Paying Attention to Physical Activity in ADHD

注意多动症患者的体力活动

• 批准号: 10119357
• 负责人: Pooja Sarin Tandon
• 金额: $ 28.4万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-17 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10119357
• 关键词: Accelerometer; Address; Adolescent; Adult; Affect; Age; Attention; Attention deficit hyperactivity disorder; Behavior; Behavior Therapy; Behavioral; Cancer Survivor; Child; Child Rearing; Childhood; Clinic; Clinical; Development; Disease; Energy Metabolism; Evaluation; Evidence based intervention; Face; Facebook; Family; Feedback; Future; Goals; Health; Health Technology; Health behavior; Health behavior change; Health behavior outcomes; High Prevalence; Hyperactive behavior; Impairment; Incentives; Intervention; Investigation; Judgment; Longevity; Measures; Mediator of activation protein; Modeling; Monitor; Motivation; Neurocognitive; Obesity; Outcome; Parents; Pharmaceutical Preparations; Pharmacological Treatment; Phase; Physical activity; Population; Process; Public Health; Randomized; Randomized Controlled Trials; Recommendation; Research; Risk; School-Age Population; Schools; Sleep; Social Functioning; Social support; Stress; Structure; Substance Use Disorder; Substance abuse problem; Symptoms; System; Techniques; Testing; Time; Training; Training Programs; base; behavior change; cognitive function; comorbidity; confirmatory trial; design; evidence base; executive function; exercise intervention; frontal lobe; health training; high risk; improved; improved functioning; innovation; intervention effect; mHealth; meetings; multimodality; non-compliance; novel; physical inactivity; post intervention; programs; randomized trial; sedentary lifestyle; sex; social media; standard care; symptomatic improvement; tool; trial comparing; trial design

Abstract Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder and is associated with wide- ranging impairments and negative health outcomes, including those that persist into adulthood and have significant public health consequences. Children with ADHD are at increased risk for not achieving recommended amounts of physical activity (PA) and engaging in high rates of sedentary behaviors like media use. PA is found to improve cognitive functioning and decrease ADHD symptoms, but is usually not addressed in standard treatment for ADHD. In this two-phase R21/R33 application, we propose to develop and pilot an intervention to increase PA and healthy behaviors in children with ADHD using a family-focused treatment model. In the R21 phase (n=30), we will pilot a group parent intervention based on the front-line behavioral treatment for ADHD, parent Behavior Management Training (BMT), adapted to focus on increasing PA and integrated with mobile Health technology (i.e., wearable PA trackers) and social media (Facebook) support to increase engagement and longevity of effects. We will evaluate feasibility, acceptability, and effects of the intervention to increase PA. In the R33 phase (n=80), we will conduct a small randomized trial comparing the novel PA-focused intervention with standard BMT and examine effects on PA, other health behaviors, ADHD symptoms and functioning, and family outcomes across a 1-year period. Findings will inform a future large- scale evaluation of intervention effects on long-term health and functioning for children with ADHD.

抽象的 注意力缺陷多动障碍 (ADHD) 是一种常见的儿童期疾病，与广泛的 范围广泛的损害和负面健康结果，包括那些持续到成年并已 重大的公共卫生后果。患有多动症的儿童达不到目标的风险增加 建议的体力活动量 (PA) 和从事媒体等久坐行为的比例较高 使用。人们发现 PA 可以改善认知功能并减少 ADHD 症状，但通常没有得到解决 ADHD 的标准治疗。在这个两阶段 R21/R33 应用中，我们建议开发并试点 使用以家庭为中心的治疗方法进行干预，以增加多动症儿童的 PA 和健康行为 模型。在R21阶段（n=30），我们将试点基于一线行为的团体家长干预 ADHD 治疗、家长行为管理培训 (BMT)，重点关注增加 PA 和 与移动健康技术（即可穿戴 PA 跟踪器）和社交媒体 (Facebook) 支持集成 提高参与度和效果的持久性。我们将评估该方案的可行性、可接受性和效果 干预以增加 PA。在 R33 阶段（n=80），我们将进行一项小型随机试验，比较 采用标准 BMT 的新型以 PA 为重点的干预措施，并检查对 PA、其他健康行为、ADHD 的影响 一年期间的症状和功能以及家庭结局。研究结果将为未来的大型研究提供信息 干预措施对多动症儿童长期健康和功能影响的量表评估。