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J Consult Clin Psychol. 2016 Dec;84(12):1078-1093. doi: 10.1037/ccp0000137. Epub 2016 Sep 12.

Efficacy of a family-focused intervention for young drivers with attention-deficit hyperactivity disorder.

Author information

1
Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York.
2
RTI International.
3
Department of Psychology, Buffalo State College, State University of New York.
4
Department of Mechanical and Aerospace Engineering, University at Buffalo, State University of New York.
5
Department of Psychology, University at Buffalo, State University of New York.
6
Department of Psychology, Florida International University.

Abstract

OBJECTIVE:

Teenage drivers diagnosed with attention-deficit/hyperactivity disorder (ADHD) are at significant risk for negative driving outcomes related to morbidity and mortality. However, there are few viable psychosocial treatments for teens with ADHD and none focus on the key functional area of driving. The Supporting the Effective Entry to the Roadway (STEER) program was evaluated in a clinical trial to investigate whether it improved family functioning as a proximal outcome and driving behavior as a distal outcome.

METHOD:

One hundred seventy-two teenagers with ADHD, combined type, were randomly assigned to STEER or a driver education driver practice program (DEDP).

RESULTS:

Relative to parents in the DEDP condition, parents in STEER were observed to be less negative at posttreatment and 6-month follow-up but not at 12-month follow-up, and there were no significant differences for observed positive parenting. Relative to teens in the DEDP condition, teens in STEER reported lower levels of risky driving behaviors at posttreatment and 6-month follow-up, but not at 12-month follow-up. Groups did not differ on objective observations of risky driving or citations/accidents.

CONCLUSIONS:

The STEER program for novice drivers with ADHD was effective in reducing observations of negative parenting behavior and teen self-reports of risky driving relative to DEDP; groups did not significantly differ on observations of positive parenting or driving behaviors. (PsycINFO Database Record

PMID:
27618640
PMCID:
PMC5125890
DOI:
10.1037/ccp0000137
[Indexed for MEDLINE]
Free PMC Article

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