Paying Attention to Physical Activity in ADHD

摘要 注意缺陷多动障碍(ADHD)是一种常见的儿童障碍，与广泛的 各种损害和负面健康后果，包括那些持续到成年期和 严重的公共卫生后果。患有多动症的儿童不能完成任务的风险增加 建议的体力活动量(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和减少ADHD症状，但通常没有得到解决 在ADHD的标准治疗中。在这个两阶段的R21/R33应用中，我们建议开发和试运行一个 采用以家庭为中心的治疗增加ADHD儿童PA和健康行为的干预 模特。在R21阶段(n=30)，我们将试行基于一线行为的团体家长干预 ADHD的治疗，父母行为管理培训(BMT)，适合于增加PA和 与移动健康技术(即可穿戴式PA跟踪器)和社交媒体(Facebook)支持相集成，以 增加参与度和效果的寿命。我们将评估该方案的可行性、可接受性和效果 增加PA的干预措施。在R33阶段(n=80)，我们将进行一项小型随机试验，比较 新的以PA为重点的干预，采用标准的BMT，并检查对PA、其他健康行为、ADHD的影响 症状和功能，以及一年内的家庭结果。这些发现将为未来的大型- ADHD儿童长期健康和功能干预效果量表评价

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.