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The feasibility of a strategy for the remote recruitment, consenting and assessment of recent referrals: A protocol for Phase 1 of the On-Line Parent Training for the Initial Management of ADHD referrals (OPTIMA).

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Kasia Kostyrka-Allchorne, Claire Ballard, Sarah Byford, Samuele Cortese, David Daley, Johnny Downs, Blandine French, Cristine Glazebrook, Kimberley Goldsmith, Madeleine Groom, Charlotte L. Hall, Ellen Hedstrom, Zina Ibrahim, Christine Jarvis, Hanna Kovshoff, Jana Kreppner, Nancy Lean, Anna Morris, Walter Muruet Gutierrez, Kapil Sayal & 5 more James Shearer, Emily Simonoff, Margaret Thompson, Lukasz Zalewski, Edmund Sonuga-Barke

Original languageEnglish
Article number1
JournalPilot and Feasibility Studies
Volume8
Issue number1
DOIs
Accepted/In press3 Dec 2021
PublishedDec 2022

Bibliographical note

Funding Information: This project is funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research (RP-PG-0618-20003). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: Thank you to Cathy Laver-Bradbury for providing advice on the STEPS concept and content. Special thanks go to Catherine Thompson for her work on an earlier prototype – New Forest On-Line. KG’s contribution represents independent research part funded by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. KG is also supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: STEPS concepts and content was designed by ESB, DD, JD, HK, JK and MT with SC providing advice. STEPS visual design and digital implementation were completed by TOAD with funding provided to ESB by the South London & Maudsley NHS Trust. Videos were produced by Eye Witness Productions Ltd. funded by Solent NHS Trust. Funding Information: Thank you to Cathy Laver-Bradbury for providing advice on the STEPS concept and content. Special thanks go to Catherine Thompson for her work on an earlier prototype ? New Forest On-Line.?KG?s contribution represents independent research part funded by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation?Trust and King?s College London. KG is also supported by the National Institute for Health Research (NIHR) Applied Research?Collaboration South London (NIHR ARC South London) at King?s College Hospital NHS Foundation Trust. The views expressed?are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. King?s College London Address: Room 5.31, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA Telephone: +44 (0)207 8483224 Email: reza.razavi@kcl.ac.uk The South London and Maudsley NHS Foundation Trust Address: R&D Office (POO5), Room W1.09, IoPPN Main Building, King's College London, De Crespigny Park, London SE5 8AF. Telephone: +44 (0)207 8480675 Email: slam-ioppn.research@kcl.ac.uk The sponsors and funders played no role in the study design. Funding Information: ESB has received speaker fees, consultancy or research funding from Takeda, Neurotech Solutions, QBtech and Medice. He has received royalties from the New Forest Parenting Programme. DD reports speaker fees, consultancy and funding from Shire/Takeda, Medice and Eli Lilly. Non-financial support from Medice and Qb Tech. He has received royalties from the New Forest Parenting Programme and fees for the provision of training and supervision for the New Forest Parenting Programme. MT has received royalties from the New Forest Parenting Programme and fees for the provision of training and supervision for the New Forest Parenting Programme. SCo declares honoraria and reimbursement for travel and accommodation expenses for lectures from the following non-profit associations: Association for Child and Adolescent Central Health (ACAMH), Canadian ADHD Alliance Resource (CADDRA), British Association of Pharmacology (BAP) and from Healthcare Convention for educational activity on ADHD. JD and AM are supported by an NIHR Clinician Science Fellowship award (CS-2018-18-ST2-014). JD has received support from a Medical Research Council (MRC) Clinical Research Training Fellowship (MR/L017105/1) and Psychiatry Research Trust Peggy Pollak Research Fellowship in Developmental Psychiatry. Publisher Copyright: © 2021, The Author(s).

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Abstract

Background: In the UK, children with high levels of hyperactivity, impulsivity and inattention referred to clinical services with possible attention-deficit/hyperactivity disorder (ADHD) often wait a long time for specialist diagnostic assessment. Parent training (PT) has the potential to support parents during this difficult period, especially regarding the management of challenging and disruptive behaviours that often accompany ADHD. However, traditional face-to-face PT is costly and difficult to organise in a timely way. We have created a low-cost, easily accessible PT programme delivered via a phone app, Structured E-Parenting Support (STEPS), to address this problem. The overall OPTIMA programme will evaluate the efficacy and cost-effectiveness of STEPS as a way of helping parents manage their children behaviour while on the waitlist. To ensure the timely and efficient evaluation of STEPS in OPTIMA, we have worked with children’s health services to implement a remote strategy for recruitment, screening and assessment of recently referred families. Part of this strategy is incorporated into routine clinical practice and part is OPTIMA specific. Here, we present the protocol for Phase 1 of OPTIMA—a study of the feasibility of this remote strategy, as a basis for a large-scale STEPS randomised controlled trial (RCT). Methods: This is a single arm observational feasibility study. Participants will be parents of up to 100 children aged 5-11 years with high levels of hyperactivity/impulsivity, inattention and challenging behaviour who are waiting for assessment in one of five UK child and adolescent mental health or behavioural services. Recruitment, consenting and data collection will occur remotely. The primary outcome will be the rate at which the families, who meet inclusion criteria, agree in principle to take part in a full STEPS RCT. Secondary outcomes include acceptability of remote consenting and online data collection procedures; the feasibility of collecting teacher data remotely within the required timeframe, and technical difficulties with completing online questionnaires. All parents in the study will receive access to STEPS. Discussion: Establishing the feasibility of our remote recruitment, consenting and assessment strategy is a pre-requisite for the full trial of OPTIMA. It can also provide a model for future trials conducted remotely.

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