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

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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.