Adaptive stepped care in preschool-age children with ADHD symptoms: a multicentre study including two consecutive randomised controlled trials (ESCApreschool).
Trial report in European child & adolescent psychiatry, 2026. 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
–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.
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
22 authors.
Katja BeckerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany. katja.becker@med.uni-marburg.de.ORCID http://orcid.org/0000-0003-4858-5127
Christina DoseCenter for Child and Adolescent Cognitive Behavior Therapy (CEKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-5405-4934
Anne-Kathrin OhlsenDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany.
Alisa CosanDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany.ORCID http://orcid.org/0000-0001-7551-1276
Udo KönigDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany.
Christopher HautmannCenter for Child and Adolescent Cognitive Behavior Therapy (CEKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-5155-3762
Lea Teresa KohlCenter for Child and Adolescent Cognitive Behavior Therapy (CEKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-4312-7645
Daniel BrandeisDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.
Anna KaiserDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.ORCID http://orcid.org/0009-0001-6373-8278
Sarah HohmannDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.ORCID http://orcid.org/0000-0002-5175-6698
Thomas JansDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0001-7086-9367
Julia GeisslerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0003-1878-9647
Tobias J RennerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Psychiatry and Psychotherapy Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-2151-9480
Tanja LegenbauerLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Ruhr University Bochum, Hamm, Germany.ORCID http://orcid.org/0000-0002-1580-9991
Kerstin KonradSection Child Neuropsychology, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Uniklinik RWTH Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0001-9039-2615
ESCAlife-Consortium
Tobias BanaschewskiDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.ORCID http://orcid.org/0000-0003-4595-1144
Johanna KetterDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany.ORCID http://orcid.org/0009-0007-0968-265X
Manfred DöpfnerCenter for Child and Adolescent Cognitive Behavior Therapy (CEKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-7929-0463
Funding
German Federal Ministry of Education and Research (BMBF) 01EE1408
6 · The paper itself
Abstract
Parent training and assisted self-help have proven effective in preschool-age children with attention-deficit/hyperactivity disorder (ADHD). This study analysed a stepped-care approach combining these interventions. Participants were children (3-6 years) with either ADHD or oppositional defiant disorder (ODD) plus substantial ADHD symptoms. Study Step 1 (three months) comprised a randomised, waitlist-controlled trial on the efficacy of parent-directed telephone-assisted self-help (TASH). Based on the response to TASH, in Step 2 (six months), participants either received TASH booster sessions (full responders) or participated in another randomized controlled trial (partial/non-responders) comparing parent management and preschool teacher training (PMPTT) with treatment as usual (TAU). The primary outcome was change in blinded-clinician-rated ADHD and ODD symptoms. The primary analyses were by intention-to-treat. 189 children (79.9% boys, mean age = 5.1 years) were randomised. A univariate analysis of covariance did not yield a significant difference in the primary outcome for Step 1 (n
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.
Adaptive stepped care in preschool-age children with ADHD symptoms: a multicentre study including two consecutive randomised controlled trials (ESCApreschool). · full record | OpenQuestion