Cargando…
Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only
BACKGROUND: Self-control in childhood has been linked to long-term and cascading effects on health, academic, criminality, wealth and parenting outcomes. Hence it is important to target self-control deficits early in life. Self-control deficits are a hallmark of Attention Deficit/Hyperactivity Disor...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060473/ https://www.ncbi.nlm.nih.gov/pubmed/30045714 http://dx.doi.org/10.1186/s12888-018-1811-y |
_version_ | 1783342037484961792 |
---|---|
author | Siebelink, Nienke M. Bögels, Susan M. Boerboom, Lisanne M. de Waal, Noor Buitelaar, Jan K. Speckens, Anne E. Greven, Corina U. |
author_facet | Siebelink, Nienke M. Bögels, Susan M. Boerboom, Lisanne M. de Waal, Noor Buitelaar, Jan K. Speckens, Anne E. Greven, Corina U. |
author_sort | Siebelink, Nienke M. |
collection | PubMed |
description | BACKGROUND: Self-control in childhood has been linked to long-term and cascading effects on health, academic, criminality, wealth and parenting outcomes. Hence it is important to target self-control deficits early in life. Self-control deficits are a hallmark of Attention Deficit/Hyperactivity Disorder (ADHD). Even after receiving care-as-usual (CAU) for ADHD, impaired self-control often remains. Pharmacotherapy can be hampered by side-effects, low adherence and short-term effectiveness. Other limitations of CAU are decreased effectiveness when parents have ADHD and little effect on parental well-being. Mindfulness-Based Interventions (MBIs) are an emerging non-pharmacological approach with potential to improve self-control and well-being in both children and parents. However, there is a lack of sufficiently powered randomised controlled trials (RCTs) to establish their effects in families with ADHD. This study protocol describes an RCT to investigate the effectiveness of a family MBI as an add-on to CAU in treatment of youth with ADHD, and is described in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT). METHODS/DESIGN: An RCT will be conducted in N = 100 children (aged 8–16 years) with ADHD and their parents. The experimental condition will consist of a family MBI (MYmind): 8-week group-based MBI for youth combined with parallel group-based Mindful Parenting for their parents, as an add-on to CAU. The control condition will consist of CAU-only. Assessments will take place at baseline, end of treatment (3 months later), 2 and 6 months’ follow-up. Primary outcome measure will be an ecologically valid assessment of child self-control with the parent-rated Behaviour Rating Inventory of Executive Function (BRIEF). Secondary child outcome measures will be teacher-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms (e.g. ADHD, symptoms of autism), well-being and mindfulness. For parental outcomes, secondary measures will be self-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms, well-being and mindful parenting. DISCUSSION: The proposed RCT will take account of methodological limitations of previous studies on MBIs in child ADHD populations. The current study will provide valuable information on family MBI as a potential effective intervention in targeting self-control deficits for youth with ADHD and their parents. TRIAL REGISTRATION: ClinicalTrials.gov NCT03220308. Retrospectively registered 18 July 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12888-018-1811-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6060473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60604732018-07-31 Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only Siebelink, Nienke M. Bögels, Susan M. Boerboom, Lisanne M. de Waal, Noor Buitelaar, Jan K. Speckens, Anne E. Greven, Corina U. BMC Psychiatry Study Protocol BACKGROUND: Self-control in childhood has been linked to long-term and cascading effects on health, academic, criminality, wealth and parenting outcomes. Hence it is important to target self-control deficits early in life. Self-control deficits are a hallmark of Attention Deficit/Hyperactivity Disorder (ADHD). Even after receiving care-as-usual (CAU) for ADHD, impaired self-control often remains. Pharmacotherapy can be hampered by side-effects, low adherence and short-term effectiveness. Other limitations of CAU are decreased effectiveness when parents have ADHD and little effect on parental well-being. Mindfulness-Based Interventions (MBIs) are an emerging non-pharmacological approach with potential to improve self-control and well-being in both children and parents. However, there is a lack of sufficiently powered randomised controlled trials (RCTs) to establish their effects in families with ADHD. This study protocol describes an RCT to investigate the effectiveness of a family MBI as an add-on to CAU in treatment of youth with ADHD, and is described in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT). METHODS/DESIGN: An RCT will be conducted in N = 100 children (aged 8–16 years) with ADHD and their parents. The experimental condition will consist of a family MBI (MYmind): 8-week group-based MBI for youth combined with parallel group-based Mindful Parenting for their parents, as an add-on to CAU. The control condition will consist of CAU-only. Assessments will take place at baseline, end of treatment (3 months later), 2 and 6 months’ follow-up. Primary outcome measure will be an ecologically valid assessment of child self-control with the parent-rated Behaviour Rating Inventory of Executive Function (BRIEF). Secondary child outcome measures will be teacher-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms (e.g. ADHD, symptoms of autism), well-being and mindfulness. For parental outcomes, secondary measures will be self-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms, well-being and mindful parenting. DISCUSSION: The proposed RCT will take account of methodological limitations of previous studies on MBIs in child ADHD populations. The current study will provide valuable information on family MBI as a potential effective intervention in targeting self-control deficits for youth with ADHD and their parents. TRIAL REGISTRATION: ClinicalTrials.gov NCT03220308. Retrospectively registered 18 July 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12888-018-1811-y) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-25 /pmc/articles/PMC6060473/ /pubmed/30045714 http://dx.doi.org/10.1186/s12888-018-1811-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Siebelink, Nienke M. Bögels, Susan M. Boerboom, Lisanne M. de Waal, Noor Buitelaar, Jan K. Speckens, Anne E. Greven, Corina U. Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title | Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title_full | Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title_fullStr | Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title_full_unstemmed | Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title_short | Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only |
title_sort | mindfulness for children with adhd and mindful parenting (mindchamp): protocol of a randomised controlled trial comparing a family mindfulness-based intervention as an add-on to care-as-usual with care-as-usual only |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060473/ https://www.ncbi.nlm.nih.gov/pubmed/30045714 http://dx.doi.org/10.1186/s12888-018-1811-y |
work_keys_str_mv | AT siebelinknienkem mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT bogelssusanm mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT boerboomlisannem mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT dewaalnoor mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT buitelaarjank mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT speckensannee mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly AT grevencorinau mindfulnessforchildrenwithadhdandmindfulparentingmindchampprotocolofarandomisedcontrolledtrialcomparingafamilymindfulnessbasedinterventionasanaddontocareasusualwithcareasusualonly |