A Pilot Study of a Remote ADHD Monitoring Program

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-11
SponsorIDeA States Pediatric Clinical Trials Network

About this trial

RAMP is a pilot study examining the use of an Attention-Deficit/Hyperactivity Disorder (ADHD) Monitoring Program during the early stages of treating ADHD in children living in rural settings. This trial will enroll 36 caregiver/infant dyads across 2 sites and will evaluate feasibility endpoints rather than clinical outcomes. Enrolled participants will be randomized 1:1 to the intervention group (RAMP reports) or control group (digital education handouts). The study duration is 10 months, including start-up, enrollment and intervention, and data analysis and manuscript submission.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

be under the care of a participating provider

be aged 5-11 at enrollment

have a diagnosis of ADHD

be initiating stimulant medication for treatment for the first time or have not received stimulant medication for the last 6 months

Disqualifiers

has serious mental health comorbidities (Children with depression, anxiety, oppositional defiant disorder will be permitted to participate. Children with schizophrenia, bipolar disorder, conduct disorder and those who have been hospitalized for any mental health condition will be excluded from the study.)

has severe neurodevelopment disorders (Children with well-controlled seizure disorders will be permitted to participate.)

is currently receiving, or previously received, atypical antipsychotic medication treatment

is or becomes pregnant

Trial design

Design model

Parallel

Treatments tested in this trial

  • RAMP Reports

    Other intervention

    Participants will receive text-based requests for reports with embedded links to select radio button questionnaires directly on their mobile device. Questions include current inattention/hyperactivity symptoms, school performance, and any engagement in behavioral therapy. Inattention/hyperactivity symptom questions and scoring is taken directly from the publicly available Vanderbilt Rating Scales, which is a commonly used, guideline-recommended tool for both diagnosis and management of ADHD for use by parents and teachers.

  • Digital Education Handouts

    Other intervention

    The digital education handouts will be sent via email to the control group and will serve as an attention control. They will consist of information regarding a general pediatric health topic and will be emailed at intervals matching the RAMP requests in the intervention group.

Treatment groups

36 Participants
are divided into 2 treatment groups
Group A: RAMP ReportsExperimental treatment 1 intervention
Group B: Digital Education HandoutsActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Evaluate completion of clinical assessments by caregivers and teachers.

The number of clinical assessments (paper assessments in control and RAMP Reports in intervention) per participant that are completed by caregivers and teachers and returned to providers for ADHD management.

Time frame
6 Months

Secondary outcomes

1

Evaluate provider acceptability of the RAMP through utilization measures.

The proportion of all submitted RAMP Reports that are reviewed by providers.

Time frame
6 Months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

IDeA States Pediatric Clinical Trials Network

Lead sponsor

Medical University of South Carolina

Collaborator

University of Mississippi Medical Center

Collaborator

National Institutes of Health (NIH)

Collaborator