1/2-Multisite Study of School Based Treatment Approaches for ADHD Adolescents

ADHD 青少年学校治疗方法的 1/2 多中心研究

• 批准号: 8448782
• 负责人: Steven W. Evans
• 金额: $ 35.05万
• 依托单位: OHIO UNIVERSITY ATHENS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8448782
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DESCRIPTION (provided by applicant): The long term objective of this study is to determine the value of adding treatment programs like the Challenging Horizons Program (CHP) to the services available to youth with ADHD in a community. There continues to be a lack of data on effective psychosocial treatments for adolescents with ADHD. This is problematic, as medication is inadequate for most youth as a sole form of treatment and adolescence is a time where the impairment associated with ADHD becomes increasingly dangerous, life-altering, and serious. Specifically, this study aims to: 1) Evaluate the efficacy of the after-school program model and the consultation model of CHP as compared to each other and as compared to community care, 2) Estimate cost-effectiveness ratios for each of the two levels of services, and 3) Identify moderators and mediators of treatment response for the two CHP intervention models. In addition, the findings should inform treatment decisions about which children need which level of care. Treatment services are delivered either through an after-school program (CHP-AS) or through teachers employed by the school who are trained and provided with ongoing consultation on the CHP methods (CHP-C). Over five years 315 participants who meet criteria for ADHD will be recruited at seven middle schools across two sites and randomly assigned to receive either the CHP-AS, CHP-C or community care. Costs of providing the services for all three conditions will be measured as well as symptom and impairment outcomes. Data collection will occur on an ongoing basis over the academic year of a child's participation in the project. In addition, formal evaluations will occur at baseline, immediately post-treatment, and 6 months post-treatment. Consistent with findings from preliminary studies it is expected that response to both active treatment conditions will vary across participants. Assessments will be collected that identify potential moderators and mediators of treatment response and these will be included in the analyses in order to identify child and parent characteristics that may predict response to treatment as well as variables related to the treatment process (e.g., attendance) that predicts response.

描述（由申请人提供）：本研究的长期目标是确定将挑战视野计划 (CHP) 等治疗计划添加到为社区中患有多动症的青少年提供的服务中的价值。对于患有多动症的青少年，仍然缺乏有效的心理社会治疗的数据。这是有问题的，因为对于大多数青少年来说，药物作为唯一的治疗形式是不够的，而青春期是与多动症相关的损伤变得越来越危险、改变生活和严重的时期。具体而言，本研究旨在： 1) 评估课后计划模式和 CHP 咨询模式之间以及与社区护理相比的有效性，2) 估计两个级别中每个级别的成本效益比服务，以及 3) 确定两种 CHP 干预模型的治疗反应的调节因素和中介因素。此外，研究结果还应为治疗决策提供信息，以决定哪些儿童需要哪种程度的护理。治疗服务通过课外计划 (CHP-AS) 或通过学校雇用的接受过 CHP 方法培训并提供持续咨询的教师 (CHP-C) 提供。五年内，将在两个地点的七所中学招募 315 名符合 ADHD 标准的参与者，并随机分配接受 CHP-AS、CHP-C 或社区护理。将衡量为所有三种情况提供服务的成本以及症状和损害结果。数据收集将在儿童参与该项目的整个学年持续进行。此外，正式评估将在基线、治疗后立即和治疗后 6 个月进行。与初步研究的结果一致，预计参与者对两种积极治疗条件的反应会有所不同。将收集评估，以确定治疗反应的潜在调节因素和调节因素，并将这些评估纳入分析中，以便确定可预测治疗反应的儿童和家长特征以及与治疗过程相关的变量（例如出勤率）预测响应。

项目成果

Evaluating the content of Individualized Education Programs and 504 Plans of young adolescents with attention deficit/hyperactivity disorder.

评估针对注意力缺陷/多动障碍青少年的个性化教育计划和 504 计划的内容。

• 发表时间: 2014-12
• 作者: Spiel, Craig F;Evans, Steven W;Langberg, Joshua M
• 通讯作者: Langberg, Joshua M

Is the Positive Illusory Bias Common in Young Adolescents with ADHD? A Fresh Look at Prevalence and Stability Using Latent Profile and Transition Analyses.

积极的错觉偏见在患有多动症的青少年中常见吗？

• 发表时间: 2017-08
• 影响因子: 3.6
• 作者: Bourchtein, Elizaveta;Langberg, Joshua M;Owens, Julie S;Evans, Steven W;Perera, Robert A
• 通讯作者: Perera, Robert A

Middle school-based and high school-based interventions for adolescents with ADHD.

针对多动症青少年的初中和高中干预措施。

• 发表时间: 2014-10
• 影响因子: 2.4
• 作者: Evans, Steven W;Langberg, Joshua M;Egan, Theresa;Molitor, Stephen J
• 通讯作者: Molitor, Stephen J

The relationship between sluggish cognitive tempo and impairment in children with and without ADHD.

患有和不患有多动症的儿童认知速度缓慢与障碍之间的关系。

• 发表时间: 2014-01
• 影响因子: 3.6
• 作者: Watabe, Yuko;Owens, Julie Sarno;Evans, Steven W;Brandt, Nicole Evangelista
• 通讯作者: Brandt, Nicole Evangelista

Evaluation of a school-based treatment program for young adolescents with ADHD.

对患有多动症的青少年的学校治疗计划的评估。

• 发表时间: 2016-01
• 影响因子: 5.9
• 作者: Evans, Steven W;Langberg, Joshua M;Schultz, Brandon K;Vaughn, Aaron;Altaye, Mekibib;Marshall, Stephen A;Zoromski, Allison K
• 通讯作者: Zoromski, Allison K