2/2 Treating Mothers with ADHD and their Young Children Via Telehealth: A Hybrid Type I Effectiveness-Implementation Trial

父母ADHD，存在于25%-50%的ADHD儿童家庭中，而且经常得不到治疗， 干扰有效的养育方式，并预测儿童发育和行为不良 治疗结果。基于文献和我们自己的试点数据，我们随机分配 患有ADHD的父母及其年幼的高危儿童会出现以下两种情况之一：(1)兴奋剂 为患有ADHD的父母提供药物治疗，然后是儿童治疗策略(CTS)，从 父母行为训练(BPT)，并增加儿童兴奋剂的推荐 如果儿童仍然受损，则接受治疗，或(2)未对母亲ADHD进行治疗的CTS 父母、孩子和家庭结果。与NIMH战略框架保持一致 青少年心理健康差异，父母资助，一项混合有效性-实施试验 比较针对父母和孩子患有ADHD的家庭的两种干预方法， 重点关注低资源儿科初级保健的筛查和以家庭为基础的干预 设置，并包括现有的指导组件。本行政副刊 表彰多样性、公平性、包容性和可获得性方面的卓越导师计划是 打算在父母资助的范围内扩大拟议的研究，同时提供 为与NIH会面的研究团队成员提供更深入的独立研究机会 多样性标准。目的是：(1)了解低收入家庭的生活经历 父母和孩子有哪些ADHD；(2)了解父母对不同 父母养育技能/干预模块；以及(3)探索治疗参与度的预测因素 我们的样本。

Parental ADHD, present in 25-50% of families of children with ADHD and frequently untreated, interferes with effective parenting and predicts poor child developmental and behavioral treatment outcomes. Based on the literature and our own pilot data, we are randomly assigning parents with ADHD and their young at-risk children to one of two conditions: (1) stimulant medication for parents with ADHD followed by a child treatment strategy (CTS) beginning with behavioral parent training (BPT) with the added recommendation of child stimulant treatment if the child remains impaired or (2) a CTS without treatment for maternal ADHD on parent, child, and family outcomes. In line with the NIMH Strategic Framework for Addressing Youth Mental Health Disparities, the parent grant, a hybrid effectiveness-implementation trial comparing two intervention approaches for families in which a parent and child has ADHD, focuses on screening and family-based intervention in low-resource pediatric primary care settings and includes an existing mentoring component. This Administrative Supplement to Recognize Excellence in Diversity, Equity, Inclusion, and Accessibility Mentorship proposal is intended to expand the proposed research within the scope of the parent grant, while providing deeper independent research opportunities for members of our research team who meet NIH diversity criteria. Aims are: (1) To understand lived experiences of low-resource families in which the parent and child have ADHD; (2) To understand parent preferences for the different parenting skills/intervention modules; and (3) To explore predictors of treatment engagement in our sample.