Mobile Behavioral Parent Training for Childhood ADHD: A Micro-randomized Trial

Florida International University (FIU)

Status: Completed

Conditions: Attention Deficit Hyperactivity Disorder

Treatments: Behavioral: Mobile behavioral parent training (mBPT); Behavioral: In the moment feedback; Behavioral: In the moment suggestions

Study type: Interventional

Funder types: Other

Identifiers

NCT06012851

1R34MH128513-01

Details and patient eligibility

About

The goal of the study is to develop and refine a personalized behavioral parent training intervention for caregivers of children with attention deficit hyperactivity disorder (ADHD). The behavioral intervention will teach positive parenting through videos and quizzes that caregivers can access through a smartphone application. The program also gives parents and caregivers in-the-moment feedback their use of parenting strategies. The current study, a micro-randomized trial, aims to see whether the in-the-moment feedback given to parents (a push notification on their smartphone) changes parenting behavior right after the feedback. Micro-randomized means that parents are randomly assigned repeatedly, in this study multiple times per day, to receive or not receive parenting feedback or suggestions on their smartphones.

The main questions to answer are:

Is parenting feedback provided by a smartphone application acceptable to caregivers? When parents receive the feedback, do they use more positive parenting skills in the next few minutes compared to when they do not receive the feedback? Is the phone application usable and acceptable to parents and caregivers of children with attention deficit hyperactivity disorder?

Enrollment: 34 patients

Sex: All

Ages: 7 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Currently meets Diagnostic Statistical Manual 5 diagnostic criteria for ADHD
• Ages 7 -12
• Has parent-reported impairment in homework performance defined as a score of 3 or greater on an Impairment Rating Scale measure (Fabiano et al., 2006) of homework performance
• Has at least one parent or primary caregiver who is willing to participate and is able to access the intervention at home via smartphone.

Exclusion criteria

• N/A

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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34 participants in 3 patient groups

Mobile BPT with in-the-moment feedback

Experimental group

Description:

Participants will be randomized multiple times per day to receive a push notification that provides feedback about parenting.

Treatment:

Behavioral: In the moment feedback

Behavioral: Mobile behavioral parent training (mBPT)

Mobile BPT with in-the-moment suggestions

Experimental group

Description:

Participants will be randomized multiple times per day to receive a push notification that provides a suggestion for a parenting behavior.

Treatment:

Behavioral: In the moment suggestions

Behavioral: Mobile behavioral parent training (mBPT)

Mobile BPT only

Other group

Description:

Participants will be randomized multiple times per day to receive no push notification.

Treatment:

Behavioral: Mobile behavioral parent training (mBPT)