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Published on: June 12, 2020
The Children's Attention Project: a community-based longitudinal study of children with ADHD and non-ADHD controls
Emma Sciberras1, Daryl Efron, Elizabeth J Schilpzand
1Murdoch Childrens Research Institute, Melbourne, Australia. emma.sciberras@mcri.edu.au
Insights
This Australian study tracks children with Attention-Deficit/Hyperactivity Disorder (ADHD) to understand long-term outcomes and identify factors influencing their development. The research aims to improve interventions and prevention strategies for ADHD.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Public Health
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) impacts 5% of children globally, causing significant functional impairments.
- Few prospective studies exist on community-based ADHD samples to identify outcome predictors.
- The Children's Attention Project is Australia's first longitudinal study of diagnostically confirmed ADHD in children.
Purpose of the Study:
- To map the course of ADHD symptoms over time in a community sample.
- To identify risk and protective factors associated with differential outcomes in children with ADHD.
- To compare mental health, social, academic, and quality of life outcomes between children with and without ADHD.
Main Methods:
- Prospective longitudinal recruitment across 43 socio-economically diverse primary schools in Melbourne, Australia.
- Screening of Grade 1 children (N ≈ 5260) using parent and teacher Conners' 3 ADHD index reports.
- Diagnostic confirmation via NIMH DISC-IV, direct child assessments, and parent/teacher questionnaires assessing outcomes and risk/protective factors.
Main Results:
- This section is not available in the provided abstract.
Conclusions:
- This is the first Australian longitudinal study of children with ADHD from a community sample.
- It is among the first community-based longitudinal studies of diagnostically confirmed ADHD in children.
- The study's comprehensive examination of factors and outcomes may inform new intervention and prevention strategies.
Background:
Attention-Deficit/Hyperactivity Disorder (ADHD) affects approximately 5% of children worldwide and results in significant impairments in daily functioning. Few community-ascertained samples of children with ADHD have been studied prospectively to identify factors associated with differential outcomes. The Children's Attention Project is the first such study in Australia, examining the mental health, social, academic and quality of life outcomes for children with diagnostically-confirmed ADHD compared to non-ADHD controls. The study aims to map the course of ADHD symptoms over time and to identify risk and protective factors associated with differential outcomes.
Methods/Design:
The sample for this prospective longitudinal study is being recruited across 43 socio-economically diverse primary schools across Melbourne, Australia. All children in Grade 1, the second year of formal schooling (6-8 years), are screened for ADHD symptoms using independent parent and teacher reports on the Conners' 3 ADHD index (~N = 5260). Children screening positive for ADHD by both parent and teacher report, and a matched sample (gender, school) screening negative, are invited to participate in the longitudinal study. At baseline this involves parent completion of the NIMH Diagnostic Interview Schedule for Children IV (DISC-IV) to confirm likely ADHD diagnostic status and identify other mental health difficulties, direct child assessments (cognitive, academic, language and executive functioning; height and weight) and questionnaires for parents and teachers assessing outcomes, as well as a broad range of risk and protective factors (child, parent/family, teacher/school, and socio-economic factors). Families will be initially followed up for 3 years.
Discussion:
This study is the first Australian longitudinal study of children with ADHD and one of the first community-based longitudinal studies of diagnostically confirmed children with ADHD. The study's examination of a broad range of risk and protective factors and ADHD-related outcomes has the potential to inform novel strategies for intervention and prevention.
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