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NCT Number: NCT06703242

Pilot Study on a Health Promotion Intervention for Ultra-Orthodox Mothers of Children With ADHD

The goal of this study is to evaluate the feasibility and effectiveness of a health promotion intervention for Ultra-Orthodox Jewish mothers of children with ADHD.

This study will examine the impact of a culturally tailored group-based intervention aimed at reducing stress, enhancing health, and improving the well-being of mothers.

The main questions this study aims to answer are:

1. Is the intervention feasible for mothers to participate? 2. Does the intervention improve maternal knowledge about ADHD and reduce stigma? 3. Does it help reduce maternal stress and enhance self-care practices?

Participants include:

Mothers: Ultra-Orthodox Jewish mothers with a child (ages 6-12) diagnosed with ADHD and no other major health conditions in the family (other than ADHD).

Educators: School educators with at least 5 years of experience teaching children with ADHD in the Ultra-Orthodox community.

What participation involves:

Mothers will attend six weekly teletherapy group sessions, with 6-8 mothers per group. They will complete questionnaires before and after the intervention (approximately 30 minutes each) and participate in a 90-minute remote focus group to provide feedback on the program.

Educators will attend a single teletherapy group session (90 minutes) during the program (session 5) and participate in a 90-minute remote interview to provide feedback on the program.

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Key information

Conditions

Attention Deficit Disorder With Hyperactivity (ADHD) Attention Deficit Disorder with Hyperactivity Attention Deficit and Disruptive Behavior Disorders Mental Disorders Neurodevelopmental Disorders

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

About this study

After providing informed consent, mothers will complete questionnaires which will take approximately 30 minutes before beginning the program. Mothers will then be assigned non-randomly to the intervention or control group. Mothers assigned to the control group will receive the intervention after the completion of the first intervention group (delayed).

The six sessions of the intervention will be teletherapy and each session will be one and a half hours in length. Each group will consist of 6-8 mothers per group.

Inclusion criteria

included mothers who identify as ultra-orthodox Jewish, have a child between the ages of 6-12 years old who have been diagnosed with ADHD by a licensed medical professional, and who do not have any other medical diagnosis.

The topics discussed in the intervention will include: Awareness/knowledge regarding ADHD and its biological origins, Identifying resources and optimal treatment for ADHD for the child and the mother, Strategies for child ADHD management in the school, and the legitimacy and importance of maternal self-care.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • mothers of children with ADHD aged 6- 12 years old
  • Mothers who identify as ultra-orthodox Jews
  • Child diagnosis was by a licensed medical professional

Exclusion criteria

  • Child medical diagnosis other than ADHD

Treatment and study plan

Health promotion for mothers of children with ADHD in the ultra-orthodox community

Other

The intervention will consist of 3 modules with six sessions. Mothers will gain knowledge in topics related to understanding the ADHD health condition and its biological origins, optimal and recommended treatment options, school management techniques, and the importance of taking care of their own health.

Primary outcomes

  1. Change in maternal ADHD Knowledge as measured by the ADHD Knowledge Questionnaire (Bussing, 2014)

    Time frame: from enrollment until the end of the six week sessions of the intervention

    The summary knowledge score is composed of the sum of 5 variables:

    • Ever heard of ADHD (no =0; yes= 1)
    • Recency of information (0= heard months to years ago or never; 1= heard days to weeks ago)
    • Self-rated knowledge amount (0= knows little to nothing; 1 =knows some or a lot)
    • Number of information sources used (0= none or one; 1 = two or more sources cited)
    • Attribution of ADHD to sugar in the diet (0= probably or definitely true; 1 =probably or definitely false).

    Knowledge scores can range from 0 to 5 ('0' indicating the least amount of knowledge), and were normally distributed (mean =2.6, SD =1.6, median =3)

  2. Change in maternal ADHD stigma as measured by the ADHD Stigma Scale

    Time frame: from enrollment until the end of the six week sessions of the intervention

    The questions ask about some of the experiences, feelings, and opinions people with ADHD might have and how they are treated. Each item is rated on a 4-point Likert scale (1=strongly disagree; 2=disagree; 3-agree; 4=strongly agree), with higher scores indicating higher stigma perceptions.

    The overall stigma score is composed of the sum of all 26 items

  3. Change in maternal stress as measured by the Parental Stress Items

    Time frame: from enrollment until the end of the six week sessions of the intervention

    Parenting Stress Items measures parental stress, by asking parents to consider how "tense" or "frustrated" they feel about parenting their children. Includes 11 items scored on a four-point scale (1¼not at all to 4¼very much so), yielding scores ranging from 11-44, with higher scores indicating greater levels of parenting stress.

  4. Change in maternal participation in health promoting activities as measured by the Health Promoting Activities Scale

    Time frame: from enrollment until the end of the six week sessions of the intervention

    Health Promoting Activities Scale (HPAS) is an eight-item measure that assesses frequency of participation in social, emotional, physical, and spiritual leisure activities on a seven-point scale (1=never to 7=once or more every day). Scores range from 8 to 56, with higher scores indicating more frequent participation

Study contacts

Contact information is provided by the study sponsor or research team.

Jennifer Budman, PhD

CONTACT

[email protected]

972 503422600

Sponsors and collaborators

Lead sponsor

Adina Maeir

Other

Collaborators

  • Monash University

Registry information

Official study title

Non-randomized Controlled Pilot Study of a Health Promotion Program for Mothers of Children in the Ultra-orthodox Community: Examining Feasibility

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Nov 25, 2024
Registry last updated
Nov 27, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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