PowerCoaching: A multiple domain CBT coaching program for adolescents with attention deficit hyperactivity disorder

ISRCTN ISRCTN13078441
DOI https://doi.org/10.1186/ISRCTN13078441
Secondary identifying numbers N/A
Submission date
18/04/2016
Registration date
18/04/2016
Last edited
18/04/2016
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
Record updated in last year

Plain English Summary

Background and study aims
Attention deficit hyperactivity disorder (ADHD) is a common childhood disorder in which the sufferer struggles with attention, impulsivness and hyperactivity. Almost all treatments for ADHD have been adjusted for treating children or adults, and little research has been done to evaluate their effectiveness in adolescents. Adolescence is a time involving rapid physical, mental and social development takes place, which can lead to feelings of inner turmoil, emotional instability and negative mood. Adolescents with ADHD have a high risk of experiencing problems in development in these areas because of issues with being able to manage disruptive emotions and impulses. PowerCoaching is an ADHD treatment specifically designed for adolescents. The aim of this study is to evaluate the effectiveness of this treatment.

Who can participate?
Adolescents with ADHD between the ages of 12 and 18 years old.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in the first group receive PowerCoaching immediately. This involves sessions at the participant's home every week for 18 weeks. The sessions last for about an hour and involve discussions about a range of topics and the teaching of stratagies to help cope with ADHD related problems. Those in the second group receive treatment as usual for the 18 weeks of the study. Participants in both groups complete a number of questionnaires at the start of the study and then again after 18 weeks. After participants in both groups are assessed, participants in this group are able to take part in the PowerCoaching, but no further measurements are taken.

What are the possible benefits and risks of participating?
The coaching program may benefit participants in helping them to cope with daily problems related to ADHD and improve their quality of life. There are no notable risks involved with taking part in the study.

Where is the study run from?
Yulius Academie (Netherlands)

When is the study starting and how long is it expected to run for?
February 2014 to December 2016

Who is funding the study?
Yulius (Netherlands)

Who is the main contact?
S. Kapiteijn, MSc.
s.kapiteijn@yulius.nl

Study website

Contact information

Dr Athanasios Maras
Scientific

Yulius Academie
Dennenhout 1
Barendrecht
2994GC
Netherlands

Phone +31 88 403 6950
Email a.maras@yulius.nl

Study information

Study design18-week immediate versus delayed intervention randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleAn RCT pilot of treatment as usual compared to PowerCoaching: An multiple domain CBT coaching program for adolescents between 12 and 18 years old with Attention Deficit Hyperactivity Disorder
Study hypothesis1. Adolescents' quality of life is enhanced after participating in PowerCoaching compared to a control condition
2. Adolescents in the intervention condition will show more self-efficiency and selfregulating behavior and less psychosocial problems than adolescents in the control condition
Ethics approval(s)Medisch Ethische Toetsings Commissie TWOR, 06/03/2014, ref: MEC-2013_50, general reference number: NL47364.101.13
ConditionAttention deficit hyperacitivty disorder (ADHD) and problems in daily functioning
InterventionAdolescents are randomized to one of two groups:

Immediate treatment group: Participants receive the PowerCoaching for a total of 18 weeks. Sessions are given once a week at the participant's home, lasting for 45 to 60 minutes, and involve the discussion of different themes (i.e. psycho-education, planning and organisation, school and study, self-image, emotion regulation, relations, risk and control and lifestyle). During the sessions, participants will learn new strategies to cope with ADHD related problems.

Delayed treatment group: For the 18 week duration of the study, participants continue as usual. Following collection of the final outcomes, the treatment is made available from week 19 to week 37.

Participants in both groups complete outcome measurements at baseline and 18 weeks.
Intervention typeBehavioural
Primary outcome measureQuality of life is measured using “Weiss Functional Impairment Rating Scale (WFRIS) excluding the subscale ‘work’ at baseline and 18 weeks.
Secondary outcome measures1. Self-efficiency measured using a self-constructed questionnaire at baseline and 18 weeks
2. selfregulating behavior measured using the Behavior Rating Iventory Executive Functions's subscales emotion regulation, planning and organizing, and organization of materials at baseline and 18 weeks
3. Psychosocial problems measured using the Strengths and Difficulties Questionnaire at baseline and 18 weeks
Overall study start date01/01/2014
Overall study end date31/12/2016

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Years
Upper age limit18 Years
SexBoth
Target number of participants30
Participant inclusion criteria1. Aged 12 to 18 years
2. An official Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV ADHD diagnosis (all subtypes). The diagnosis must have been previously set by a child and adoelscent psychiatrist, Healthcare psychologist, clinical psychologist or paediatrician specialized in social paediatrics. Adolescents with common diagnosed comorbid disorders (i.e., dyslexia, oppositional defiant disorder) can participate in the study as long as ADHD is the main disorder.
3. Stable ADHD treatment, both pharmacological and psychological
4. Minimum total intelligence quotiënt (TIQ) score must be greater than or equal to 85
5. Fluent in Dutch
6. Provision of written informed consent
Participant exclusion criteria1. Addiction to drugs or alcohol
2. Severe psychotic disorder
3. Another acute Axis-I disorder
Recruitment start date12/02/2015
Recruitment end date01/03/2016

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Yulius Academie
Dennenhout 1
Barendrecht
2994 GC
Netherlands

Sponsor information

Maasstad Hospital Rotterdam (Maasstadziekenhuis Rotterdam)
Hospital/treatment centre

Maasstadweg 21
Rotterdam
3007AC
Netherlands

Website https://www.maasstadziekenhuis.nl
ROR logo "ROR" https://ror.org/01n0rnc91

Funders

Funder type

Hospital/treatment centre

Yulius

No information available

Results and Publications

Intention to publish date01/05/2017
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a peer reviewed journal.
IPD sharing plan