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Digital Homework Support Program for Children and Adolescents With Attention-Deficit/Hyperactivity Disorder: Protocol

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Area of Science:

  • Digital health interventions
  • Child and adolescent psychiatry
  • Neurodevelopmental disorders

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) impacts 4-5% of the population, often causing homework-related conflicts and stress for families.
  • Children with ADHD face significant homework challenges, impacting academic performance and family quality of life.
  • Traditional interventions are resource-intensive; digital solutions like smartphone apps offer a promising alternative.

Purpose of the Study:

  • To assess the efficacy of the PANDAH (Programme d'Aide Numérique aux Devoirs pour Enfant avec TDA-H) digital homework support program.
  • To evaluate PANDAH's impact on homework performance and overall family quality of life in children and adolescents with ADHD.

Main Methods:

  • A multicenter randomized controlled trial involving 9 French ADHD reference centers.
  • Participants (9-16 years, ADHD diagnosis, no comorbidities) are randomized into two groups: standard care or PANDAH app.
  • Assessments at baseline, 3, and 6 months, with the primary endpoint being the Homework Performance Questionnaire (HPQ) score at 6 months. Intent-to-treat analysis will be employed.

Main Results:

  • Recruitment initiated in January 2024; the trial is currently ongoing.
  • Hypothesized outcomes include improved HPQ scores for app users compared to controls within 3 months.
  • Further improvements are expected with 6 months of app usage, with adherence measured via in-app metrics.

Conclusions:

  • The PANDAH app represents a contribution to the digital transformation in healthcare, specifically for ADHD management.
  • Smartphone applications offer a scalable approach to self-care and self-management in psychiatry.
  • Academic evaluation of digital tools like PANDAH is crucial, given the industry-driven market for health apps.