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CompletedNCT05937347NeuroMindUpdated Dec 13, 2024

Mindfulness and Cognitive Training Programs for Children with ADHD (the NeuroMind Study)

An interventional study of TAU + UP4H and TAU + M4H in ADHD, sponsored by Fundació Sant Joan de Déu. Completed at 1 site in Spain. Open to participants aged 7 Years to 12 Years. Per ClinicalTrials.gov, last updated 2024-12-13.

Sponsored by Fundació Sant Joan de Déu · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
122
Allocation
Randomized
Ages
7 Years to 12 Years
Sex
All
01

Study summary

The present project will evaluate through a Randomized Controlled Trial (RCT) with 5-month follow-up, the efficacy (5-month time horizon), adjunctive to TAU, of three 8-week interventions: a) the Mindfulness for Health program (i. e., M4H), b) a Cognitive Training (CT) program through NeuronUp platform and a program combining both (Mindfulness and Cognitive Training program, i. e., UP4H), a, as compared to TAU, in children (7-12 years old) with ADHD. In order to evaluate stability of clinical changes and to determine the mechanisms of action of the interventions studied, pre-post changes and at 5-months followup after the start of treatment will be evaluated in ADHD symptoms (inattention, hyperactivity, impulsivity), general functioning, clinical global impression, executive functions (verbal fluency, working memory, cognitive flexibility, inhibition), and comorbid symptoms (disruptive behavior, anxiety and depression) along with mindfulness skills. In the field of personalized treatment in ADHD, the design of the present study will also make it possible to establish whether certain baseline psychosocial and clinical characteristics may be associated with short- and medium-term clinical response to each of the treatments studied.

Read the detailed description

Introduction: The NeuroMind study is aimed at assessing the efficacy of 3 interventions based on Mindfulness and/or Cognitive Training programs: a Mindfulness and Cognitive Training program (i. e., UP4H), a Mindfulness program (i. e., M4H) and a Cognitive Training program (i. e. CT). This study will evaluate the short- and mid-time efficacy of these 3 interventions for the first time in children with ADHD. The objectives of this 5-month RCT, are (i) to examine the efficacy of adding UP4H, M4H or CT to treatment-as-usual (TAU) for children (7-12 years old) with ADHD; (ii) to identify pre-post differences in ADHD symptoms (inattention, hyperactivity, impulsivity), in executive functions (verbal fluency, working memory, cognitive flexibility, inhibition), and in comorbid symptoms (disruptive behavior, anxiety and depression) in the four study arms and (iii) to analyze the role of the mindful attention awareness as a psychological process variable mediator of 5-month clinical outcomes. Methods and analysis: Participants will be 120 children with ADHD (7-12 years old) recruited at CSMIJ Sant Joan de Déu Terres de Lleida (Lleida, Spain), randomly allocated to one of the four study arms: TAU vs TAU+CT vs TAU+M4H vs TAU+UP4H. A comprehensive assessment to collect ADHD symptoms (inattention, hyperactivity, impulsivity), executive functions (verbal fluency, working memory, cognitive flexibility, inhibition), comorbid symptoms (disruptive behavior, anxiety and depression), mindful attention awareness, general functioning and clinical global impression will be conducted pre-intervention, post-intervention (8 weeks), and at 5-month follow-up. Linear mixed-effects model analyses, mediation analysis and sensitivity analyses will be conducted on the basis of intention-to-treat approach and according to whether the patients are completers, or whether they completed the majority of the sessions (75% attendance).

02

Conditions studied

  • ADHD

Keywords

  • ADHD
  • Children
  • Mindfulness
  • Cognitive Training
  • Randomized Controlled Trial
03

In context

Attention Deficit Disorder with Hyperactivity

1,548 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 254 are open to participants now.

This study's enrollment of 122 is above the median of 71 across 1,233 interventional studies indexed under Attention Deficit Disorder with Hyperactivity.

Browse Attention Deficit Disorder with Hyperactivity studies →

Lead sponsor

Fundació Sant Joan de Déu is the lead sponsor of 70 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
7 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children of both sexes, between 7 and 12 years of age.
  • Diagnosis of ADHD according to the DSM-5 criteria by a specialist and confirmed by the Kiddie-Schedule for Affective Disorders and Schizophrenia, Present and Lifetime Version (K-SADS-PL).
  • ADHD medication dose is stable in the last 2 months or there is an informed decision on not taking ADHD medication.
  • Children and parents have an adequate mastery of the Spanish language.
  • Children and parents are available to meet all visits.
  • Children's representatives (either parents or legal guardians) must understand the conditions of the study and sign the informed consent.
  • Psychiatric comorbidities are allowed except psychosis, bipolar illness, active suicidality, untreated posttraumatic stress disorder or substance use (checked by the structured interview K-SADS-PL) , provided ADHD is the primary diagnosis in the child.
  • Children have an IQ ≥ 80 checked by the Kaufman Brief Intelligence Test (K-BIT).

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of Autism Spectrum Disorder (ASD) according to the DSM-5 criteria by a specialist or confirmed by the Social Communication Questionnaire (SCQ).
  • Children who received psychological or psycho-educational treatment in the last 2 months or whose parents don't agree not to seek it during the study.
  • Children have participated in a mindfulness programme in the past or the current year
  • Children are participating in another clinical trial.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
122 participants (actual)

Study arms

  • Experimental
    TAU + UP4H

    UP4H is a face-to-face and virtual non-pharmacological program based on Mindfulness Training and Cognitive Training.

    Behavioral: TAU + UP4H

  • Active comparator
    TAU + M4H

    M4H is a face-to-face non-pharmacological program based on Mindfulness Training.

    Behavioral: TAU + M4H

  • Active comparator
    TAU + CT

    CT is a virtual non-pharmacological program based on Cognitive Training.

    Behavioral: TAU + CT

  • Active comparator
    Treatment as Usual (TAU)

    Treatment as Usual (TAU) consisted of the prescribed drugs adapted to the ADHD symptomatic profile of each child.

    Other: Treatment as Usual (TAU)

Interventions

  • BehavioralTAU + UP4H

    Group treatment protocol of 8 weeks (approximately 105 minutes per week, 75 of face-to-face and 30 of virtual intervention).

  • BehavioralTAU + M4H

    Group treatment protocol of 8 weekly 75 minute sessions (face-to-face intervention).

  • BehavioralTAU + CT

    Group treatment protocol of 8 weekly 60 minutes sessions (virtual intervention).

  • OtherTreatment as Usual (TAU)

    Standard pharmacological treatment usually provided to children with ADHD.

06

What researchers measure

Primary outcomes

  1. ADHD symptoms (inattention, hyperactivity, impulsivity)

    Conners' Parent Rating Scale-Revised (CPRS-R) Short form

    Time frame: Change from baseline values at 5 months

  2. ADHD symptoms (inattention, hyperactivity, impulsivity)

    Conners Continuous Performance Test 3rd Edition (CPT-3)

    Time frame: Change from baseline values at 5 months

Secondary outcomes

  1. Executive functions (verbal fluency, working memory, cognitive flexibility, inhibition)

    Neuropsychological Assessment of Executive Functions in Children (ENFEN)

    Time frame: Change from baseline values at 5 months

  2. Disruptive behavior, anxiety and depression

    Child Behavior Checklist (CBCL)

    Time frame: Change from baseline values at 5 months

  3. Mindful attention awareness

    Mindful Attention Awareness Scale Adapted for Children (MAAS-C). Total scores of the MAAS-C range from 15 to 90, where higher scores mean a better mindful attention awareness.

    Time frame: Change from baseline values at 5 months

  4. General functioning

    Children's Global Assessment Scale (CGAS). Total scores of the CGAS range from 1 to 100, where higher scores means a better general functioning.

    Time frame: Change from baseline values at 5 months

  5. Clinical Global Impression

    Clinical Global Impression Scale (CGI). Total scores of the CGI range from 0 to 7, where higher scores means a worse clinical global impression.

    Time frame: Change from baseline values at 5 months

  6. Anxiety

    Screen for Child Anxiety Related Disorders (SCARED)

    Time frame: Change from baseline values at 5 months

07

Study locations

1 site
  • Fundació Privada per a la Recerca i la Docència Sant Joan de Déu (FSJD)
    Esplugues de Llobregat, Barcelona 08950, Spain
08

References and documents

Publications

  • Badia-Aguaron T, Royuela-Colomer E, Pera-Guardiola V, Verges-Balasch P, Cebolla A, Luciano JV, Soler J, Feliu-Soler A, Huguet Miguel A. Combining mindfulness and cognitive training in children with attention deficit hyperactivity disorder: study protocol of a pilot randomized controlled trial (the NeuroMind study). Front Psychol. 2024 Feb 7;15:1291198. doi: 10.3389/fpsyg.2024.1291198. eCollection 2024. PubMed 38384348 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2023 to primary completion in Mar 2024, 8 months.

Of 393 non-industry interventional studies with no phase under Attention Deficit Disorder with Hyperactivity, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 43. This study's 8 months is below that.

Counting every sponsor, half of 418 studies reached it within 22 months; a quarter within 11 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
May 29, 2023
First posted
Jul 10, 2023
StartActual
Jul 20, 2023
Primary completionActual
Mar 22, 2024
CompletionActual
Jul 26, 2024
Last update
Dec 13, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05937347
Lead sponsor
Fundació Sant Joan de Déu
Collaborators
Universitat Autonoma de Barcelona
Responsible party
Sponsor
First posted
Jul 10, 2023
Start date
Jul 20, 2023
Primary completion
Mar 22, 2024
Completion
Jul 26, 2024
Last update
Dec 13, 2024

Study contacts

Anna Huguet, PhD
principal investigator · CSMIJ Sant Joan de Déu Terres de Lleida
Albert Feliu, PhD
principal investigator · Universitat Autonoma de Barcelona

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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