The Acceptability and Feasibility of Implementing a Dialectical Behaviour Therapy (DBT) Skills Group for Adolescents with ADHD
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- 25 participants with ADHD will be recruited from CAMHS services.
研究概览
简要总结
Attention Deficit Hyperactive Disorder (ADHD) is linked to three main symptoms: hyperactivity, inattention and impulsivity. It is increasingly being acknowledged that these symptoms have a wide-reaching impact on a person's life. Adolescents with ADHD are six times more likely to be excluded from school, have difficulties turn taking, express anger more often, have poorer emotion regulation and self-report a lower quality of life. In adulthood, people with ADHD are more likely to develop mental health difficulties, and to experience unemployment, divorce and be imprisoned. It is thought that emotion regulation and poor social skills are key factors leading to increases in mental health difficulties and poorer long term social outcomes. This pilot trial will look at whether an intervention which aims to increase emotion regulation and social functioning is acceptable and feasible. The intervention will be an adapted Dialectical Behaviour Therapy (DBT) skills group with an ADHD focus. DBT is an approach that aims to provide skills to assist an individual identify what they are feeling and change what they do in response to that feeling. For example, if an individual feels anger and the urge to be aggressive, DBT helps them to problem solve and find a more effective way of responding to their anger. Also, if an individual wants to communicate a relational need to others DBT helps them think about the most effective actions they can take to achieve this outcome. The intervention will be developed in collaboration with adolescents with ADHD. The intervention will then be delivered at the child and adolescent outpatient clinic site they received their diagnosis from. All participants will have a confirmed diagnosis of ADHD. Pre and post measures will be collected and reported on. The research team hope to commence recruitment in July 2023 and finish all data collection by 31st March 2024.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of Attention Deficit Hyperactive disorder (using either DSM 5, DSM-IV, or ICD-10 - F90)
- •Age 13-16 years
- •Likely to benefit from DBT skills and can safely access/ engage in group interventions as assessed by clinical team [for intervention part]
排除标准
- •A low enough proficiency in written and spoken English that they would be unable to engage in the content of the group.
- •Have not recently changed their medication in the last 2 weeks*, commenced a new medication in the last 2 weeks* or are receiving additional concurrent psychological intervention. (*calculated from the start of the intervention).
- •The identified participant has recently taken part in another research trial and are at risk of research burden.
- •Pose a risk to others in the group
研究组 & 干预措施
DBT for ADHD
The intervention will consist of a DBT skills group. Its name, length, style and content will be guided by the viewpoints shared in the intervention planning focus group/ individual interviews, and taken into consideration alongside a clinical rational and the evidence-based content. It will include skills from all four of the DBT modules: Mindfulness, Distress Tolerance, emotion regulation and interpersonal effectiveness. There will be an emphasis on the skills relevant to ADHD symptoms plus a core psychoeducational component on ADHD symptoms. The intervention will be adapted from Rathus and Miller's (2014) DBT for adolescents (DBT-A) manual.
The group format will be didactic teaching with group discussion and experiential exercises to aid learning.
干预措施: DBT for ADHD (Other)
结局指标
主要结局
25 participants with ADHD will be recruited from CAMHS services.
时间窗: Within12-months
To assess whether the intervention is feasible in terms of recruitment, for adolescents with ADHD.
Individual participant attendance rate will be greater than 50%.
时间窗: Within12-months
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
66% of participants or more from the focus group will report above neutral satisfaction.
时间窗: Within 12 months
To assess whether participants will find both the intervention and assessment methods acceptable, we will conduct a focus group and use thematic analysis to ascertain the satisfaction rating.
66% of participants or more will report above neutral satisfaction ratings on weekly questionnaire
时间窗: Within 12 months
To assess whether participants will find both the intervention and assessment methods acceptable.
60% of participants or more will attend all group sessions.
时间窗: Within12-months
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
60% or more of participants will complete a follow up measures.
时间窗: Within12-months
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
次要结局
- At post treatment compared to baseline participants will report improved social skills and functioning.(Within 12 months)
- At post-treatment compared to baseline participants will report a reduction in ADHD symptoms.(Within 12 months)
- At post-treatment compared to baseline participants will report improved levels of emotion regulation(Within 12 months)