The current pilot study aims to close the existing gap in our knowledge about effective psychosocial treatments for Latino families by providing preliminary data regarding the acceptability and efficacy of a culturally-modified ADHD treatment and possible moderators that will support a future R01. Specifically, the current pilot study is the first step in a larger program of research aimed at definitively determining if culturally-modified ADHD treatment outperforms standard treatment when examining engagement and acceptability outcomes, as well as symptomatology and parental functioning, and if so, which treatment modifications are necessary and for whom. The following study aims will be examined. 1. Aim 1 is to explore if the culturally-modified treatment results in better engagement and acceptability outcomes (i.e., parental attendance, retention, engagement, and satisfaction) than standard treatment and to determine the strength of these effects. 2. Aim 2 is to explore if the culturally-modified treatment results in improvements in ADHD symptomatology, as well as parental functioning (i.e., parenting stress and efficacy), to explore if the modified treatment results in similar or greater improvements than standard treatment, and to determine the strength of these effects. 3. Aim 3 is to explore possible moderators (i.e., socioeconomic status (SES) and behavioral and cognitive acculturation) that may explain the relationship between treatment type (i.e., standard versus culturally-modified) and outcomes and to determine the strength of these interactions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
147
Marquette University
Milwaukee, Wisconsin, United States
Engagement in Treatment - Treatment Completion (Number of Families Who Completed Treatment)
Number of families who completed treatment (recorded by clinician)
Time frame: 8 weeks
Engagement in Treatment - Sessions Attended
Number of sessions attended by each family (recorded by clinician)
Time frame: 8 weeks
Engagement in Treatment - Homework Completion (% of Completed Homework)
(recorded by clinician - homework was assigned every week and was expected to be returned at the next week's session)
Time frame: 8 weeks
Acceptability of Treatment (Summary Score of Therapy Attitude Inventory)
Parental report of satisfaction with treatment (summary score of Therapy Attitude Inventory) Range=10-50; higher scores represent greater satisfaction (a better outcome)
Time frame: 8 weeks
Change in ADHD Symptoms (Inattention Subscale of Disruptive Behavior Disorders Rating Scale)
Pre-treatment to post-treatment change on inattention subscale of Disruptive Behavior Disorders Rating Scale (completed by parent) Range=0-3; the larger the number, the greater the symptoms Difference in mean pre and post scores for each group, so SD was not calculated.
Time frame: Baseline to 8 weeks
Change in Parental Functioning (Maternal Parenting Stress)
Pre-treatment to post-treatment change on summary score of Parenting Stress Index-Short Form (completed by mothers) Range=0-144; the larger the number, the greater stress Difference in mean pre and post scores for each group, so SD was not calculated.
Time frame: 8 weeks
Effects of Socioeconomic Status and Parental Acculturation on Treatment Outcomes (Parental Report)
Socioeconomic status computed based on parental report of education and occupation (assessed on demographic form). Acculturation based on parental report on the Acculturation Rating Scale for Mexican Americans-II and the Mexican American Cultural Values for Adolescents and Adults.
Time frame: 8 weeks
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