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.
Study Type
OBSERVATIONAL
Enrollment
54
CPS is an approach for understanding and reducing challenging behavior in youth. Under CPS, caregivers are taught to understand and identify the specific neurocognitive skill deficits that underlie their child's challenging behavior. Then the caregivers are taught to interact with the child in a way that solves chronic behavior problems while building the lagging neurocognitive skills to avoid future problems.
Massachusetts General Hospital
Boston, Massachusetts, United States
Change in Behavioral Symptoms
Strengths and Difficulties Questionnaire (Parent-report measuring child emotional problems, conduct issues, hyperactivity/inattention, peer relationship problems, and pro- social behavior)
Time frame: Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge
Change in Behavioral Symptoms
Clinical Global Impressions (Measures clients' symptom severity, global improvement, and therapeutic response)
Time frame: Baseline, 4 months, and discharge
Change in Executive Functioning Skills
Behavior Rating Inventory of Executive Functioning (Parent-report measuring deficits in different domains of executive functioning)
Time frame: Baseline and 4 months
Change in Executive Functioning Skills
CANTAB computer-based cognitive tasks (Motor Screening Task, Stop Signal Task, Spatial Span, Multitasking Test, Stockings of Cambridge, Intra-Extra Dimensional Set Shift)
Time frame: Baseline and 4 months
Change in Child-Parent Relationship
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")
Time frame: Baseline and 4 months
Treatment providers' fidelity to Collaborative Problem Solving (as a moderator)
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)
Time frame: provider rating made closest in proximity to four-month timepoint
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