Evidence map›Paper›PMID 32861773›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2021

Effectiveness of Motivational Interviewing-Enhanced Behavior Therapy for Adolescents With Attention-Deficit/Hyperactivity Disorder: A Randomized Community-Based Trial.

Margaret H Sibley, Paulo A Graziano, Stefany Coxe, Leonard Bickman, Pablo Martin

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02694939 (Effectiveness of MI Enhanced Behavior Therapy for Adolescents With ADHD), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02694939 nacompletednot on this map

Effectiveness of MI Enhanced Behavior Therapy for Adolescents With ADHD

TypeinterventionalSponsorFlorida International UniversityRan2015 to 2020Enrolled278ConditionsAttention Deficit Hyperactivity DisorderArmsSTAND (Behavior Therapy + Motivational Interviewing), Usual Care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  4. Exploring Fidelity Elements of a Motivational Interviewing-Based Implementation Strategy to Improve Adoption of Evidence-Based Practices in Schools.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Mediators of psychosocial treatment for adolescent ADHD.Journal of consulting and clinical psychology · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Engagement Barriers to Behavior Therapy for Adolescent ADHD.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Margaret H SibleyUniversity of Washington School of Medicine, Seattle Children's Research Institute, Seattle; Florida International University Herbert Wertheim College of Medicine, Miami, FL. Electronic address: margaret.sibley@seattlechildrens.org.
Paulo A GrazianoFlorida International University, Miami.
Stefany CoxeFlorida International University, Miami.
Leonard BickmanFlorida International University, Miami.
Pablo MartinFlorida International University, Miami.
Florida International University · USSeattle Children's Hospital · US

Funding

Effectiveness of MI Enhanced Behavior Therapy for Adolescents with ADHDR01MH106587 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI SIBLEY, MARGARET HARPER · 2015 to 2018
$1.7M
NIMH NIH HHS R01 MH106587
6 · The paper itself

Abstract

objectiveThis study tests the effectiveness of parent-teen psychotherapy for adolescent attention-deficit/hyperactivity disorder (ADHD) (Supporting Teens' Autonomy Daily [STAND]) versus usual care (UC) in 4 community clinics.

methodA randomized clinical trial was conducted with double randomization of adolescents and therapists to STAND versus UC. Participants were 278 culturally diverse adolescents diagnosed with DSM-5 ADHD at baseline and 82 community therapists. Seven primary outcomes were assessed at baseline (BL), posttreatment (PT; mean = 5.11 months post-BL, SD = 2.26), and follow-up (FU; mean = 9.81 months post-BL, SD = 2.50): inattention (IN; parent/teacher-rated), academics (parent-rated/official records), family functioning (parent/adolescent-rated), and disciplinary records. Treatment engagement indicated consumer fit (eg, number or sessions received, percentage of sessions attended by parent, satisfaction). The impact of treatment on concurrent medication use was also examined. Service delivery features were examined as moderators of outcome.

resultsIntent-to-treat (N = 278) analyses indicated no significant group × time effects. STAND only led to superior outcomes when therapists were licensed (22% of sample) versus unlicensed (parent-rated IN: p < .001, d = 1.08; parent-rated academic impairment: p = .010, d = 1.17). Compared to UC, STAND was associated with greater parent participation (p < .001, d = 0.88) and higher scores on certain indices of parent satisfaction. STAND also was associated with superior medication engagement over time compared to UC (odds ratio = 7.18).

conclusionEvidence-based psychosocial treatment for adolescent ADHD did not outperform UC on outcome trajectories despite improving some indices of treatment engagement. STAND requires additional adaptation for community contexts. CLINICAL TRIAL REGISTRATION INFORMATION: STAND Community Trial (STAND); https://clinicaltrials.gov/; NCT02694939.

Indexed as

Attention Deficit Disorder with HyperactivityMotivational InterviewingAdolescentBehavior TherapyCognitionHumansParentsTreatment OutcomeADHDadolescencecommunity-based treatmentpsychotherapy

Identifiers

PMID32861773
PMCPMC7907265
OpenAlexW3082416063

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.