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Study protocol for a pilot study for Remote ADHD Monitoring Program (RAMP) for children in rural areas.

Claire A MacGeorge1, Matthew Henry2, Hannah A Ford3

  • 1Medical University of South Carolina, Charleston, South Carolina, United States of America.

Plos One
|December 2, 2025
PubMed
Summary
This summary is machine-generated.

The Remote ADHD Monitoring Program (RAMP) pilot study tested a text-based platform to improve communication for children with Attention-deficit/hyperactivity disorder (ADHD). This technology aims to enhance medication management for pediatric ADHD patients in underserved areas.

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Area of Science:

  • Pediatric Health
  • Digital Health Interventions
  • Neurodevelopmental Disorders

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is a common childhood neurodevelopmental condition requiring medication management.
  • Standardized symptom reports are crucial for optimizing stimulant medication dosage in children with ADHD.
  • Children in under-resourced areas face significant barriers to accessing evidence-based ADHD care, including medication titration.

Purpose of the Study:

  • To evaluate the feasibility and uptake of the Remote ADHD Monitoring Program (RAMP) in practices serving rural or underserved children.
  • To compare the submission rates of structured symptom reports between the RAMP intervention and usual care.
  • To assess the utilization of the RAMP platform by healthcare providers.

Main Methods:

  • A pilot feasibility study protocol involving 36 dyads (caregiver-child) aged 5-11 with ADHD, starting or restarting stimulant medication.
  • Randomized controlled trial design with a 1:1 allocation to either the RAMP intervention or usual care with attention controls.
  • Primary outcome: number of completed symptom reports (caregiver and teacher) per participant. Secondary outcome: proportion of submitted RAMP reports reviewed by providers.

Main Results:

  • This section is not available in the provided abstract.
  • This section is not available in the provided abstract.
  • This section is not available in the provided abstract.

Conclusions:

  • Leveraging technology, such as the RAMP text-based platform, can improve efficiency in optimizing medication management for children with ADHD.
  • The RAMP intervention shows potential for enhancing communication between caregivers, teachers, and healthcare providers, crucial for managing chronic conditions in children.
  • Future trials are warranted to examine the effectiveness of the RAMP intervention on symptom improvement in pediatric ADHD.