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J Consult Clin Psychol. 2016 Aug;84(8):699-712. doi: 10.1037/ccp0000106. Epub 2016 Apr 14.

Parent-teen behavior therapy + motivational interviewing for adolescents with ADHD.

Author information

1
Department of Psychiatry & Behavioral Health, Florida International University.
2
Department of Psychology, Florida International University.
3
Center for Children and Families, Florida International University.
4
Department of Psychology, Nova Southeastern University.
5
Department of Preventive Medicine, University of Tennessee Health Science Center.

Abstract

OBJECTIVE:

This study evaluates a parent-teen skills-based therapy for attention deficit/hyperactivity disorder (ADHD) blended with motivational interviewing (MI) to enhance family engagement. Supporting Teens' Autonomy Daily (STAND) is an adolescent-specific treatment for ADHD that targets empirically identified adolescent (i.e., organization, time management, and planning, or OTP skills) and parent-based (i.e., monitoring and contingency management) mechanisms of long-term outcome through individual parent-teen sessions.

METHOD:

The current randomized trial (N = 128) evaluates efficacy at posttreatment and 6-month follow-up. Participants were ethnically diverse teens (7.7% non-Hispanic White, 10.8% African American, 78.5% Hispanic, 3.0% other) randomly assigned to STAND or Treatment As Usual (TAU).

RESULTS:

Primary findings were that (1) STAND was delivered in an MI-adherent fashion and most families fully engaged in treatment (85% completed); (2) STAND produced a range of significant acute effects on ADHD symptoms, OTP skills, homework behavior, parent-teen contracting, implementation of home privileges, parenting stress, and daily homework recording; and (3) 6 months after treatment ceased, effects on ADHD symptom severity, OTP skills, and parenting stress maintained, while parent use of contracting and privilege implementation strategies, as well as teen daily homework recording and homework behavior gains, were not maintained.

CONCLUSION:

Skills-based behavior therapy blended with MI is an acutely efficacious treatment for adolescents with ADHD although more work is needed to establish the nature of long-term effects. (PsycINFO Database Record

PMID:
27077693
PMCID:
PMC4949080
DOI:
10.1037/ccp0000106
[Indexed for MEDLINE]
Free PMC Article

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