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CO-produced Nature-based Intervention Feasibility for children with ADHD Study: The CONIFAS2 study protocol

Author

Listed:
  • Kathryn L Date
  • Judith Cohen
  • Peter A Coventry
  • Tracey Dorey
  • Natasha Green
  • Susan Griffin
  • Chao Huang
  • Ellen N Kingsley
  • Michelle Marlow
  • Sarah Sumpter
  • Maureen Twiddy
  • Piran C L White
  • Kat Woolley
  • Hannah A Armitt

Abstract

Introduction: Children with ADHD face significant unmet needs for timely post-diagnostic support in UK NHS services. Nature-based interventions represent a promising under-researched adjunct to conventional treatment. The CONIFAS2 study will assess the feasibility and acceptability of a co-produced, home-based, nature-based intervention embedded in NHS neurodiversity services. Methods and analysis: This is a feasibility randomised controlled trial assessing recruitment, retention, intervention fidelity, data collection and acceptability of both the intervention and trial design. Participants will be children diagnosed with ADHD and their parent/guardian recruited as a dyad from NHS neurodiversity services. Following baseline assessment, dyads will be randomised to either intervention, which consists of structured daily nature-based activities with psychoeducational support, delivered alongside treatment as usual, or treatment as usual only. A mixed methods process evaluation, will refine a programme theory and identify barriers and facilitators to intervention delivery, engagement and implementation in a future definitive trial. A feasibility health economic evaluation will assess the feasibility of collecting resource use, cost and health-related quality of life data to inform a future cost-effectiveness analysis. Dissemination: Findings will inform a future definitive trial and be disseminated via peer-reviewed publications, conference presentations, and community partners. Trial registration: ISRCTN ISRCTN15490570

Suggested Citation

  • Kathryn L Date & Judith Cohen & Peter A Coventry & Tracey Dorey & Natasha Green & Susan Griffin & Chao Huang & Ellen N Kingsley & Michelle Marlow & Sarah Sumpter & Maureen Twiddy & Piran C L White & K, 2026. "CO-produced Nature-based Intervention Feasibility for children with ADHD Study: The CONIFAS2 study protocol," PLOS ONE, Public Library of Science, vol. 21(10), pages 1-16, October.
    • Handle: RePEc:plo:pone00:0359206
    DOI: 10.1371/journal.pone.0359206
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