Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-01-30 DOI:10.1080/15374416.2025.2454640

Samuel Meisel,Nicole Porter,Molly Bobek,Craig E Henderson,Aaron Hogue

{"title":"Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.","authors":"Samuel Meisel,Nicole Porter,Molly Bobek,Craig E Henderson,Aaron Hogue","doi":"10.1080/15374416.2025.2454640","DOIUrl":null,"url":null,"abstract":"OBJECTIVE\r\nChanging Academic Support in the Home for Adolescents with ADHD (CASH-AA) and Medication Integration Protocol (MIP) are two family-based behavioral protocols designed to promote family solutions to academic problems and medication decision-making. Building on a randomized control trial examining these protocols, the current study examined how protocol dose, an indicator of treatment adherence, was associated with treatment outcomes.\r\n\r\nMETHOD\r\nThe sample consisted of 145 adolescent clients (M age = 14.8, 72% male, 42% White, 37% Hispanic, 15% Black) and 49 community and hospital-based therapists (82% female, 63% White, 29% Hispanic). Latent growth curve models examined how therapist reports of minutes adolescents and their caregivers received CASH-AA and MIP predicted levels and change in inattentive and hyperactive symptoms (MINI-International Neuropsychiatric Interview); co-occurring symptoms (Youth Self Report/Child Behavior Checklist); homework problems (Homework Problems Checklist); and medication compliance at baseline, 3, 6, and 12-month follow-ups.\r\n\r\nRESULTS\r\nMIP minutes were prospectively associated with lower caregiver-reported inattentive and hyperactive symptoms, adolescent- and caregiver-reported externalizing symptoms and caregiver-reported homework problems at the 12-month follow-up (ẞ range = -.16 to -.39, p < .05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p < .001). CASH-AA minutes were associated with greater caregiver-reported inattentive symptoms (ẞ = .11, p = .049) at 12-month follow-up and slower declines in homework problems (ẞ = -.39, p < .001). Neither MIP nor CASH-AA minutes were associated with internalizing symptoms or medication use.\r\n\r\nCONCLUSIONS\r\nFindings further support MIP as an effective behavioral protocol for adolescent ADHD and indicate the need for increasing MIP implementation efforts in community settings.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"27 1","pages":"1-15"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Child & Adolescent Psychology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/15374416.2025.2454640","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

OBJECTIVE Changing Academic Support in the Home for Adolescents with ADHD (CASH-AA) and Medication Integration Protocol (MIP) are two family-based behavioral protocols designed to promote family solutions to academic problems and medication decision-making. Building on a randomized control trial examining these protocols, the current study examined how protocol dose, an indicator of treatment adherence, was associated with treatment outcomes. METHOD The sample consisted of 145 adolescent clients (M age = 14.8, 72% male, 42% White, 37% Hispanic, 15% Black) and 49 community and hospital-based therapists (82% female, 63% White, 29% Hispanic). Latent growth curve models examined how therapist reports of minutes adolescents and their caregivers received CASH-AA and MIP predicted levels and change in inattentive and hyperactive symptoms (MINI-International Neuropsychiatric Interview); co-occurring symptoms (Youth Self Report/Child Behavior Checklist); homework problems (Homework Problems Checklist); and medication compliance at baseline, 3, 6, and 12-month follow-ups. RESULTS MIP minutes were prospectively associated with lower caregiver-reported inattentive and hyperactive symptoms, adolescent- and caregiver-reported externalizing symptoms and caregiver-reported homework problems at the 12-month follow-up (ẞ range = -.16 to -.39, p < .05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p < .001). CASH-AA minutes were associated with greater caregiver-reported inattentive symptoms (ẞ = .11, p = .049) at 12-month follow-up and slower declines in homework problems (ẞ = -.39, p < .001). Neither MIP nor CASH-AA minutes were associated with internalizing symptoms or medication use. CONCLUSIONS Findings further support MIP as an effective behavioral protocol for adolescent ADHD and indicate the need for increasing MIP implementation efforts in community settings.

查看原文本刊更多论文

以家庭为基础的青少年ADHD学术培训和药物决策协议的依从性与有效性的联系。

目的：青少年ADHD家庭学术支持（CASH-AA）和药物整合协议（MIP）是两种基于家庭的行为协议，旨在促进家庭解决学业问题和药物决策。在一项检查这些方案的随机对照试验的基础上，目前的研究检查了方案剂量（治疗依从性的一个指标）如何与治疗结果相关。方法样本包括145名青少年来访者（M年龄为14.8岁，72%为男性，42%为白人，37%为西班牙裔，15%为黑人）和49名社区和医院治疗师（82%为女性，63%为白人，29%为西班牙裔）。潜在生长曲线模型检验了治疗师报告青少年及其照顾者接受CASH-AA和MIP治疗的分钟数如何预测注意力不集中和多动症状的水平和变化（mini -国际神经精神病学访谈）；共同出现的症状（青少年自我报告/儿童行为检查表）；家庭作业问题（家庭作业问题清单）；以及基线，3,6,12个月随访时的药物依从性。结果在12个月的随访中，smip分钟与较低的照顾者报告的注意力不集中和多动症状、青少年和照顾者报告的外化症状以及照顾者报告的家庭作业问题相关（ẞ范围= -）。16到-。39, p < 0.05)，以及看护者报告的注意力不集中症状的更快下降(ẞ = -。29, p < 0.001)。在12个月的随访中，现金- aa分钟与更多的看护者报告的注意力不集中症状（ẞ = .11, p = .049）和更慢的家庭作业问题下降（ẞ = -）相关。39, p < 0.001)。MIP和CASH-AA分钟均与内化症状或药物使用无关。结论：研究结果进一步支持MIP作为青少年ADHD的有效行为方案，并表明需要在社区环境中增加MIP的实施力度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Child & Adolescent Psychology

自引率

0.00%

发文量