Evidence map›Paper›PMID 39868002›Full record

ArticleFrontiers in education2023

Engagement of adolescents with ADHD in a narrative-centered game-based behavior change environment to reduce alcohol use.

Marianne Pugatch, Nathan J Blum, William J Barbaresi, Jonathan Rowe, Mark Berna, Sean Hennigan, Alison Giovanelli, Carlos Penilla, Kathleen P Tebb, Megan Mott and 4 more

Abstract read
In one paragraph

Article in Frontiers in education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Marianne PugatchDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Nathan J BlumDivision of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
William J BarbaresiDivision of Developmental Medicine, Boston Children's Hospital, Boston, MA, United States.
Jonathan RoweDepartment of Computer Science, North Carolina State University, Raleigh, NC, United States.
Mark BernaDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Sean HenniganDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Alison GiovanelliDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Carlos PenillaDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Kathleen P TebbDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Megan MottDepartment of Computer Science, The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Vikram KumaranDepartment of Computer Science, The College of Engineering, North Carolina State University, Raleigh, NC, United States.
Sara BuckelewDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
James C LesterDepartment of Computer Science, North Carolina State University, Raleigh, NC, United States.
Elizabeth OzerDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.

Funding

CLINICAL SERVICES RESEARCH TRAINING PROGRAMT32MH018261 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaja Zabrina LeWinn, Rachel L. Loewy · 1985 to 2026
$7.0M
SCH: ChangeGradients: Promoting Health Behavior Change with Clinically Integrated Sample-Efficient Policy Gradient MethodsR01CA247705 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OZER, ELIZABETH M · 2020 to 2023
$1.4M
Health Quest: Engaging Adolescents in Health Careers with Technology-Rich Personalized LearningR25OD021880 · OD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI LESTER, JAMES CURTIS · 2017 to 2017
$272k
NCI NIH HHS R01 CA247705NIH HHS R25 OD021880NIMHD NIH HHS L60 MD014432NIMH NIH HHS T32 MH018261
6 · The paper itself

Abstract

Background: Attention deficit hyperactivity disorder (ADHD) affects about 13% of adolescents and is associated with substance use-related morbidity and mortality. While evidence on effective interventions to reduce alcohol use among adolescents with ADHD is limited, parent-teen communication about alcohol use has been found to be protective. Other approaches, such as educational interventions, hold promise to reduce alcohol-related harms in adolescents with ADHD. Digital technology offers an innovative approach to health behavior change, expanding access to services and may promote learning for neurodiverse youth, including teens with ADHD. INSPIRE, a narrative-centered game-based behavior change environment designed to promote self-regulation and self-efficacy to prevent risky alcohol use has been found to engage a general adolescent population. The goals of this pilot study are (1) to examine the engagement of youth with ADHD in INSPIRE; and (2) to examine if INSPIRE fosters parent-teen communication. Method: Adolescents diagnosed with ADHD aged 14-16 were recruited from developmental medicine clinics and invited to a focus group offered via Zoom. Participants completed a pre-survey, interacted with the INSPIRE game, and answered a post-survey as well as open-ended questions about their gaming experience during the focus group. Engagement was measured through both self-report using subscales from the User Engagement Scale and computer data; survey and qualitative data collected information on parent-teen communication. Univariate statistics described adolescent characteristics, Rank-sum and Fisher's exact tests examined relationships among variables, and qualitative analysis identified themes in open-ended questions. Results: Of adolescent participants ( Conclusion: Findings suggest that INSPIRE may support facilitating youth with ADHD to learn the developmental competencies needed to mitigate risk and thrive. INSPIRE warrants further testing to explore its impact on alcohol use in youth with ADHD.

Indexed as

ADHDadolescentalcohol-related disordersattention deficit hyperactivity disorderlife courseparentingpreventiontechnology

Identifiers

PMID39868002
PMCPMC11759477

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.