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El Faro: Addressing Mental Health Inequities Among Latinx Children With ADHD in Durham

Primary Purpose

ADHD, Psychiatric Health

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
El Faro Treatment Intervention
Sponsored by
Duke University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for ADHD focused on measuring Psychiatric Health, Children, ADHD, Latinx Community

Eligibility Criteria

6 Years - 12 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Child is between the ages of 6 to 12 years Child meets DSM-5 criteria for ADHD (any presentation) Generally healthy (i.e., no major medical problems that will interfere with study participation Caregiver's willingness to keep any current psychiatric medication regimen for child diagnosed with ADHD constant throughout the study duration Caregiver age 18 years and older Exclusion Criteria: Caregiver's child meets DSM-5 diagnostic criteria for psychosis, bipolar disorder, or other psychiatric disorder that is primary to ADHD or may interfere with study involvement Caregiver unable to attend all El Faro sessions Plan to initiate new ADHD treatment for identified child with ADHD during study participation (previously established ADHD treatments are allowable)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Treatment Participants

    Arm Description

    Active treatment group participants

    Outcomes

    Primary Outcome Measures

    Preliminary efficacy of adapted El Faro Treatment as measured by change in the Behavior Rating Inventory of Executive Function (BRIEF-2)
    The BRIEF-2 is a parent-completed questionnaire that provides data on the extent to which executive dysfunction impairs a child in his or her natural settings. T-scores are used to interpret the level of executive functioning. These scores are linear transformations of the raw scale scores (M = 50, SD = 10). T-scores provide information about an individual's scores relative to the scores of respondents in the standardization sample. For all BRIEF2 clinical scales and indexes, T-scores from 60 to 64 are considered mildly elevated, and T-scores from 65 to 69 are considered potentially clinically elevated. T-scores at or above 70 are considered clinically elevated.
    Preliminary efficacy of adapted El Faro Treatment as measured by change in the Conners Comprehensive Behavior Rating Scale (CBRS)
    The Conners CBRS is a questionnaire that focuses on behavioral, social, and academic issues in children aged 6-18 years old. T-scores are used to interpret the level of executive functioning. These scores are linear transformations of the raw scale scores (M = 50, SD = 10). T-scores provide information about an individual's scores relative to the scores of respondents in the standardization sample. A T-score of more than 60 can indicate that the child may have an issue such as ADHD, a T-score greater than 60 but under 70 may indicate moderately severe issues, a T-score above 70 may be a sign that the behavioral, academic, or emotional problems are severe.
    Feasibility of adapted El Faro Treatment as measured by percentage of attrition
    Attrition of <25% will be set to establish feasibility.
    Feasibility of adapted El Faro Treatment as measured by homework compliance
    Acceptability of adapted El Faro Treatment as measured by how satisfactory participants felt that the treatment was overall
    Acceptability will be based on how satisfactory participants felt that the treatment was overall (ranging from 1-7 with 7 indicating the highest rating of treatment satisfaction).
    Acceptability of adapted El Faro Treatment as measured by caregiver perceptions
    Caregiver perceptions about the extent of ADHD psychoeducation they received, how the content was relevant to their experiences, whether the techniques introduced were understandable, if they were confident about regularly using the techniques taught, and if they would recommend El Faro to other families of children with ADHD (on a scale ranging from 1 = not at all to 4 = extremely).

    Secondary Outcome Measures

    Full Information

    First Posted
    June 23, 2023
    Last Updated
    June 23, 2023
    Sponsor
    Duke University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05928182
    Brief Title
    El Faro: Addressing Mental Health Inequities Among Latinx Children With ADHD in Durham
    Official Title
    El Faro: Addressing Mental Health Inequities Among Latinx Children With ADHD in Durham
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 1, 2023 (Anticipated)
    Primary Completion Date
    June 1, 2024 (Anticipated)
    Study Completion Date
    June 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Duke University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Study team members from El Futuro in Durham, North Carolina have created an intervention called El Faro. El Faro helps Latinx families of children with ADHD understand and cope with the stress and difficulties presented by the disorder. We propose to develop a community-engaged research partnership between El Futuro and the Duke ADHD Program that aims to pilot-test an adapted El Faro treatment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    ADHD, Psychiatric Health
    Keywords
    Psychiatric Health, Children, ADHD, Latinx Community

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    All participants will receive treatment and symptom severity will be measured pre and post-treatment.
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment Participants
    Arm Type
    Experimental
    Arm Description
    Active treatment group participants
    Intervention Type
    Behavioral
    Intervention Name(s)
    El Faro Treatment Intervention
    Intervention Description
    Pre - Measures: complete pre-treatment Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), Behavior Rating Inventory of Executive Function (BRIEF-2), Conners 3, demographic information. Treatment: Complete an 8-week adapted El Faro treatment intervention with homework tasks. Post-Measures: Behavior Rating Inventory of Executive Function (BRIEF-2), Conners 3, acceptability and feasibility questionnaires.
    Primary Outcome Measure Information:
    Title
    Preliminary efficacy of adapted El Faro Treatment as measured by change in the Behavior Rating Inventory of Executive Function (BRIEF-2)
    Description
    The BRIEF-2 is a parent-completed questionnaire that provides data on the extent to which executive dysfunction impairs a child in his or her natural settings. T-scores are used to interpret the level of executive functioning. These scores are linear transformations of the raw scale scores (M = 50, SD = 10). T-scores provide information about an individual's scores relative to the scores of respondents in the standardization sample. For all BRIEF2 clinical scales and indexes, T-scores from 60 to 64 are considered mildly elevated, and T-scores from 65 to 69 are considered potentially clinically elevated. T-scores at or above 70 are considered clinically elevated.
    Time Frame
    Pre-treatment to post-treatment (8 weeks)
    Title
    Preliminary efficacy of adapted El Faro Treatment as measured by change in the Conners Comprehensive Behavior Rating Scale (CBRS)
    Description
    The Conners CBRS is a questionnaire that focuses on behavioral, social, and academic issues in children aged 6-18 years old. T-scores are used to interpret the level of executive functioning. These scores are linear transformations of the raw scale scores (M = 50, SD = 10). T-scores provide information about an individual's scores relative to the scores of respondents in the standardization sample. A T-score of more than 60 can indicate that the child may have an issue such as ADHD, a T-score greater than 60 but under 70 may indicate moderately severe issues, a T-score above 70 may be a sign that the behavioral, academic, or emotional problems are severe.
    Time Frame
    Pre-treatment to post-treatment (8 weeks)
    Title
    Feasibility of adapted El Faro Treatment as measured by percentage of attrition
    Description
    Attrition of <25% will be set to establish feasibility.
    Time Frame
    8 weeks
    Title
    Feasibility of adapted El Faro Treatment as measured by homework compliance
    Time Frame
    8 weeks
    Title
    Acceptability of adapted El Faro Treatment as measured by how satisfactory participants felt that the treatment was overall
    Description
    Acceptability will be based on how satisfactory participants felt that the treatment was overall (ranging from 1-7 with 7 indicating the highest rating of treatment satisfaction).
    Time Frame
    8 weeks
    Title
    Acceptability of adapted El Faro Treatment as measured by caregiver perceptions
    Description
    Caregiver perceptions about the extent of ADHD psychoeducation they received, how the content was relevant to their experiences, whether the techniques introduced were understandable, if they were confident about regularly using the techniques taught, and if they would recommend El Faro to other families of children with ADHD (on a scale ranging from 1 = not at all to 4 = extremely).
    Time Frame
    8 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Child is between the ages of 6 to 12 years Child meets DSM-5 criteria for ADHD (any presentation) Generally healthy (i.e., no major medical problems that will interfere with study participation Caregiver's willingness to keep any current psychiatric medication regimen for child diagnosed with ADHD constant throughout the study duration Caregiver age 18 years and older Exclusion Criteria: Caregiver's child meets DSM-5 diagnostic criteria for psychosis, bipolar disorder, or other psychiatric disorder that is primary to ADHD or may interfere with study involvement Caregiver unable to attend all El Faro sessions Plan to initiate new ADHD treatment for identified child with ADHD during study participation (previously established ADHD treatments are allowable)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Matthew Gibson
    Phone
    919-681-2521
    Email
    matthew.gibson646@duke.edu
    First Name & Middle Initial & Last Name or Official Title & Degree
    John Mitchell, PhD
    Phone
    919-681-2521
    Email
    matthew.gibson646@duke.edu
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    John Mitchell, PhD
    Organizational Affiliation
    Duke University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    There is no IPD for this study.

    Learn more about this trial

    El Faro: Addressing Mental Health Inequities Among Latinx Children With ADHD in Durham

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