are seriously impairing features of Attention-Deficit/Hyperactivity Disorder (ADHD) that compromise school performance and family relations. There have been minimal advancements in the treatment of OTMP deficits in child with ADHD. Via an R21 grant we conducted a research program aimed at remedying organizational skills deficit in children with ADHD. To this end, we: 1) developed assessments to quantify OTMP deficits in children with ADHD, 2) developed a 10-week, 20-session manualized organizational skills training (OST) program designed to target children's specific OTMP deficits, and 3) conducted a pilot study to generate estimates of effect for this novel intervention. Our open pilot study demonstrated treatment feasibility, satisfaction with treatment, and significant improvements in OTMP behaviors at school and home. Findings provide a basis for a larger test of the intervention through a randomized controlled trial. This application proposes a dual-site (NYU and Duke) efficacy study of OST in 180 children with ADHD and organizational skills deficits, ages 8-11, in grades 3-5, randomized to one of three conditions: OST (N = 72), Contingency Management (CM; N = 72), or Wait List (WL; N = 36). The study is designed to control for 1) simple contingency management with target tasks, without organizational skills training, 2) time, and 3) repeat assessments. Treatment contrasts will examine children's 1) OTMP skills, 2) academic planning skills, 3) academic performance, 4) homework behaviors, 5) report card grades, 6) attitudes toward school and teachers, 7) family relationships, and 8) treatment satisfaction. It is predicted that OST will be superior to WL control and CM. We will evaluate children's long-term function, and hypothesize that at one-month follow-up, as well in the next grade, children provided with OST will demonstrate significantly better organizational skills compared to those who received CM. The impact of parents' ADHD symptomatology on their treatment implementation and child outcomes will be explored. If successful, the study will be a major advance in the treatment of children with ADHD, and provide the field with an intervention that addresses one of the more vexing clinical features of the disorder.

描述（由申请人提供）：组织，时间管理和规划（OTMP）技能缺陷严重损害注意力缺陷/多动障碍（ADHD）的特征，损害学校表现和家庭关系。在治疗患有ADHD的儿童的OTMP缺陷方面进展甚微。通过R21赠款，我们进行了一项研究计划，旨在弥补ADHD儿童的组织技能缺陷。为此，我们：1）开发评估以量化ADHD儿童的OTMP缺陷，2）开发了一个为期10周，20次的手动组织技能培训（OST）计划，旨在针对儿童的特定OTMP缺陷，以及3）进行了一项试点研究，以评估这种新型干预措施的效果。我们的开放性试点研究证明了治疗的可行性，对治疗的满意度，以及OTMP在学校和家庭中的行为的显着改善。这些发现为通过随机对照试验对干预措施进行更大规模的测试提供了基础。 本申请提出了一项在180名患有ADHD和组织技能缺陷的儿童中进行的OST双中心（纽约大学和杜克）疗效研究，这些儿童年龄为8-11岁，等级为3-5，随机分为三种情况：OST（N = 72）、应急管理（CM; N = 72）或等待列表（WL; N = 36）。该研究旨在控制1）简单的应急管理与目标任务，没有组织技能培训，2）时间，和3）重复评估。治疗对比将检查儿童的1）OTMP技能，2）学业规划技能，3）学业成绩，4）家庭作业行为，5）成绩单成绩，6）对学校和老师的态度，7）家庭关系，以及8）治疗满意度。预测OST将上级WL控制和CM。我们将评估儿童的长期功能，并假设在一个月的随访中，以及在下一个年级，与接受CM的儿童相比，提供OST的儿童将表现出更好的组织能力。将探讨父母的ADHD行为学对他们的治疗实施和儿童结局的影响。如果成功的话，这项研究将是治疗多动症儿童的一个重大进步，并为该领域提供一种干预措施，解决这种疾病中最令人烦恼的临床特征之一。