PArents, Teachers and CHildren WORKing together (PATCHWORK)

ISRCTN ISRCTN87634685
DOI https://doi.org/10.1186/ISRCTN87634685
Secondary identifying numbers N/A
Submission date
18/05/2012
Registration date
03/07/2012
Last edited
13/06/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Early intervention for childhood behavioural problems may help improve health and educational outcomes in affected children. The National Institute for Health and Clinical Excellence (NICE) guidelines for a common childhood behavioural disorder, Attention Deficit / Hyperactivity Disorder (ADHD), recommend a stepped care approach for the identification and management of behaviour problems in children. Programmes for parents involving educational approaches and behavioural management training may be sufficient for some children and families. Evidence also suggests that the effects of such programmes can be enhanced if information about the behavioural approaches being used is shared with teachers. Through primary schools, we aim to test the implementation of a programme for parents of 4-8 year old children who have high levels of hyperactivity and inattention.

Who can participate?
Parents of 4-8 year old children who score high on a screening measure of hyperactivity and inattention.

What does the study involve?
The first stage involves the parent completing a short questionnaire about their child. Depending on their child’s score on the questionnaire, some parents will be invited to take part in the second stage. Participating parents will join one of three approaches involving different amounts of discussion between teachers and parents about approaches to managing children’s behaviour. The choice will depend upon which approach has been assigned at random to the child’s school. This will allow us to compare which type of approach works best. Parents will be asked to complete a number of questionnaires before the study starts and again at 3 months and 6 months following this.

What are the possible benefits and risks of participating?
Parent-based programmes looking at how best to manage the behaviour of young children show promise. Most parents find taking part in these programmes enjoyable and helpful. Participating parents will be helping researchers to better understand the acceptability and effectiveness of these approaches. The findings could be very helpful in improving the way in which schools and health services work with parents. Taking part in this research may or may not be of direct benefit to participating parents and their children. It is hoped that the results will help in the future education of children and in providing better services for children and families. There are no known risks of taking part in this research. However, parents will be asked to give some of their time to complete the initial questionnaire and possibly take part in one of the group discussions with other parents. If this approach is assigned to their child’s school, the parent group discussions will take place over three meetings, lasting about one and a half hours each.

Where is the study run from?
From the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Nottinghamshire, Derbyshire and Lincolnshire (NDL) based at the University of Nottingham (UK).

When is the study starting and how long is it expected to run for?
From October 2011 for two years.

Who is funding the study?
National Institute for Health Research (NIHR) (UK).

Who is the main contact for the study?
Dr Kapil Sayal
kapil.sayal@nottingham.ac.uk

Study website

Contact information

Dr Kapil Sayal
Scientific

Developmental Psychiatry
Queen's Medical Centre (QMC)
University of Nottingham
Nottingham
NG7 2UH
United Kingdom

Phone +44 (0)115 8230264
Email kapil.sayal@nottingham.ac.uk

Study information

Study designInterventional cluster randomised controlled trial with nested qualitative study
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleGroup ADHD Parenting Programme: Early interventions and school-based input for children at risk of ADHD to improve outcomes
Study acronymPATCHWORK
Study hypothesisThere will be a greater reduction in attention deficit hyperactivity disorder (ADHD) symptoms on a teacher-rated and parent-rated questionnaire in children whose parents and teachers both receive an intervention compared to a parent-only intervention group and a no intervention (control) group.
Ethics approval(s)University of Nottingham Medical School Ethics Committee, 25/08/2010, ref: C/07/2010
ConditionAttention deficit hyperactivity disorder (ADHD) symptoms, inattention, overactivity, impulsiveness
InterventionSchools are randomised into 1 of 3 arms:

Following initial screening, all parents who meet the inclusion criteria will be invited into the arm to which the school is randomised.
Arm 1 – Parents will be invited to take part in a three session group parent training programme. Teachers will receive an educational training package that covers the strategies being discussed with the parents (combined intervention)
Arm 2 – Parents will be invited to take part in a three session group parent training programme (parent-only intervention)
Arm 3 – no intervention control arm
Intervention typeBehavioural
Primary outcome measureShort version of Conners’ Teacher and Parent Rating Scales Revised, completed at baseline and follow-up (2 weeks, 3 months, 6 months after intervention)
Secondary outcome measures1. Parental burden (SDQ)
2. Parental well-being (Malaise Inventory)
3. Child quality of life (EQ5DY)

Measured at baseline and follow up (3 months and 6 months after intervention)
Overall study start date12/10/2011
Overall study end date30/09/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsParents and Teachers of 72-144 children across 6-12 schools.
Participant inclusion criteria1. Parents of 4 to 8 year old children
2. Parents of children who score 6 or above on the hyperactivity/inattention subscale of the Strength and Difficulties Questionnaire, parent version (SDQ)
Participant exclusion criteriaParents of 4 to 8 year old children who score 5 or less on the hyperactivity/inattention subscale of the Strength and Difficulties Questionnaire, parent version (SDQ)
Recruitment start date12/10/2011
Recruitment end date30/09/2013

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Nottingham
Nottingham
NG7 2UH
United Kingdom

Sponsor information

University of Nottingham (UK)
University/education

University Park
Nottingham
NG7 2UH
England
United Kingdom

Phone +44 (0)115 9515151
Email sponsor@nottingham.ac.uk
Website http://www.nottingham.ac.uk
ROR logo "ROR" https://ror.org/01ee9ar58

Funders

Funder type

Government

National Institute for Health Research [NIHR] (UK) - Collaboration for Leadership in Applied Health Research and Care (CLAHRC)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 03/09/2012 Yes No
Results article results 17/11/2015 Yes No
Results article results 01/07/2016 Yes No

Editorial Notes

13/06/2016: Publication reference added.