Evidence map›Paper›PMID 35901367›Full record

ArticleJournal of consulting and clinical psychology2022

Mediators of psychosocial treatment for adolescent ADHD.

Margaret H Sibley, Stefany J Coxe, Courtney Zulauf-McCurdy, Xin Zhao

Open access · hybridAbstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Margaret H SibleyDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Stefany J CoxeDepartment of Psychology, Florida International University.
Courtney Zulauf-McCurdyDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Xin ZhaoDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
University of Washington · USFlorida International University · 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
Increasing Academic Success in Middle School Students with ADHDR34MH092466 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI PELHAM, WILLIAM E, SIBLEY, MARGARET HARPER · 2012 to 2014
$636k
Integrative Data Analysis of Psychosocial Treatment Studies for Adolescent ADHDR03MH116397 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI COXE, STEFANY JEAN, SIBLEY, MARGARET HARPER · 2018 to 2019
$151k
NIMH NIH HHS R01 MH106587NIMH NIH HHS R03 MH116397NIMH NIH HHS R34 MH092466
6 · The paper itself

Abstract

objectiveAlmost no studies identify mediators of psychosocial interventions for attention deficit/hyperactivity disorder (ADHD)-largely due to design limitations. Understanding mediators can promote streamlined interventions in usual care (UC) settings. When individual studies are insufficient to pursue complex questions, integrative data analysis (IDA) allows researchers to pool raw data from multiple studies to produce cumulative scientific knowledge.

methodWe leveraged IDA to pool and harmonize data from four randomized controlled trials of ADHD psychosocial treatment (N = 854) with three time points. Linear growth curve analyses examined the impact of four psychosocial treatment conditions on ADHD symptom outcomes and five candidate mediators (compared to no treatment). To test mediation, we examined whether treatment condition predicted linear growth in the mediator at posttreatment, and if the mediator predicted linear growth in the outcome at follow-up.

resultsCompared to no treatment, engagement-focused parent-teen treatment (d = .43-.72; Supporting Teens' Autonomy Daily [STAND]) and community-based usual care (d = .54-.99) led to greatest reductions in parent-rated ADHD symptoms, followed by the Summer Treatment Program-Adolescent (d = .29-.30; STP-A) and standard behavioral parent training + organization skills training (d = .26-.31; BPT/OST). Improvements in organization, time management, and planning skills mediated outcome for all treatments. BPT/OST and STP-A prevented deterioration of social skills, in turn mitigating escalation of ADHD symptoms. Improvements in parent-teen communication skills mediated outcome for STAND, BPT/OST, and the STP-A. Parent contingency management and disruptive classroom behavior were not treatment mediators.

conclusionsPsychosocial treatments for adolescent ADHD primarily improve ADHD symptoms through development of teen organization, time management (OTP), and parent-teen communication skills, as well as slowing deterioration of social skills. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentBehavior TherapyHumansParentsSocial Skills

Identifiers

PMID35901367
PMCPMC9426654
OpenAlexW4288388909

What OpenQuestion holds

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Registered trials

None linked

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.