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The effectiveness of parent training as a treatment for preschool Attention-Deficit/Hyperactivity Disorder: study protocol for a randomized controlled, multicenter trial of the New Forest Parenting Program in everyday clinical practice

The effectiveness of parent training as a treatment for preschool Attention-Deficit/Hyperactivity Disorder: study protocol for a randomized controlled, multicenter trial of the New Forest Parenting Program in everyday clinical practice
The effectiveness of parent training as a treatment for preschool Attention-Deficit/Hyperactivity Disorder: study protocol for a randomized controlled, multicenter trial of the New Forest Parenting Program in everyday clinical practice
Background: Parent training is recommended as the first-line treatment for attention-deficit/hyperactivity disorder (ADHD) in preschool children. The New Forest Parenting Programme (NFPP) is an evidence-based parenting program developed specifically to target preschool ADHD.

Objective: The objective of this trial is to investigate whether the NFPP can be effectively delivered for children referred through official community pathways in everyday clinical practice.

Methods: A multicenter randomized controlled parallel arm trial design is employed. There are two treatment arms, NFPP and treatment as usual. NFPP consists of eight individually delivered parenting sessions, where the child attends during three of the sessions. Outcomes are examined at three time points (T1, T2, T3): T1 (baseline), T2 (week 12, post intervention), and T3 (6 month follow/up). 140 children between the ages of 3-7, with a clinical diagnosis of ADHD, informed by the Development and Well Being Assessment, and recruited from three child and adolescent psychiatry departments in Denmark will take part. Randomization is on a 1:1 basis, stratified for age and gender.

Results: The primary endpoint is change in ADHD symptoms as measured by the Preschool ADHD-Rating Scale (ADHD-RS) by T2. Secondary outcome measures include: effects on this measure at T3 and T2 and T3 measures of teacher reported Preschool ADHD-RS scores, parent and teacher rated scores on the Strength & Difficulties Questionnaire, direct observation of ADHD behaviors during Child’s Solo Play, observation of parent-child interaction, parent sense of competence, and family stress. Results will be reported using the standards set out in the Consolidated Standards of Reporting Trials Statement for Randomized Controlled Trials of nonpharmacological treatments.

Conclusions: The trial will provide evidence as to whether NFPP is a more effective treatment for preschool ADHD than the treatment usually offered in everyday clinical practice.

Trial Registration: ClinicalTrials.gov NCT01684644; https://clinicaltrials.gov/ct2/show/NCT01684644?term= NCT01684644&rank=1
1929-0748
1-13
Lange, Anne-Mette
92836c30-f695-4572-8a4f-875842801626
Daley, David
651d0b29-8790-4a13-aa18-ad9a499d34e8
Frydenberg, Morten
199e8d39-5fbc-4d57-9779-7ca936e41041
Rask, Charlotte U.
0733804d-084a-412e-a7bb-d738f8470fdb
Sonuga-Barke, Edmund
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Thomsen, Per H.
197ba0ba-2ee6-4d9a-84b2-7478e7c4a4e6
Lange, Anne-Mette
92836c30-f695-4572-8a4f-875842801626
Daley, David
651d0b29-8790-4a13-aa18-ad9a499d34e8
Frydenberg, Morten
199e8d39-5fbc-4d57-9779-7ca936e41041
Rask, Charlotte U.
0733804d-084a-412e-a7bb-d738f8470fdb
Sonuga-Barke, Edmund
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Thomsen, Per H.
197ba0ba-2ee6-4d9a-84b2-7478e7c4a4e6

Lange, Anne-Mette, Daley, David, Frydenberg, Morten, Rask, Charlotte U., Sonuga-Barke, Edmund and Thomsen, Per H. (2016) The effectiveness of parent training as a treatment for preschool Attention-Deficit/Hyperactivity Disorder: study protocol for a randomized controlled, multicenter trial of the New Forest Parenting Program in everyday clinical practice. Journal of Medical Internet Research (JMIR) Research Protocols, 5 (2), 1-13. (doi:10.2196/resprot.5319).

Record type: Article

Abstract

Background: Parent training is recommended as the first-line treatment for attention-deficit/hyperactivity disorder (ADHD) in preschool children. The New Forest Parenting Programme (NFPP) is an evidence-based parenting program developed specifically to target preschool ADHD.

Objective: The objective of this trial is to investigate whether the NFPP can be effectively delivered for children referred through official community pathways in everyday clinical practice.

Methods: A multicenter randomized controlled parallel arm trial design is employed. There are two treatment arms, NFPP and treatment as usual. NFPP consists of eight individually delivered parenting sessions, where the child attends during three of the sessions. Outcomes are examined at three time points (T1, T2, T3): T1 (baseline), T2 (week 12, post intervention), and T3 (6 month follow/up). 140 children between the ages of 3-7, with a clinical diagnosis of ADHD, informed by the Development and Well Being Assessment, and recruited from three child and adolescent psychiatry departments in Denmark will take part. Randomization is on a 1:1 basis, stratified for age and gender.

Results: The primary endpoint is change in ADHD symptoms as measured by the Preschool ADHD-Rating Scale (ADHD-RS) by T2. Secondary outcome measures include: effects on this measure at T3 and T2 and T3 measures of teacher reported Preschool ADHD-RS scores, parent and teacher rated scores on the Strength & Difficulties Questionnaire, direct observation of ADHD behaviors during Child’s Solo Play, observation of parent-child interaction, parent sense of competence, and family stress. Results will be reported using the standards set out in the Consolidated Standards of Reporting Trials Statement for Randomized Controlled Trials of nonpharmacological treatments.

Conclusions: The trial will provide evidence as to whether NFPP is a more effective treatment for preschool ADHD than the treatment usually offered in everyday clinical practice.

Trial Registration: ClinicalTrials.gov NCT01684644; https://clinicaltrials.gov/ct2/show/NCT01684644?term= NCT01684644&rank=1

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Accepted/In Press date: 25 November 2015
e-pub ahead of print date: 13 April 2016
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 393261
URI: http://eprints.soton.ac.uk/id/eprint/393261
ISSN: 1929-0748
PURE UUID: 13fbfb42-b26c-407f-acb0-bb7d6b9dee24

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Date deposited: 25 Apr 2016 10:37
Last modified: 14 Mar 2024 23:58

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Contributors

Author: Anne-Mette Lange
Author: David Daley
Author: Morten Frydenberg
Author: Charlotte U. Rask
Author: Edmund Sonuga-Barke
Author: Per H. Thomsen

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