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，并且经常未经治疗， 干扰有效的养育，并预测儿童发育不良和行为 治疗结果。根据文献和我们自己的试点数据，我们随机分配 注意力缺陷多动症的父母和他们的年轻的危险儿童的两个条件之一：（1）兴奋剂 ADHD父母的药物治疗，然后是儿童治疗策略（CTS）， 行为父母培训（BPT），增加了儿童兴奋剂的建议 治疗，如果孩子仍然受损或（2）CTS没有治疗母亲ADHD， 父母，孩子和家庭的结果。根据国家精神卫生战略框架， 青少年心理健康差异，父母补助金，混合有效性实施试验 比较两种针对父母和孩子都患有多动症的家庭的干预方法， 重点是在资源匮乏的儿科初级保健中进行筛查和基于家庭的干预 设置并包括现有的指导组件。本行政补充文件 表彰在多样性、公平性、包容性和可访问性方面的卓越表现 打算在母基金的范围内扩大拟议的研究，同时提供 为我们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：（1）了解贫困家庭的生活经验， 父母和孩子都有ADHD;（2）了解父母对不同孩子的偏好。 父母教养技能/干预模块;（3）探讨治疗参与的预测因素， 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.