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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
See information included in arm/group description.
South London and Maudsley Foundation Trust
London, United Kingdom
25 participants with ADHD will be recruited from CAMHS services.
To assess whether the intervention is feasible in terms of recruitment, for adolescents with ADHD.
Time frame: Within12-months
60% of participants or more will attend all group sessions.
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
Time frame: Within12-months
60% or more of participants will complete a follow up measures.
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
Time frame: Within12-months
Individual participant attendance rate will be greater than 50%.
To assess whether the intervention is feasible in terms of retention, for adolescents with ADHD.
Time frame: Within12-months
66% of participants or more will report above neutral satisfaction ratings on weekly questionnaire
To assess whether participants will find both the intervention and assessment methods acceptable.
Time frame: Within 12 months
66% of participants or more from the focus group will report above neutral satisfaction.
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.
Time frame: Within 12 months
At post-treatment compared to baseline participants will report improved levels of emotion regulation
Participants will complete the DERS-SF (2015) pre and post the intervention. We will report on any changes between baseline and post treatment score using effect sizes and confidence intervals. As this is a pilot trial tentative conclusions will be drawn from these findings.
Time frame: Within 12 months
At post-treatment compared to baseline participants will report a reduction in ADHD symptoms.
Participants will complete the Connors 3rd edition self report form and SNAP-IV-26 (1992) pre and post the intervention. We will report on any changes between baseline and post treatment score using effect sizes and confidence intervals. As this is a pilot trial tentative conclusions will be drawn from these findings.
Time frame: Within 12 months
At post treatment compared to baseline participants will report improved social skills and functioning.
Participants will complete the WSAS-Y (2019) pre and post the intervention. We will report on any changes between baseline and post treatment score using effect sizes and confidence intervals. As this is a pilot trial tentative conclusions will be drawn from these findings.
Time frame: Within 12 months
At post treatment compared to baseline participants will report improved social skills and functioning.
Participants will complete the SDQ (2005) pre and post the intervention. We will report on any changes between baseline and post treatment score using effect sizes and confidence intervals. As this is a pilot trial tentative conclusions will be drawn from these findings.
Time frame: Within 12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.