DNP Practicum Readiness Form Assignment

DNP Practicum Readiness Form Assignment

DNP Practicum Readiness Form Assignment

The Impact of Behavioral Parent Training on Impairment Rating Scale Scores in Children with ADHD

Issue Identified by Decision Makers

Following interactions with decision-makers at the pediatric outpatient mental health clinic, they identified a need for increasing attention and cognitive performance in children aged 8 to 12 with ADHD. They have expressed interest in using EndeavorRx, a digital therapeutic game, as a cutting-edge, research-based strategy to support their current procedures. This DNP practicum project aims to incorporate EndeavorRx into the clinic’s current treatment plan and evaluate how well it improves cognitive results for these kids.

Translation Science Model: Knowledge to Action (KTA) model

Problem Statement

Children with ADHD have significantly lower cognitive functioning and quality of life, affecting their academic performance and interpersonal interactions (Bong & Kim, 2021). The current therapies for children with Attention Deficit Hyperactivity Disorder may not completely meet their unique cognitive needs, resulting in ongoing attention and mental abilities challenges. Despite receiving standard care, many children with ADHD struggle with these issues (Storebà¸, 2019). Therefore, a shift in practice is required to include novel interventions that can successfully improve cognitive and attentional functioning in this population. EndeavorRx, a digital therapy game, is one such intervention that has demonstrated promising effects in enhancing cognitive outcomes for kids with ADHD (Kollins et al., 2020). By implementing these novel approaches, we can better address the mental challenges faced by children with ADHD.

Need for change

Controlling ADHD is becoming more urgent worldwide due to its high occurrence and challenges to children’s cognitive development and overall well-being (Sandstrom et al., 2021). An increased focus is being placed on incorporating cutting-edge, empirically supported interventions that can support conventional therapies and improve the cognitive results of kids with ADHD (Chiu et al., 2023). Decision-makers at our practicum site have recognized the necessity of enhancing the cognitive and attentional abilities of children with ADHD. Based on the possible advantages suggested by recent research, they have expressed interest in introducing EndeavorRx, a digital therapeutic game that can supplement their current procedures (Kollins et al., 2020). As a result, we need to investigate and implement such interventions at our facility, which aligns with a global shift toward cutting-edge, evidence-based methods for controlling ADHD.

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The Purpose of the Proposed Project

The proposed DNP project aims to implement and evaluate the effectiveness of the digital therapeutic game, EndeavorRx, in improving attention and cognitive functioning in children aged 8 to 12 years diagnosed with ADHD attending an outpatient mental health clinic. The project aims to improve the cognitive results for this pediatric population by supplementing conventional therapeutic strategies with this novel, evidence-based intervention.

PICOT QUESTION

For children aged below 12 years diagnosed with attention deficit hyperactivity disorder, does behavioral parent training (BPT), compared to current practice, impact impairment rating scale scores in 8-10 weeks?

Population description

This project’s population comprises children aged 8 to 12 years diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). These children are currently undergoing treatment at the outpatient mental health clinic where this study will be executed. This project’s planned participant size is 50 children. The clinic’s capacity, the frequency of ADHD among its pediatric clientele, and the parents’ or guardians’ willingness to grant their children’s participation permission all had a role in determining this number.

Inclusion criteria

1. Children between the ages of 8 and 12.
2. Having been given an ADHD diagnosis by a medical expert.
3. Currently under treatment at an outpatient mental health center.

Exclusion Criteria

1. Children outside the age range of 8 to 12 years.
2. Children who have co-occurring severe mental health issues that would preclude the intervention from being used or evaluated.
3. Kids whose guardians refuse to permit them to participate.

Explanation of the Intervention

In this project, EndeavorRx, a digital therapeutic game, will be part of the treatment plan for children diagnosed with ADHD. According to Kollins et al. (2020), EndeavorRx was created to target and enhance attention function in kids with ADHD. EndeavorRx, according to Jurigova et al. (2021), is an online therapy game made to help children with ADHD focus better. It uses a customized, adaptable algorithm that adapts the game’s difficulty based on the child’s performance, encouraging long-term engagement and the growth of cognitive skills. EndeavorRx has shown positive results in improving attention and executive functioning in children with ADHD. To implement this intervention, children diagnosed with ADHD at the outpatient mental health clinic will be introduced to EndeavorRx. Parents or caregivers will receive instructions on downloading and installing the game on their home devices and guidance on how to use it. The kids will be encouraged to play the game for a specific duration each day, following either the manufacturer’s suggestions or the clinic’s guidelines.

The children’s progress during the intervention will be followed by regularly checking in with parents or caregivers and providing updates. The effectiveness of the intervention will be assessed using various methods. These include electroencephalogram changes, standardized cognitive tests such as the Kingstone cognitive test, rating scales from parents and teachers, and measures of academic performance. The Variables will be measured before and after the intervention to see how it impacts the individual. The researchers will analyze the results to see how EndeavorRx affects attention function and ADHD symptoms in children with ADHD, as mentioned in the study by Choi et al. (2022). This intervention follows the principles of the translational science model, which focuses on using research findings in real-world clinical settings to enhance patient outcomes.

Project’s Feasibility

It is possible to implement the EndeavorRx intervention within 8-10 weeks. In large part, the intervention uses the EndeavorRx game, which can be quickly installed on suitable devices. Due to its simple distribution and use, the digital nature of the game makes it an ideal intervention to implement and monitor during this period.

Nonetheless, it is essential to be aware of the following potential obstacles:

1. Technological limitations: Some children may not have the necessary technology and internet connection to use EndeavorRx. Not all children may have access to the required technology and internet connection for EndeavorRx. A mitigation strategy may involve collaborating with local organizations or schools to provide the necessary instruments or to facilitate Internet access.
2. Engagement and Compliance: Children may lose interest in EndeavorRx or cease using it as directed over time. This can be prevented by establishing routine check-ins with parents and children to resolve issues and provide assistance. Adding a rewards system to the game may also be considered to encourage continued use.
3. Data Collection and Evaluation: Collecting accurate data before and after the intervention might be complex because the study is short. To ensure we gather all the necessary information within the project’s timeframe, it is essential to conduct initial assessments as soon as we have consent and schedule post-intervention evaluations ahead of time.
4. Parental Support: Parents are crucial to this intervention because they ensure that the EndeavorRx game is regularly played. To ensure parental participation and support, it will be vital to provide precise instructions, establish expectations from the outset, and maintain open lines of communication.

 We can confidently proceed with the suggested intervention within the 8–10 week window by proactively resolving these potential obstacles and having backup plans.

Data Collection Plan

This intervention’s primary measurable result is increased attention and cognitive performance in children with ADHD. The ADHD Rating Scale IV (ADHD-RS-IV), an electroencephalogram (EEG), and standardized cognition tests such as the Kingston Cognition Assessment (KCA) will be the specific tools used for data collection. The well-known and trustworthy ADHD-RS-IV will gauge symptom changes (Mei et al., 2022). The EEG will provide an objective assessment of changes in brain activity that are connected to attention and cognitive function. The KCA will assess cognitive developments, focusing on attention and executive functioning in particular. Both before and after the EndeavorRx intervention is put into place, data will be collected. Before the beginning of the intervention, baseline data will be gathered using the ADHD-RS-IV, EEG, and KCA. After the intervention, these tests will be used again to check for changes in ADHD symptoms and cognitive performance.

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Measurable Outcome(s) as identified in the PICOT question	Data collection process pre- and post-intervention
Reduction in ADHD symptoms	The ADHD-RS-IV will be given to participants before the EndeavorRx intervention is implemented to collect baseline information on ADHD symptoms. To measure any changes in ADHD symptoms, the same assessment will be given after the intervention.
Improvement in cognition and attention	Before the EndeavorRx intervention, baseline cognition and attention will be assessed using the EEG and KCA. The same evaluations will be used to look for changes in attention and cognitive performance after the intervention.

Data Analysis Plan

Paired sample t-tests will be utilized for data analysis to see whether there is a significant difference in ADHD symptoms and cognitive function before and after the intervention. Comparisons will be made between pre-and post-intervention results on the ADHD-RS-IV and KCA and EEG readings. This strategy will enable a quantitative assessment of EndeavorRx’s efficiency in enhancing cognition and attention in children with ADHD within 8–10 weeks.

References

Bong, S. H., & Kim, J. W. (2021). The role of quantitative electroencephalogram in the diagnosis and subgrouping of attention-deficit/hyperactivity disorder. 32(3), 85–92. https://doi.org/10.5765/jkacap.210010

Chiu, H.-J., Sun, C.-K., Cheng, Y.-S., Wang, M. Y., Tzang, R.-F., Lin, F.-L., Cheng, Y.-C., & Chung, W. (2023). Efficacy and tolerability of psychostimulants for symptoms of attention-deficit hyperactivity disorder in preschool children: A systematic review and meta-analysis. European Psychiatry, 66(1), e24. https://doi.org/10.1192/j.eurpsy.2023.11

Jurigova, B. G., Gerdes, M. R., Anguera, J. A., & Marco, E. J. (2021). Sustained benefits of cognitive training in children with inattention, three-year follow-up. PLOS ONE, 16(2), e0246449. https://doi.org/10.1371/journal.pone.0246449

Kollins, S. H., DeLoss, D. J., Cañadas, E., Lutz, J., Findling, R. L., Keefe, R. S. E., Epstein, J. N., Cutler, A. J., & Faraone, S. V. (2020). A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): A randomized controlled trial. The Lancet Digital Health, 2(4), e168–e178. https://doi.org/10.1016/s2589-7500(20)30017-0

Mei, H., Xie, R., Li, T., Chen, Z., Liu, Y., & Sun, C. (2022). Effect of atomoxetine on behavioral difficulties and growth development of primary school children with attention-deficit/hyperactivity disorder: A prospective study. Children, 9(2), 212. https://doi.org/10.3390/children9020212

Sandstrom, A., Perroud, N., Alda, M., Uher, R., & Pavlova, B. (2021). Prevalence of attention‐deficit/hyperactivity disorder in people with mood disorders: A systematic review and meta‐analysis. Acta Psychiatrica Scandinavica. https://doi.org/10.1111/acps.13283

Storebà¸, O. J. (2019). Methylphenidate benefits and harms in children and adolescents with attention deficit/hyperactivity disorder: Two Cochrane systematic reviews. Movement and Nutrition in Health and Disease, 3. https://doi.org/10.5283/mnhd.15

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Draft DNP Practicum Readiness Form

Assignment

Purpose

The purpose of this assignment is to complete the DNP Practicum Readiness Form (located in the DNP Project & Practicum Resources section of the Student Resource Center) in preparation for the practicum courses. The Practicum Readiness Form must be completed entirely because the information will be needed to write the project plan, complete the institutional review board application, and implement the DNP practice change project.

Successful completion of this form is required to enroll in NR711.

Instructions

Complete all pages entirely with sufficient detail, paying attention to the following:

Page 1

If some information does not apply, such as the mentor information, enter Not Applicable. Be sure to answer the questions at the bottom of the page with the check-boxes.

Page 2

Answer all questions and sub-questions. If a sub-question is not completed, the form is considered incomplete.

Enter complete APA references for 5 contemporary research articles (< 5 years old).

A minimum of 2 articles should be related to your practice problem.

A minimum of 3 articles related to your evidence-based intervention.

The form is considered incomplete with less than 2 articles for the practice problem and 3 articles supporting the evidence-based intervention.

Page 3

Explain the steps in your intervention implementation plan in detail so that the reader can implement the same intervention by following your plan’s exact steps.

Examine the feasibility of implementing your project in 8-12 weeks.

Analyze the barriers you anticipate and the strategies to overcome or mitigate the barriers.

Page 4

Explain your data collection plan and process fully so that the reader can replicate the data collection process exactly.

State the outcome(s) you will measure and the data collection process pre-implementation and process post-implementation.

Explain your data analysis plan and the statistical tests you will use to evaluate the outcome data. Importantly, you must complete the two questions with check boxes at the bottom of the page.

Important

You are expected to use your course faculty feedback on this draft assignment to revise your work for the final submission of this assignment in Week 5. The final submission of this assignment in Week 5 is a pass/fail assignment. If the form is completed entirely for the Week 5 assignment, all points will be awarded.

Program Competencies

This assignment enables the student to meet the following program outcomes:

Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)

Appraises current information systems and technologies to improve health care. (POs 6, 7)

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

2. Apply clinical scholarship methodologies for designing, developing, implementing, and evaluating quality improvements and the translation of evidence-based practice, to improve healthcare outcomes at the micro, meso, or macrosystem level. (PCs 1, 3, 5; POs 3, 5, 9) 

3. Appraise and synthesize the highest level of evidence available to improve the quality, cost-effectiveness, and healthcare outcomes of diverse populations. (PCs 1, 2, 3, 4, 6, 8; POs 4, 5, 6, 8) 

Due Date

By 11:59 p.m. MT on Sunday

Late Assignment Policy applies

Rubric

Week 3 Assignment Grading Rubric

Week 3 Assignment Grading Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent
Requirements:

1. Complete page 1 entirely with sufficient detail.

2. Complete page 2 entirely with sufficient detail.

3. Complete page 3 entirely with sufficient detail.

4. Complete page 4 entirely with sufficient detail.

100 pts
The form is completed entirely. There are no unanswered questions and Not Applicable is entered appropriately. All questions are answered in sufficient detail.

0 pts
The form is not completed entirely with unanswered questions and/or answers that are superficial without the required detail.

100 pts

Total Points: 100

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