2/2-Multisite Study of School Based Treatment Approaches for ADHD Adolescents

多动症青少年学校治疗方法的 2/2 多中心研究

基本信息

批准号：
8073632
负责人：
Joshua Morris Langberg
金额：
$ 34.08万
依托单位：
CINCINNATI CHILDRENS HOSP MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-01 至 2014-03-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8073632
关键词：
Accounting Acquired Immunodeficiency Syndrome Address Adherence Adolescence Adolescent African American Aftercare Age Alcohol or Other Drugs use Americas Applications Grants Arbitration Area Attention Attention deficit hyperactivity disorder Authorship Automobile Driving Award Behavior Disorders Behavior Therapy Caring Caucasians Caucasoid Race Characteristics Child Child Mental Health Childhood Chronic Cities Clinic Clinical Clinical Services Coin Collaborations Communities Community Mental Health Centers Complement Computer software Conduct Clinical Trials Conflict (Psychology)Consensus Consult Consultations Costs and Benefits County Coupled Data Data Analyses Data Collection Data Set Data Storage and Retrieval Databases Decision Making Development Disease Distress Domestic Fowls Education Effectiveness Emotional Emotional disorder Environment Ethics Evaluation Face Failure Family Family Characteristics Fortune Fostering Foundations Freedom Funding Grant Health Services Accessibility Healthcare Home environment Hospitals Human Resources Impairment Imprisonment Individual Individual Differences Industry Inpatients Intervention Life Literature Longevity Low income Measures Mediating Mediation Mediator of activation protein Medical center Mental Health Mental Health Services Mental disorders Methods Minority Modeling Modification Monitor National Institute of Mental Health Nomads Occupational Ohio Outcome Outpatients Parents Participant Pattern Pediatric Hospitals Pharmaceutical Preparations Pharmacotherapy Pilot Projects Policies Population Population Programs Positioning Attribute Pregnancy in Adolescence Preparation Problem behavior Procedures Process Professional counselor Provider Psychiatrist Psychosocial Assessment and Care Public Health Public Sector Publications Publishing Randomized Recording of previous events Recreation Recruitment Activity Relative (related person)Reporting Research Research Personnel Research Scientist Award Resources Rights Risk Robin bird Role Rural Rural Community Sampling School Teachers School-Age Population Schools Services Severities Site Social Functioning Social Work Societies Solutions Student Dropouts Students Study Section Sum Supervision Surgeon Suspension substance Suspensions Symptoms Teenagers Telephone Time Tobacco Training Translating Unemployment Universities Videotape Virginia Work Youth active method adverse outcome after-school program age group alcohol use disorder automobile accident base child mental health service cost cost effective cost effectiveness data management design effective therapy elementary school experience high school innovation intervention program medical specialties meetings metropolitan middle school peer programs psychosocial public health relevance racial and ethnic racial/ethnic difference research and development research clinical testing response rural area skills social social stigma suburb symposium teacher therapy development treatment adherence treatment program treatment response urban area

项目摘要

DESCRIPTION (provided by applicant): The long term objective of this study is to determine the value of adding treatment programs like the Challenging Horizons Program (CHP) to the services available to youth with ADHD in a community. There continues to be a lack of data on effective psychosocial treatments for adolescents with ADHD. This is problematic, as medication is inadequate for most youth as a sole form of treatment and adolescence is a time where the impairment associated with ADHD becomes increasingly dangerous, life-altering, and serious. Specifically, this study aims to: 1) Evaluate the efficacy of the after-school program model and the consultation model of CHP as compared to each other and as compared to community care, 2) Estimate cost-effectiveness ratios for each of the two levels of services, and 3) Identify moderators and mediators of treatment response for the two CHP intervention models. In addition, the findings should inform treatment decisions about which children need which level of care. Treatment services are delivered either through an after-school program (CHP-AS) or through teachers employed by the school who are trained and provided with ongoing consultation on the CHP methods (CHP-C). Over five years 315 participants who meet criteria for ADHD will be recruited at seven middle schools across two sites and randomly assigned to receive either the CHP-AS, CHP-C or community care. Costs of providing the services for all three conditions will be measured as well as symptom and impairment outcomes. Data collection will occur on an ongoing basis over the academic year of a child's participation in the project. In addition, formal evaluations will occur at baseline, immediately post-treatment, and 6 months post-treatment. Consistent with findings from preliminary studies it is expected that response to both active treatment conditions will vary across participants. Assessments will be collected that identify potential moderators and mediators of treatment response and these will be included in the analyses in order to identify child and parent characteristics that may predict response to treatment as well as variables related to the treatment process (e.g., attendance) that predicts response. PUBLIC HEALTH RELEVANCE: The lack of adequate treatments for youth with problems related to substance use, automobile accidents, school failure and other difficulties associated with adolescents with ADHD presents a serious public health problem. This study evaluates the effectiveness and cost associated with two emerging comprehensive treatment options for youth and identifies characteristics of the teens (moderators) and the treatment (mediators) that predict positive outcomes. The development of a cost-effective treatment for young adolescents with ADHD that can be integrated into schools and the community will provide invaluable assistance to the public health field and address problems across multiple sectors of public well being.

描述（由申请人提供）：这项研究的长期目标是确定为社区中ADHD的青年提供的服务挑战性地平线计划（CHP）等治疗计划的价值。对于患有多动症的青少年的有效社会心理治疗的数据仍然缺乏数据。这是有问题的，因为对于大多数年轻人来说，药物是一种唯一的治疗形式，而青春期是一个与多动症相关的损害变得越来越危险，改变生活和严重的时期。具体而言，这项研究的目的是：1）评估彼此相比评估卫生后课程模型的功效和CHP的咨询模型，并且与社区护理相比，2）估计两个服务级别的成本效益比，以及3）识别两个CHP干预模型的调节器和治疗响应的中介器。此外，这些发现应向治疗决定提供有关儿童需要哪些水平护理的决定。治疗服务是通过课后计划（CHP-AS）或受过培训并就CHP方法（CHP-C）持续咨询的学校雇用的教师提供的。在五年的时间里，有315名符合多动症标准的参与者将在两个地点的七个中学招募，并随机分配接受CHP-AS，CHP-C或社区护理。为所有三种条件提供服务的成本以及症状和障碍结果将衡量。在儿童参与该项目的学年，数据收集将持续发生。此外，将在基线，治疗后立即进行正式评估和治疗后6个月。与初步研究的发现一致，预计对两种主动治疗条件的反应在参与者之间会有所不同。将收集评估，以确定潜在的调节器和治疗反应的介体，这些评估将包括在分析中，以确定可以预测治疗反应以及与治疗过程（例如出勤率）相关的变量的儿童和父母特征，以预测反应。公共卫生相关性：缺乏针对与药物使用，汽车事故，学校失败以及与ADHD有关的青少年有关的困难有关的问题的适当治疗方法。这项研究评估了与青少年的两种新兴综合治疗方案相关的有效性和成本，并确定了预测积极结果的青少年（主持人）和治疗（调解人）的特征。可以为具有多动症的年轻青少年提供一种具有成本效益的治疗方法，这些治疗方法可以融入学校，社区将为公共卫生领域提供宝贵的帮助，并解决公众福祉多个部门的问题。