Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder and is associated with wide- ranging impairments and negative health outcomes, including those that persist into adulthood and have significant public health consequences. Children with ADHD are at increased risk for not achieving recommended amounts of physical activity (PA) and engaging in high rates of sedentary behaviors like media use. PA is found to improve cognitive functioning and decrease ADHD symptoms, but is usually not addressed in standard treatment for ADHD. In this two-phase R21/R33 application, we propose to develop and pilot an intervention to increase PA and healthy behaviors in children with ADHD using a family-focused treatment model. In the R21 phase (n=30), we will pilot a group parent intervention based on the front-line behavioral treatment for ADHD, parent Behavior Management Training (BMT), adapted to focus on increasing PA and integrated with mobile Health technology (i.e., wearable PA trackers) and social media (Facebook) support to increase engagement and longevity of effects. We will evaluate feasibility, acceptability, and effects of the intervention to increase PA. In the R33 phase (n=80), we will conduct a small randomized trial comparing the novel PA-focused intervention with standard BMT and examine effects on PA, other health behaviors, ADHD symptoms and functioning, and family outcomes across a 1-year period. Findings will inform a future large- scale evaluation of intervention effects on long-term health and functioning for children with ADHD.

Public Health Relevance

This is a two-phase study to evaluate feasibility, acceptability, and effects of an enhanced parent behavior management training (BMT) and mobile Health technology intervention to promote physical activity (PA) for young children with ADHD. In the R21 phase, we will develop and pilot the intervention and evaluate effects on PA; the R33 phase we employ a randomized design to determine effects on PA, family and clinical outcomes compared to a standard BMT program for children with ADHD.

Agency
National Institute of Health (NIH)
Institute
National Center for Complementary & Alternative Medicine (NCCAM)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AT010041-01
Application #
9508281
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Mudd, Lanay Marie
Project Start
2018-05-17
Project End
2020-04-30
Budget Start
2018-05-17
Budget End
2019-04-30
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Seattle Children's Hospital
Department
Type
DUNS #
048682157
City
Seattle
State
WA
Country
United States
Zip Code
98101