Evidence map›Paper›PMID 39366466›Full record

Trial reportJournal of substance use and addiction treatment2025

Effects on alcohol and substance use of a school-based training intervention for adolescents with ADHD.

Samantha M Margherio, Sean Morse, George J DuPaul, Steven W Evans

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance use and addiction treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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.

Samantha M MargherioDepartment of Psychology, Virginia Polytechnic Institute and State University, United States of America. Electronic address: smargherio@vt.edu.
Sean MorseDepartment of Education and Human Services, Lehigh University, United States of America.
George J DuPaulDepartment of Education and Human Services, Lehigh University, United States of America.
Steven W EvansDepartment of Psychology, Ohio University, United States of America.

Funding

Long-Term Alcohol Use Effects of a Training Intervention for ADHDF31AA028724 · NIAAA · OHIO UNIVERSITY ATHENS · PI MARGHERIO, SAMANTHA · 2021 to 2022
$58k
NIAAA NIH HHS F31 AA028724
6 · The paper itself

Abstract

introductionAdolescents with attention-deficit/hyperactivity disorder (ADHD) may be at risk for early, escalating patterns of alcohol and substance use via academic, peer, and familial impairment. Existing school-based interventions for youth with ADHD effectively target these risk factors, yet their effects on alcohol and substance use have not been explored. We examined the immediate and long-term alcohol and substance use outcomes of an evidence-based school-based intervention for adolescents with ADHD.

methodA total of 186 (M

resultsTwo-part hurdle models controlling for prior use and demographics indicated treatment was associated with improvements in substance use outcomes among youth using any substances at 6-month follow-up (β = -0.45). However, among youth reporting any alcohol use at the 5-year follow-up, treatment was associated with worse alcohol use problems relative to the control condition (β = 0.27). Approximately 22% of intervention participants met criteria for risky drinking behavior compared to 5% of participants in the control group.

conclusionWe found mixed evidence that a school-based intervention associated with positive outcomes on academic, social, and emotional functioning for adolescents with ADHD also prevented adverse alcohol and substance use outcomes. These unexpected results serve as a call for extended follow-up periods to identify the durability of intervention benefits and potential for downstream iatrogenic effects. Additional research is needed to identify school-based intervention strategies that can effectively deter substance use risk among select populations.

Indexed as

Attention Deficit Disorder with HyperactivitySchool Health ServicesSubstance-Related DisordersAdolescentAdolescent BehaviorAlcohol DrinkingFemaleFollow-Up StudiesHumansMaleSchoolsSocial SkillsUnderage DrinkingADHDAlcohol useSchool-based interventionSubstance use

Identifiers

PMID39366466
PMCPMC11624071

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.