Abstract
Behavior therapy is one of two evidence-based treatments for ADHD—the other being stimulant medication. However, there are only a handful of studies of behavioral treatment for ADHD in adolescents (Smith et al. Clinical Child and Family Psychology Review 3:243–267, 2000). Supporting Teens’ Academic Needs Daily (STAND) is a parent-adolescent collaborative behavioral intervention for adolescents with ADHD that can be delivered in clinic, school, and community settings. This pilot study evaluates the feasibility, acceptability, and preliminary efficacy of STAND. Thirty-six male and female middle school students with ADHD and diverse ethnic backgrounds were randomly assigned to STAND or a Treatment as Usual (TAU) control group. Participants were evaluated at baseline, mid-treatment, and post-treatment assessments. Results suggest that STAND can be implemented by even beginner therapists with high treatment fidelity and is accessible to and popular with families. Relative to the TAU group, participants who received STAND showed greater improvements in parent-rated and observed academic and symptom indices. Treatment effects were not present for teacher ratings. Although the STAND group made significant gains in GPA (compared to TAU), these gains were small in size (d = .25). The future of STAND as an academic intervention for adolescents with ADHD is discussed, as well as general implications for behavioral treatment delivery to ADHD adolescents.
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References
American Academy of Child & Adolescent Psychiatry. (2007). Practice parameter for the assessement and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 894–921.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: Author. Text Revision.
American Academy of Pediatrics (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of Attention-Deficit/Hyperactivity Disorder in children and adolescents. Pediatrics, 128. doi:10.1542/peds.2011-2654
Antshel, K. M., Faraone, S. V., & Gordon, M. (2012) Cognitive behavioral treatment outcomes in adolescent ADHD. Journal of Attention Disorders. doi:10.1177/1087054712443155
Bagwell, C. L., Molina, B. G., Pelham, W. E., & Hoza, B. (2001). Attention-deficit hyperactivity disorder and problems in peer relations: predictions from childhood to adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 40(11), 1285–1292.
Barkley, R., Anastopoulos, A., Guevremont, D., & Fletcher, K. (1991). Adolescents with ADHD: patterns of behavioral adjustment, academic functioning, and treatment utilization. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 752–761.
Barkley, R., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2001). The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent–adolescent conflict in teenagers with ADHD and ODD. Journal of Consulting and Clinical Psychology, 69, 926–941.
Biswas, A., Gnagy, E, Molina, B., Pelham, W., (2009). Examining the decline of treatment usage in adolescents with Attention Deficit Hyperactivity Disorder. Poster presented at the annual meeting of the Association for Behavioral and Cognitive Therapies, New York, NY.
Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behaviour Therapy and Experimental Psychiatry, 3, 257–260.
Branna, A. M., Heflinger, C. A., & Bickman, L. (1997). The caregiver strain questionnaire: measuring the impact on the family of living with a child with severe emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212–222.
Bryant, A. L., Schulenberg, J. E., O’Malley, P. M., Bachman, J. G., & Johnston, L. D. (2003). How academic achievement, attitudes, and behaviors relate to the course of substance use during adolescence: a 6-year, multiwave national longitudinal study. Journal Of Research On Adolescence, 13, 361–397.
Chacko, A., Wymbs, B. T., Wymbs, F. A., Pelham, W. E., Swanger-Gagne, M. S., Girio, E., … O’Connor, B. (2009). Enhancing traditional behavioral parent training for single mothers of children with ADHD. Journal Of Clinical Child And Adolescent Psychology, 38, 206–218.
Chronis, A. M., Chacko, A., Fabiano, G. A., Wymbs, B. T., & Pelham, W. E. (2004). Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Clinical Child And Family Psychology Review, 7, 1–27.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum.
Dearing, E., Kreider, H., Simpkins, S., & Weiss, H. (2006). Family involvement in school and low-income children’s literacy: longitudinal associations between and within families. Journal of Educational Psychology, 98, 653–664.
DeBaryshe, B., Patterson, G., & Capaldi, D. (1993). A performance model for academic achievement in early adolescent boys. Developmental Psychology, 29, 795–804.
Dishion, T. J., & Kavanagh, K. (2003). Intervening in adolescent problem behavior: A family-centered approach. New York: Guilford.
Eccles, J. (2004). Schools, academic motivation, and stage-environment fit. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed.). Hoboken: John Wiley & Sons, Inc.
Edwards, G., Barkley, R., Laneri, M., Fletcher, K., & Metevia, L. (2001). Parent–adolescent conflict in teenagers with ADHD and ODD. Journal of Abnormal Child Psychology, 29, 557–572.
Evans, S. W., Pelham, W., & Grudberg, M. (1994). The efficacy of notetaking to improve behavior an comprehension of adolescents with attention deficit hyperactivity disorder. Exceptionality, 5(1), 1–17.
Evans, S. W., Pelham, W., Smith, B., Bukstein, O., Gnagy, E., Greiner, A., et al. (2001). Dose–response effects of methylphenidate on ecologically valid measures of academic performance and classroom behavior in adolescents with ADHD. Experimental and Clinical Psychopharmacology, 9, 163–175.
Evans, S. W., Allen, J., Moore, S., & Strauss, V. (2005). Measuring symptoms and functioning of youth with ADHD in middle schools. Journal of Abnormal Child Psychology, 33, 695–706.
Evans, S. W., Serpell, Z. N., Schultz, B. K., & Pastor, D. A. (2007). Cumulative benefits of secondary school-based treatment of students with attention deficit hyperactivity disorder. School Psychology Review, 36, 256–273.
Evans, S. W., Schultz, B. K., White, L. C., Brady, C., Sibley, M. H., & Van Eck, K. (2009). A school-based organization intervention for young adolescents with attention deficit/hyperactivity disorder. School Mental Health, 1, 78–88.
Evans, S. W., Sibley, M. H., & Serpell, Z. N. (2009). Changes in caregiver strain over time in young adolescents with ADHD. Journal of Attention Disorders, 12, 516–524.
Evans, S. W., Schultz, B. K., DeMars, C. E., & Davis, H. (2011). Effectiveness of the challenging horizons after-school program for young adolescents with ADHD. Behavior Therapy, 42, 462–474.
Evans, S.W., Brady, C.E., Harrison, J.R., Bunford, N., Kern, L., Andrews, C. (under review). Measuring ADHD symptoms and impairment based on high school teachers’ ratings. Paper submitted for publication.
Fabiano G. A., Pelham, W. E., Pisecco, S., Evans, S. W., Manos, M. J., Caserta, D., Hannah, J. N., & Johnston, C. (2002, November). A nationally representative survey of classroom-based, behavior modification treatment for ADHD. Poster presented at the Association for the Advancement of Behavior Therapy Conference, Reno, NV.
Fabiano, G. A., Pelham, W. E., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical measure of impairment: psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385.
Fabiano, G., Pelham, W., Coles, E., Chronis-Tuscano, A., O’Connor, B., & Gnagy, E. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29, 129–140.
Hill, N., & Tyson, D. (2009). Parental involvement in middle school: a meta-analytic assessment of the strategies that promote achievement. Developmental Psychology, 45, 740–763.
Jenson, W. R., Sheridan, S. M., Olympia, D., & Andrews, D. (1994). Homework and students with learning disabilities and behavior disorders: a practical, parent-based approach. Journal Of Learning Disabilities, 27, 538–548.
Kent, K. M., Pelham, W. E., Molina, B. S. G., Sibley, M. H., Waschbusch, D. A., Yu, J., et al. (2011). The academic experience of male high school students with ADHD. Journal of Abnormal Child Psychology, 39, 451–462.
Lacina, J. (2006). Virtual record keeping: should teachers keep online gradebooks? Childhood Education, 82, 252–254.
Langberg, J.M., & Becker, S.P. (2013). Does Long-Term Medication Use Improve the Academic Outcomes of Youth with Attention-Deficit/Hyperactivity Disorder? Clinical Child and Family Psychology Review.
Langberg, J. M., Epstein, J. N., Altaye, M., Molina, B. S. G., Arnold, L. E., & Vitiello, B. (2008). The transition to middle school is associated with changes in the developmental trajectory of ADHD symptomatology in young adolescents with ADHD. Journal of Clinical Child and Adolescent Psychology, 37, 651–663.
Langberg, J. M., Vaughn, A. J., Williamson, P., Epstein, J. N., Girio-Herrera, E., & Becker, S. P. (2011). Refinement of an organizational skills intervention for adolescents with ADHD for implementation by school mental health providers. School Mental Health, 3, 143–155.
Langberg, J. M., Epstein, J. N., Becker, S. P., Girio-Herrera, E., Vaughn, A. J. (2012). Evaluation of the homework, organization, and planning skills (HOPS) intervention for middle school students with attention deficit hyperactivity disorder as implemented by school mental health providers. School Psychology Review, 41(3), 342.
Loe, I. M., & Feldman, H. M. (2007). Academic and educational outcomes of children with ADHD. Journal of Pediatric Psychology, 32, 643–654.
Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. New York: Guilford Press.
Molina, B. S. G., Pelham, W. E., Gnagy, E. M., Thompson, A. L., & Marshal, M. P. (2007). Attention-deficit/hyperactivity disorder risk for heavy drinking and alcohol use disorder is age specific. Alcoholism, Clinical and Experimental Research, 31, 643–654.
Molina, B. S., Flory, K., Bukstein, O. G., Greiner, A. R., Baker, J. L., Krug, V., et al. (2008). Feasibility and preliminary efficacy of an after-school program for middle schoolers with ADHD a randomized trial in a large public middle school. Journal of Attention Disorders, 12(3), 207–217
Molina, B., Hinshaw, S., Swanson, J., Arnold, L., Vitiello, B., Jensen, P., et al. (2009). The MTA at 8 years: prospective follow-up of children treated for combined-type ADHD in a multisite study. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 484–500.
Morris, S. B. (2008). Estimating effect sizes from pretest-posttest-control group designs. Organizational Research Methods, 11, 364–386.
MTA Cooperative Group. (1999). 14-month randomized clinical trial of treatment strategies for attention deficit hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1086.
Pelham, W., & Fabiano, G. (2008). Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 37, 184–214.
Pelham, W. E., Evans, S. W., Gnagy, E. M., & Greenslade, K. E. (1992). Teacher ratings of DSM-III–R symptoms for the disruptive behavior disorders: prevalence, factor analyses, and conditional probabilities in a special education sample. School Psychology Review, 21, 285–299.
Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention-deficit/hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476.
Pillow, D., Pelham, W., Hoza, B., Molina, B., & Stultz, C. (1998). Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. Journal of Abnormal Child Psychology, 26, 293–309.
Power, T. J., Mautone, J. A., Soffer, S. L., Clarke, A. T., Marshall, S. A., Sharman, J., et al., (2012). A family–school intervention for children with ADHD: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology.
Prinz, R. J., Foster, S. L., Kent, R., & O’Leary, K. (1979). Multivariate assessment of conflict in distressed and nondistressed mother–adolescent dyads. Journal of Applied Behavior Analysis, 12, 691–700.
Raggi, V. L., Chronis-Tuscano, A., Fishbein, H., & Groomes, A. (2009). Development of a brief, behavioral homework intervention for middle school students with attention-deficit/hyperactivity disorder. School Mental Health, 1, 61–77.
Robin, A. L., & Foster, S. L. (1989). Negotiating parent-adolescent conflict: A behavioral-family systems approach. NY: Guilford Press.
Schultz, B., Evans, S., & Serpell, Z. (2009). Preventing failure among middle school students with attention deficit hyperactivity disorder: a survival analysis. School Psychology Review, 38, 14–27.
Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M., & Schwab-Stone, M. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from pervious versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.
Shao, J., & Zhong, B. (2003). Last observation carry-forward and last observation analysis. Statistic in Medicine, 22, 2429–2441.
Shirk, S. R., & Saiz, C. C. (1992). Clinical, empirical and developmental perspectives on the therapeutic relationship in child psychotherapy. Development and Psychopathology, 4, 713–728.
Sibley, M.H., & Pelham, W.E. (2011a). Supporting Teens’ Academic Needs Daily (STAND). 176 pages. Available from authors.
Sibley, M.H., & Pelham, W.E. (2011b). Supporting Teens’ Academic Needs Daily-Group (STAND-G). 66 pages. Available from authors.
Sibley, M. H., Pelham, W. E., Evans, S. W., Gnagy, E. M., Ross, J. M., & Greiner, A. R. (2011). Evaluation of a summer treatment program for adolescents with attention deficit/hyperactivity disorder. Cognitive and Behavioral Practice, 18, 530–544.
Sibley, M. H., Pelham, W. E., Molina, B. S. G., Gnagy, E. M., Waschbusch, D. A., Biswas, A., et al. (2011). The delinquency outcomes of boys with ADHD with and without comorbidity. Journal of Abnormal Child Psychology, 39, 21–32.
Sibley, M. H et al. (in preparation). Psychometric properties of the Adolescent Academic Problems Checklist. Paper in preparation.
Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Rabian, B., & Serafini, L. T. (1999). Contingency management, self-control, and education support in the treatment of childhood phobic disorders: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 675–687.
Smith, B., Waschbusch, D., Willoughby, M., & Evans, S. (2000). The efficacy, safety and practicality of treatments for adolescents with attention-deficit/hyperactivity disorder (ADHD). Clinical Child and Family Psychology Review, 3, 243–267.
Stormshak, E., Dishion, T., Light, J., & Yasui, M. (2005). Implementing family-centered interventions within the public middle school: linking service delivery to change in student problem behavior. Journal of Abnormal Child Psychology, 33, 723–733.
Wechsler, D. (1999). Wechsler abbreviated scale of intelligence (WASI). San Antonio: Harcourt Assessment.
Wechsler, D. (2002). Wechsler individual achievement tests (Second Editionth ed.). San Antonio: Psychological.
Wolraich, M. L., Wibbelsman, C. J., Brown, T. E., Evans, S. W., Gotlieb, E. M., Knight, J. R., et al. (2005). Attention-deficit/hyperactivity disorder among adolescents: a review of the diagnosis, treatment, and clinical implications. Pediatrics, 115, 1734–1746.
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This project received support in the form of graduate student fellowships from the American Psychological Foundation, the Association for Cognitive and Behavioral Therapies, the American Psychological Association. This project also was partially supported by R34 MH092466-01A1.
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Sibley, M.H., Pelham, W.E., Derefinko, K.J. et al. A Pilot Trial of Supporting teens’ Academic Needs Daily (STAND): A Parent-Adolescent Collaborative Intervention for ADHD. J Psychopathol Behav Assess 35, 436–449 (2013). https://doi.org/10.1007/s10862-013-9353-6
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DOI: https://doi.org/10.1007/s10862-013-9353-6