Paying Attention to Physical Activity in ADHD

摘要 注意力缺陷多动障碍（ADHD）是一种常见的儿童疾病，与广泛的 范围广泛的损伤和负面健康结果，包括那些持续到成年并已 严重的公共卫生后果。患有ADHD的儿童有更大的风险， 建议的身体活动量（PA）和从事高比率的久坐行为，如媒体 使用. PA被发现可以改善认知功能，减少ADHD症状，但通常没有得到解决 ADHD的标准治疗在这两阶段的R21/R33应用计划中，我们建议发展和试验一个 采用以家庭为中心的治疗方法对ADHD儿童进行干预，以增加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父母干预 ADHD的治疗，父母行为管理培训（BMT），适应于专注于增加PA和 与移动的健康技术集成（即，可穿戴PA跟踪器）和社交媒体（Facebook）支持， 增加效果的参与度和持久性。我们将评估的可行性，可接受性，和效果， 干预以增加PA。在R33期（n = 80），我们将进行一项小型随机试验，比较 采用标准BMT进行以PA为重点的新型干预，并检查对PA、其他健康行为、ADHD的影响 症状和功能，以及1年期间的家庭结局。研究结果将为未来的大型- 量表评估干预对ADHD儿童长期健康和功能的影响。

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.