Primary Care Prevention of Stimulant Diversion by High School Students With ADHD

University of Pittsburgh

Status: Completed

Conditions: ADHD

Treatments: Behavioral: Stimulant Diversion Prevention (SDP)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03080259

U01DA040213 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to test clinical strategies that pediatric providers may use to prevent misuse and diversion of stimulants by their adolescent patients with ADHD.

Full description

This study addresses the increase in diversion (selling, sharing, loaning, or trading) of prescription stimulant medications by adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). In the absence of any standardized, empirically evaluated clinical strategies or interventions to prevent or decrease stimulant diversion, this project will test the effect of a brief provider-led intervention for stimulant diversion prevention among adolescents being prescribed stimulant medication in pediatric care. The investigators hypothesize that adolescents treated in pediatric practices randomized to the intervention will report decreased diversion, increased perceived risk of harm, and decreased intentions to divert compared to adolescents treated in pediatric practices randomized to treatment-as-usual. Secondary analyses will examine the effect of the intervention on additional contributing variables (e.g., patient, parent, and provider attitude and behavior change).

Enrollment: 357 patients

Sex: All

Ages: 13 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of ADHD
• Treatment with stimulant medication
• Enrolled in or attending middle school or high school
• Parent/guardian willing to participate
• Receiving treatment at one of the 7 pediatric practices participating in the protocol

Exclusion criteria

• Not diagnosed with ADHD
• Not treated with stimulant medication
• Not enrolled or attending middle school or high school
• Parent/guardian unwilling to participate
• Not receiving treatment at one of the 7 pediatric practices participating in the protocol

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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357 participants in 2 patient groups

Stimulant Diversion Prevention

Active Comparator group

Description:

Providers will be trained in methods to prevent or decrease the likelihood of stimulant diversion by their adolescent patients (education and counseling, strategies for use by patients and parents, and treatment adjustments).

Treatment:

Behavioral: Stimulant Diversion Prevention (SDP)

Treatment As Usual

No Intervention group

Description:

Standard clinical care