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The goal of this clinical trial is to investigate whether the Triple P program will reduce behavioral problems for ADHD children, improve mothers' sense of competency, and improve their attitudes
The main questions it aims to answer are:
1 . What is the feasibility and cultural acceptability of implementing the Triple P program within the Palestinian context? 2. Does the Triple P program promote positive attitudes towards managing ADHD among mothers in Palestine? 3. How does the Triple P program affect the maternal sense of competency among mothers in Palestine? 4. Does the Triple P program delivery affect reducing children's ADHD behavioural symptoms?
Participants :
took the triple p strategies, and the control will not Outcome measures will be evaluated pre- and post-intervention
Mothers of children with ADHD are included; children with other mental health disorders or combined types of autism are excluded. The sample was taken from mental health clinics with children diagnosed with ADHD, aged 6-12 years old.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mothers of children with ADHD and with children with ADHD aged 6-12 years | Experimental | Had the Triple P sessions |
|
| control | No Intervention | Did not receive triple p |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Triple p level parenting program | Behavioral | An evidence-based program with self-agency strategies enhances trust and confidence in managing children's ADHD behaviors |
|
| Measure | Description | Time Frame |
|---|---|---|
| SDQ: Strengths and Difficulties Questionnaire SDQ | The Strengths and Difficulties Questionnaire (SDQ) is a validated behavioral screening tool that assesses emotional and behavioral difficulties in children through 25 items grouped into five subscales: Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention, Peer Relationship Problems, and Prosocial Behavior. Each subscale includes 5 items scored from 0 to 2, resulting in subscale scores ranging from 0 to 10. Higher scores on the first four subscales indicate greater difficulties, while higher scores on the Prosocial Behavior subscale reflect better social functioning. A Total Difficulties Score (the lowest is 0 and the highest is 40) is calculated by summing the four difficulties subscales, with higher scores indicating more behavioral problems. Scores are reported as mean ± standard deviation, with higher total or subscale scores indicating worse outcomes for difficulties and better outcomes for prosocial behavior (Goodman, 1997; Stone et al., 2010) | Pre (Baseline) intervention and Post (12 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting Scale | The Parenting Scale - Short Version is a brief 7-item parent-report tool designed to assess dysfunctional parenting discipline styles. It measures two core constructs: Laxness (4 items): Reflects permissive discipline and inconsistent enforcement of rules. Overreactivity (3 items): Captures harsh, irritable, or angry responses to child misbehavior. Each item is rated on a 7-point Likert-type scale, ranging from 1 (effective discipline) to 7 (ineffective discipline). Scores are computed as follows: Subscale Scores: Laxness score: Mean of 4 items (range: 1.0-7.0) higher scores mean worse it should not exceed 4 Over reactivity score: Mean of 3 items (range: 1.0-7.0) higher scores are worse , cutoff is 4 Total Score: Mean of all 7 items (range: 1.0-7.0) |
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The inclusion criteria:
The exclusion criterion :
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| Name | Affiliation | Role |
|---|---|---|
| Nadia A Amro, phd | AAUP | Principal Investigator |
| Nadia A Amro, phd | Palestine Polytechnic University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Child Mental Health Clinic | Hebron | Palestinian Territories |
the whole process sesign prtocol ,data collection can be siscussed
one year
any way of contact
files were searched for possible matched inclusion criteria
subjects were recruited from a governmental child mental health clinic
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| ID | Title | Description |
|---|---|---|
| FG000 | INTERVENTION | Mothers of children with ADHD and with children with ADHD aged 6-12 years:Had the Triple P sessions |
| FG001 | Control | Mothers of children with ADHD and with children with ADHD aged 6-12:Did not receive triple p |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Intervention |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 24, 2025 |
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One group received the Triple P program
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| "Pre (Baseline)"intervention and "Post (12 months)") |
| PSOC: Parenting Sense of Competence PSOC Scale | The Parenting Sense of Competence (PSOC) scale (Gibaud-Wallston & Wandersman, 1978) is a 17-item self-report instrument assessing parents' perceived competence in their parenting role. Each item is rated on a 6-point Likert scale (1 = strongly disagree to 6 = strongly agree) . Possible Score Range: 16 to 96 Interpretation of Range: High Total Score (e.g., 75+): Generally indicates a positive, adaptive parenting self-concept. Low Total Score (e.g., below 50): Indicates significant parenting distress and is a red flag for needed support.
| "Pre (Baseline)"intervention and "Post (12 months)") |
| COMPLETED |
|
| NOT COMPLETED |
|
| 13 Months |
|
Mothers of ADHD children
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| ID | Title | Description |
|---|---|---|
| BG000 | INTERVENTION | Group of intervention:Mothers of children with ADHD and with children with ADHD aged 6-12 years recieved Triple P |
| BG001 | CONTROL | Mothers of children with ADHD and with children with ADHD aged 6-12 years did not recieve triple p |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | mothers of children | Count of Participants | Participants | No |
| ||||||||||||||
| Sex: Female, Male | mothers of ADHD children | non | Count of Participants | Participants | No |
| |||||||||||||
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
| |||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
| ||||||||||||||||
| The Parenting Sense of Competence Scale PSOC | The Parenting Sense of Competence (PSOC) scale (Gibaud-Wallston & Wandersman, 1978) is a 17-item self-report instrument assessing parents' perceived competence in their parenting role. Each item is rated on a 6-point Likert scale (1 = strongly disagree to 6 = strongly agree) . Possible Score Range: 16 to 96 High Total Score (e.g., 75+): Generally indicates a positive, adaptive parenting self-concept. Low Total Score (e.g., below 50): Indicates significant parenting distress and is a red flag for needed support.
| Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| The Parenting Scale PS | The Parenting Scale a brief 7-item parent-report tool to assess dysfunctional parenting discipline. measures Laxness 4 items: Reflects permissive discipline and inconsistent enforcement of rules. Overreactivity 3 items: Captures harsh, irritable, or angry responses to child misbehavior. Each item is rated on a 7-point Likert-type scale, ranging from 1(effective discipline) to 7(ineffective discipline). Laxness score: Mean of 4 items (range: 1.0-7.0) higher scores mean worse it should not exceed 4 Over reactivity score: Mean of 3 items (range: 1.0-7.0) higher scores are worse,cutoff is 4 | Mean | Standard Deviation | units on a scale |
| ||||||||||||||
| Strengths and Difficulties Questionnaire (SDQ) Subscales | The SDQ is a behavioral screening questionnaire assessing child emotional and behavioral difficulties. It contains subscales measuring Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial Behavior. Each subscale score ranges from 0 to 10, with higher scores indicating greater difficulties except for Prosocial Behavior, where higher scores indicate better social behavior. Scores are reported as means with standard deviations. Total difficulties score ranges from 0 to 40, with higher scores indicating more severe behavioral problems. | Mean | Standard Deviation | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | SDQ: Strengths and Difficulties Questionnaire SDQ | The Strengths and Difficulties Questionnaire (SDQ) is a validated behavioral screening tool that assesses emotional and behavioral difficulties in children through 25 items grouped into five subscales: Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention, Peer Relationship Problems, and Prosocial Behavior. Each subscale includes 5 items scored from 0 to 2, resulting in subscale scores ranging from 0 to 10. Higher scores on the first four subscales indicate greater difficulties, while higher scores on the Prosocial Behavior subscale reflect better social functioning. A Total Difficulties Score (the lowest is 0 and the highest is 40) is calculated by summing the four difficulties subscales, with higher scores indicating more behavioral problems. Scores are reported as mean ± standard deviation, with higher total or subscale scores indicating worse outcomes for difficulties and better outcomes for prosocial behavior (Goodman, 1997; Stone et al., 2010) | mothers of ADHD children | Posted | Mean | Standard Deviation | score on a scale | Pre (Baseline) intervention and Post (12 months) |
|
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Parenting Scale | The Parenting Scale - Short Version is a brief 7-item parent-report tool designed to assess dysfunctional parenting discipline styles. It measures two core constructs: Laxness (4 items): Reflects permissive discipline and inconsistent enforcement of rules. Overreactivity (3 items): Captures harsh, irritable, or angry responses to child misbehavior. Each item is rated on a 7-point Likert-type scale, ranging from 1 (effective discipline) to 7 (ineffective discipline). Scores are computed as follows: Subscale Scores: Laxness score: Mean of 4 items (range: 1.0-7.0) higher scores mean worse it should not exceed 4 Over reactivity score: Mean of 3 items (range: 1.0-7.0) higher scores are worse , cutoff is 4 Total Score: Mean of all 7 items (range: 1.0-7.0) | Mothers of ADHD children | Posted | Mean | Standard Deviation | score on a scale | "Pre (Baseline)"intervention and "Post (12 months)") |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | PSOC: Parenting Sense of Competence PSOC Scale | The Parenting Sense of Competence (PSOC) scale (Gibaud-Wallston & Wandersman, 1978) is a 17-item self-report instrument assessing parents' perceived competence in their parenting role. Each item is rated on a 6-point Likert scale (1 = strongly disagree to 6 = strongly agree) . Possible Score Range: 16 to 96 Interpretation of Range: High Total Score (e.g., 75+): Generally indicates a positive, adaptive parenting self-concept. Low Total Score (e.g., below 50): Indicates significant parenting distress and is a red flag for needed support.
| Mothers of ADHD children | Posted | Mean | Standard Deviation | score on a scale | "Pre (Baseline)"intervention and "Post (12 months)") |
|
|
13 months, adverse events monitored but not found
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intervention | Mothers of children with ADHD and with children with ADHD aged 6-12 years:Had the Triple P sessions | 0 | 33 | 0 | 33 | 0 | 33 |
| EG001 | Control | Mothers of children with ADHD and with children with ADHD aged 6-12 years: Did not receive Triple P | 0 | 31 | 0 | 31 | 0 | 31 |
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First, the study used a pre-post design with no long-term follow-up, limiting insight into sustained effects. Second, the sample size was modest, affecting generalizability. Third, intervention delivery by a single researcher may have introduced social desirability bias. Lastly, data collection occurred during the Gaza conflict and lockdowns. Early termination leading to small numbers of subjects analyzed; Technical problems with measurement leading to unreliable or uninterpretable data.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Latifa Dardas | PPU | 0599290809 | nadia-amro@ppu.edu |
| Aug 9, 2025 |
| Prot_SAP_002.pdf |
| ICF | No | No | Yes | Informed Consent Form | Apr 30, 2023 | Aug 9, 2025 | ICF_003.pdf |
| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
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| Between 18 and 65 years |
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| >=65 years |
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| Prosocial Pre |
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| prosocial Post |
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| SDQ-Peer Problems Pre |
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| SDQ-Peer Problems (Post) |
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| SDQ-Total Score Pre |
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| SDQ-Total Score Post |
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