A Randomized Trial of Interventions for Teenage Drivers With Attention Deficit Hyperactivity Disorder (ADHD)

University at Buffalo (UB)

Status: Completed

Conditions: Attention Deficit Hyperactivity Disorder

Treatments: Behavioral: Driver's Education; Device: CarChipPro; Other: Driving Simulator Practice; Behavioral: STEER Program

Study type: Interventional

Funder types: Other

Identifiers

NCT01322646

HD058588

Details and patient eligibility

About

There is clear, converging evidence from multiple prospective studies with well-diagnosed adolescents with ADHD and comparison, non-ADHD adolescents, that teen drivers with ADHD have more accidents and other adverse driving outcomes. Available research indicates parental monitoring and limit-setting for adolescent drivers is one of the most effective interventions for preventing negative driving outcomes. For children with ADHD, interventions to promote parenting capacity to effectively oversee and intervene in teen driving will likely need to be intensive and require multiple treatment components. The present proposal aims to compare the standard care for teen drivers (driver's education classes and driving practice) to the Supporting a Teen's Effective Entry to the Roadway (STEER) program, that includes a parent-teen intervention, adolescent skill building, parent training on effective adolescent management strategies, joint parent-teen negotiations sessions, practice on a driving simulator, parental monitoring of objective driving behaviors, and the targeting of safe teen driving via contingency management strategies (i.e., parent-teen contracts). To facilitate teen and parent engagement the intervention will be preceded by a motivational interview. The specific aims of the proposal are to investigate the efficacy of the STEER program relative to a standard care group in a randomized clinical trial (N=172) on measures of objective driving outcome and parenting capacity. It is hypothesized that the STEER program will result in improved outcomes relative to the standard care group at the end of intervention and 6 and 12 month follow-up assessments.

Enrollment: 172 patients

Sex: All

Ages: 16 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical Diagnosis of ADHD, Combined Type
• At least 16 years old
• Has a driving Permit

Exclusion criteria

• No parent willing to be involved
• Seizure disorder, eating disorder, psychotic disorder, current diagnosis of substance/alcohol dependence
• Prior Driver's education class

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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172 participants in 2 patient groups

Driver Training

Active Comparator group

Description:

Driver Education Program Practice driving on a driving simulator Provision of the CarChipPro to the family

Treatment:

Device: CarChipPro

Other: Driving Simulator Practice

Behavioral: Driver's Education

STEER Program

Experimental group

Description:

Driver Education STEER Program

Treatment:

Device: CarChipPro

Other: Driving Simulator Practice

Behavioral: STEER Program

Behavioral: Driver's Education