ADHD Treatment for Latino Families

Marquette University

Status: Completed

Conditions: ADHD

Treatments: Behavioral: Parent training

Study type: Interventional

Funder types: Other

Identifiers

NCT02317692

HR-2871

Details and patient eligibility

About

The current pilot study aims to close the existing gap in our knowledge about effective psychosocial treatments for Latino families by providing preliminary data regarding the acceptability and efficacy of a culturally-modified ADHD treatment and possible moderators that will support a future R01. Specifically, the current pilot study is the first step in a larger program of research aimed at definitively determining if culturally-modified ADHD treatment outperforms standard treatment when examining engagement and acceptability outcomes, as well as symptomatology and parental functioning, and if so, which treatment modifications are necessary and for whom. The following study aims will be examined.

1. Aim 1 is to explore if the culturally-modified treatment results in better engagement and acceptability outcomes (i.e., parental attendance, retention, engagement, and satisfaction) than standard treatment and to determine the strength of these effects.
2. Aim 2 is to explore if the culturally-modified treatment results in improvements in ADHD symptomatology, as well as parental functioning (i.e., parenting stress and efficacy), to explore if the modified treatment results in similar or greater improvements than standard treatment, and to determine the strength of these effects.
3. Aim 3 is to explore possible moderators (i.e., socioeconomic status (SES) and behavioral and cognitive acculturation) that may explain the relationship between treatment type (i.e., standard versus culturally-modified) and outcomes and to determine the strength of these interactions.

Enrollment: 147 patients

Sex: All

Ages: 5 to 13 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children must

  1. Self-identify as Latino and be between the ages of 5 and 13 years at the time of the initial assessment
  2. Receive a primary diagnosis of ADHD
  3. If medicated for ADHD, be on a stable dose of medication for at least two weeks prior to the assessment

• Participating parents must

  1. Self-identify as Latino
  2. Be fluent in Spanish
  3. Be able and willing to provide informed consent and comply with the study procedures, including being assigned either to standard or culturally-modified treatment
  4. Have no immediate plans to pursue other treatment for their child's ADHD or to change their child's medication (if already medicated) over the next eight weeks

Exclusion criteria

• Children must not meet DSM-5 diagnostic criteria for Intellectual Disability, Autism Spectrum Disorder, or a psychotic disorder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

147 participants in 2 patient groups

Standard ADHD parent training

Active Comparator group

Description:

8 sessions of evidence-based parent training plus school intervention

Treatment:

Behavioral: Parent training

Culturally-modified ADHD parent training

Experimental group

Description:

8 sessions of culturally-modified parent training plus school intervention

Treatment:

Behavioral: Parent training