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

Not Applicable

Completed

• Conditions: Attention Deficit Hyperactivity Disorder
• Interventions: Behavioral: Mobile behavioral parent training (mBPT) and prompts

• Registration Number: NCT06012851
• Lead Sponsor: Florida International University

Brief Summary

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?

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-08-22
• Study First Submitted QC: 2023-08-22
• Study First Posted: 2023-08-28
• Study Start: 2024-04-01
• Primary Completion: 2024-09-23
• Study Completion: 2024-09-23
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-02
• Last Update Posted: 2024-12-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

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.

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Exclusion Criteria

• N/A

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Mobile BPT only	Mobile behavioral parent training (mBPT) and prompts	Participants will be randomized multiple times per day to receive no push notification.
Mobile BPT with in-the-moment feedback	Mobile behavioral parent training (mBPT) and prompts	Participants will be randomized multiple times per day to receive a push notification that provides feedback about parenting.
Mobile BPT with in-the-moment suggestions	Mobile behavioral parent training (mBPT) and prompts	Participants will be randomized multiple times per day to receive a push notification that provides a suggestion for a parenting behavior.

Primary Outcome Measures

Name	Time	Method
Passive Audio Data-Positive Sentiment Analysis	Through study completion, average of 5 weeks	Parent and child interaction behavior- proportion of recorded interaction that is labeled positive via sentiment analysis algorithm. This will be assessed during scheduled, daily audio recordings. Specifically, we will assess sentiment after the randomization of prompt delivery and prior to the next randomization.
Passive Audio Data-Negative Sentiment Analysis	Throughout study completion, average of 5 weeks	Parent and child interaction behavior- proportion of recorded interaction that is labeled negative via sentiment analysis algorithm. This will be assessed during scheduled, daily audio recordings. Specifically, we will assess sentiment after the randomization of prompt delivery and prior to the next randomization.

Secondary Outcome Measures

Name	Time	Method
Intervention Engagement	Through study completion, average of 5 weeks	Number of mobile BPT sessions completed divided by the total number of sessions available.

Trial Locations

Locations (1)

Center for Children and Families of Western New York; 🇺🇸 Buffalo, New York, United States