Cognitive-Behavioural Therapy (CBT) for Adult Attention Deficit Hyperactivity Disorder (ADHD): a Randomised Controlled Trial
| ISRCTN | ISRCTN03732556 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN03732556 |
| Secondary identifying numbers | R&D2009/051 |
- Submission date
- 01/04/2010
- Registration date
- 04/11/2010
- Last edited
- 16/10/2018
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Antonia Dittner
Scientific
Scientific
Adult ADHD Service
Maudsley Hospital
London
SE5 8AZ
United Kingdom
Study information
| Study design | Single centre interventional open label randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use contact details below to request a patient information sheet |
| Scientific title | A Proof of Concept Randomised Controlled Trial to Examine the Potential Efficacy, Patient Acceptability and Feasibility of Cognitive-behavioural Therapy for Adults With Attention Deficit Hyperactivity Disorder (ADHD) |
| Study objectives | CBT plus treatment as usual will be more effective than treatment as usual alone in 1. reducing ADHD symptoms 2. improving functioning Please note that as of 20/06/2013, the anticipated end date for this trial was updated from 20/04/2013 to 30/04/2014 20/06/2013: Please note that recruitment for this trial is closed. |
| Ethics approval(s) | NRES Committee London - City Road and Hampstead approved on the 29th of July 2009 subject to clarifications, substantial amendments were approved on 27th January 2010, 4th August 2010 and 16th August 2011 (ref: 09/H0721/49) |
| Health condition(s) or problem(s) studied | Adult Attention Deficit Hyperactivity Disorder (ADHD) |
| Intervention | 60 participants will be randomly allocated to either: 1. CBT plus treatment as usual 16 one-hour therapy sessions taking place over 30 weeks in addition to usual medical follow-up appointments - typically one 30-minute appointment every three to six months 2. Treatment as usual alone Treatment as usual appointments at the Adult ADHD Service - typically one 30-minute appointment every three to six months - taking place over 30 weeks The total duration of follow up will be 42 weeks (i.e. 12 weeks after the ends of the treatment period). |
| Intervention type | Other |
| Primary outcome measure | 1. Adult Barkley Current Behaviour Scale (Barkley 2006) An 18-item self-report measure assessing ADHD symptoms, rated on a 4-point Likert scale 2. Work and Social Adjustment Scale (Mundt et al 2002) A reliable and valid self-report measure of impaired functioning attributable to an identified problem, consisting of 5 items, each rated on an 8-point scale All outcomes will be assessed at baseline, 30 and 42 weeks. There is an assessment at the 30-week point also in case of attrition and for further analyses, but 30-week measures will not be used as the main outcomes. |
| Secondary outcome measures | Current secondary outcome measures as of 03/01/2012 1. Clinical Outcomes in Routine Evaluation Outcome measure (CORE-OM), (Evans et al 2002) 2. Hospital Anxiety and Depression Scale (HADS) 3. ADHD Beliefs Questionnaire 4. ADHD Behaviours Questionnaire 5. Rosenberg Self-Esteem Scale (Rosenberg 1965) 6. Autism Spectrum Quotient (Baron-Cohen et al 2001) * 7. Global Impression scales (improvement** and satisfaction**) (adapted from Guy 1976 and used previously in Deale et al 1997) 8. Frost Multidimensional Perfectionism Scale (Frost et al 1990), Doubts about actions, Concern over mistakes, Parental Criticism and Parental expectations subscales 9. Beliefs about Emotions Questionnaire (Rimes et al 2009) Rated by nominated informant: 10. Adult Barkley Current Behaviour Scale 11. Global Impression scales (severity and improvement**) (adapted from Guy 1976 and used previously in Deale et al 1997) Rated by independent evaluator: 12. Global Impression scales (severity and improvement**) (adapted from Guy 1976 and used previously in Deale et al 1997) 13. Global Assessment of Functioning (Axis V, DSM-IV-TR) this is routinely administered during clinic assessments. This will only be included in the questionnaire pack if, for some reason, it has not already been completed * baseline only ** 30 and 42 weeks only Previous secondary outcome measures 1. Clinical Outcomes in Routine Evaluation Outcome measure (CORE-OM), (Evans et al 2002) 2. Hospital Anxiety and Depression Scale (HADS) 3. ADHD Beliefs Questionnaire 4. ADHD Behaviours Questionnaire 5. Rosenberg Self-Esteem Scale (Rosenberg 1965) 6. Autism Spectrum Quotient (Baron-Cohen et al 2001) * 7. Global Impression scales (improvement** and satisfaction**) (adapted from Guy 1976 and used previously in Deale et al 1997) 8. Frost Multidimensional Perfectionism Scale (Frost et al 1990), Doubts about actions, Concern over mistakes, Parental Criticism and Parental expectations subscales 9. Beliefs about Emotions Questionnaire (Rimes et al 2009) rated by nominated informant: 10. Adult Barkley Current Behaviour Scale rated by independent evaluator: 11. Global Impression scales (severity and improvement**) (adapted from Guy 1976 and used previously in Deale et al 1997) 12. Global Assessment of Functioning (Axis V, DSM-IV-TR) All outcomes will be assessed at baseline, 30 and 42 weeks |
| Overall study start date | 21/04/2010 |
| Completion date | 30/04/2014 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 65 Years |
| Sex | Both |
| Target number of participants | 60 |
| Key inclusion criteria | Current inclusion criteria as of 17/12/2012: 1. Men and women aged 18-65 with a diagnosis of adult ADHD according to NICE guidelines i.e. if there was evidence from both the participant and the informant (where available) that: 1.1. the participant met DSM-IV criteria for Adult ADHD both in childhood and adulthood 1.2. the participant experienced at least moderate psychological, social and/or educational or occupational impairment in multiple settings 1.3. symptoms occurred in two or more settings including social, familial, educational and/or occupational settings. 2. Participants will have received a diagnosis either from the Adult ADHD Service, Maudsley Hospital, London, UK or another specialist/secondary care service (in this case a copy of the diagnostic report will be required) 3. Participants will either already be attending follow-up clinics, including psychoeducation workshops, or will have been recently referred to the service for medication follow-up or psychological treatment 4. Currently score 6 or more on the inattentive or hyperactive/impulsive subscale of the Adult Barkley Current Behaviour Scale (self-rated) 5. Clinical severity of at least a moderate level (Clinical Global Impression score of 4 or above) Previous inclusion criteria until 17/12/2012: 1. Men and women aged 18 to 65 who have received a diagnosis of adult ADHD in the Adult ADHD Service at the Maudsley Hospital, London, UK 2. Currently score 6 or more on the inattentive or hyperactive/impulsive subscale of the Adult Barkley Current Behaviour Scale (self-rated) 3. Clinical severity of at least a moderate level (Clinical Global Impression score of 4 or above) 4. If on medication to be on a stabilised dose as defined by no more than 10% change in medication dose over a two-month period |
| Key exclusion criteria | 1. Clinically significant anxiety disorder 2. Current episode major depression, current suicidality or self-harm (score of moderate or high suicidality on the M.I.N.I.) 3. Acquired brain injury 4. Primary diagnosis of psychosis or bipolar disorder 5. Pervasive developmental disorder 6. Active substance misuse/dependence in last three months 7. Verbal IQ <80 8. Diagnosis of a personality disorder 9. Participant not willing to comply with the requirements of an RCT 10. If the assessor does not perceive ADHD to be the current primary problem |
| Date of first enrolment | 21/04/2010 |
| Date of final enrolment | 30/04/2014 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Adult ADHD Service
London
SE5 8AZ
United Kingdom
SE5 8AZ
United Kingdom
Sponsor information
South London and Maudsley NHS Foundation Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
Bethlem Royal Hospital
Monks Orchard Road
Beckenham, Kent
BR3 3BX
England
United Kingdom
"ROR" |
https://ror.org/015803449 |
|---|
Funders
Funder type
Hospital/treatment centre
South London and Maudsley NHS Foundation Trust (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 03/09/2014 | Yes | No | |
| Results article | results | 01/02/2018 | Yes | No |
Editorial Notes
16/10/2018: Publication reference added.
