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| Name | Class |
|---|---|
| Gerstner Philanthropies | UNKNOWN |
| Youth Villages | OTHER |
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In this project, the investigators will extend prior results of parent-reported executive function growth and symptom reduction in children receiving home-based treatment with the Collaborative Problem Solving treatment approach (CPS), with a particular focus on examining children who have attention deficit hyperactivity disorder (ADHD). The investigators will examine executive functioning (EF) of children who are receiving CPS, measuring EF with parent-report and objective computer-based tasks, at two timepoints: at the start of treatment and approximately four months later, and will collect symptoms at these plus three additional timepoints: at discharge, 6-months after discharge, and 12-months after discharge.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collaborative Problem Solving | Behavioral | CPS is an approach for understanding and reducing challenging behavior in youth. Under CPS, caregivers are taught to understand and identify the specific neurocognitive skill deficits that underlie their child's challenging behavior. Then the caregivers are taught to interact with the child in a way that solves chronic behavior problems while building the lagging neurocognitive skills to avoid future problems. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Behavioral Symptoms | Strengths and Difficulties Questionnaire (Parent-report measuring child emotional problems, conduct issues, hyperactivity/inattention, peer relationship problems, and pro- social behavior) | Baseline, 4 months, discharge, 6 months post-discharge, and 12 months post-discharge |
| Change in Behavioral Symptoms | Clinical Global Impressions (Measures clients' symptom severity, global improvement, and therapeutic response) | Baseline, 4 months, and discharge |
| Change in Executive Functioning Skills | Behavior Rating Inventory of Executive Functioning (Parent-report measuring deficits in different domains of executive functioning) | Baseline and 4 months |
| Change in Executive Functioning Skills | CANTAB computer-based cognitive tasks (Motor Screening Task, Stop Signal Task, Spatial Span, Multitasking Test, Stockings of Cambridge, Intra-Extra Dimensional Set Shift) | Baseline and 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Child-Parent Relationship | Child-Parent Relationship Scale (A 15-question measure of parents perceptions of their relationship with their child by using a scale of 1-5 where 1 "definitely does not apply" and a 5 "definitely applies to the child-parent relationship") | Baseline and 4 months |
| Treatment providers' fidelity to Collaborative Problem Solving (as a moderator) |
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Inclusion Criteria:
Exclusion Criteria:
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The participants of this study are youth (ages 7 to 14) who are the identified clients being seen in home-based therapy at identified Youth Villages sites in Massachusetts.
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| Name | Affiliation | Role |
|---|---|---|
| Alisha R Pollastri, Ph.D. | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Jan 31, 2019 | Dec 22, 2025 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D002652 | Child Behavior |
| D000066553 | Problem Behavior |
| D001289 | Attention Deficit Disorder with Hyperactivity |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001526 | Behavioral Symptoms |
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
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CPS Treatment Integrity Rating Form Short (Observational ratings by trained CPS coaches that quantitatively measure providers' fidelity to the practice of the CPS treatment approach) |
| provider rating made closest in proximity to four-month timepoint |