Executive Function and Symptom Reduction in Youth Receiving Home-based Treatment With Collaborative Problem Solving

Active, not recruiting

• Conditions: Problem Behavior; Executive Dysfunction; Child Behavior

• Registration Number: NCT04121650
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

In this project, the investigators will extend prior results of parent-reported executive function growth and symptom reduction in children receiving home-based treatment with the Collaborative Problem Solving treatment approach (CPS), with a particular focus on examining children who have attention deficit hyperactivity disorder (ADHD). The investigators will examine executive functioning (EF) of children who are receiving CPS, measuring EF with parent-report and objective computer-based tasks, at two timepoints: at the start of treatment and approximately four months later, and will collect symptoms at these plus three additional timepoints: at discharge, 6-months after discharge, and 12-months after discharge.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-10-07
• Study First Submitted QC: 2019-10-08
• Study First Posted: 2019-10-10
• Study Start: 2019-10-14
• Primary Completion: 2022-07-01
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-13
• Last Update Posted: 2023-04-18
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Clients of participating non-profit organization that are receiving home-based youth mental health care
• Speaking and writing English at level necessary to complete study requirements

Exclusion Criteria

• Youth is in full state custody and consent cannot be obtained by a guardian
• Youth and/or guardians do not speak English well enough to complete standardized measures
• Youth has a confirmed or suspected Full Scale IQ below 70, or carries a prior diagnosis of Autism Spectrum Disorder at the moderate or severe level

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in Behavioral Symptoms	Baseline, 4 months, and discharge	Clinical Global Impressions (Measures clients' symptom severity, global improvement, and therapeutic response)
Change in Executive Functioning Skills	Baseline and 4 months	CANTAB computer-based cognitive tasks (Motor Screening Task, Stop Signal Task, Spatial Span, Multitasking Test, Stockings of Cambridge, Intra-Extra Dimensional Set Shift)

Secondary Outcome Measures

Name	Time	Method
Treatment providers' fidelity to Collaborative Problem Solving (as a moderator)	provider rating made closest in proximity to four-month timepoint	CPS Treatment Integrity Rating Form Short (Observational ratings by trained CPS coaches that quantitatively measure providers' fidelity to the practice of the CPS treatment approach)
Change in Child-Parent Relationship	Baseline and 4 months	Child-Parent Relationship Scale (A 15-question measure of parents perceptions of their relationship with their child by using a scale of 1-5 where 1 "definitely does not apply" and a 5 "definitely applies to the child-parent relationship")

Trial Locations

Locations (1)

Massachusetts General Hospital; 🇺🇸 Boston, Massachusetts, United States