Increasing Academic Success in Middle School Students with ADHD

描述（由申请人提供）：本项目的目的是[开发和测试初步的]亲子合作干预的效果，以提高患有注意力缺陷/多动障碍（ADHD）的中学生的学业功能。作为测试干预的一部分，我们还将探索在中学期间改善家庭与学校沟通的方法。为此，将42名患有ADHD的中学生随机分为两组（共84名），接受干预或作为常规对照条件参加监测治疗。每个队列将在秋季招募，干预将在春季进行，因为患有ADHD的中学生在这几个月经历了最严重的学业障碍（Schultz, Evans, & Serpell, 2009）。该计划将教导家长：1)监督学校和家庭的日常学业目标；2)实施旨在加强学业进步的综合家庭特权计划。这些干预措施是针对患有多动症的小学生的（DuPaul & Stoner, 2003; Pelham & Fabiano, 2008），并在中学环境中显示出初步效果（Evans等人，2009），但由于将讨论的障碍，已被证明难以在中学中有效实施。为了检验干预的有效性，本研究将检验治疗对GPA、家长/老师对学业功能和课堂行为的评分以及家长/自我对亲子关系的评分的影响。参与者将在秋季和[治疗中期，治疗后和六个月的随访评估，以评估STAND干预措施的维持和推广]参加摄入评估。教师评分也将在这些点收集。为了调查STAND的可行性，我们将获得干预手段的偏好（即网络、电子邮件、纸/铅笔）、满意度、治疗联盟、治疗可信度、家长和青少年参与、家长、青少年和教师对治疗程序的依从性以及参与治疗的障碍。本项目是第一次尝试开发一种可输出的、协作的、家长协调的中学生ADHD综合学业干预方法。如果参与干预的人在学业上表现出有意义的改善[并保持治疗效果]，那么这个项目将显著地惠及那些极度缺乏服务的青少年多动症患者。鉴于很少有解决办法能够减少在这一人群中提供治疗的实质性障碍，本研究的经验教训也将为传播研究提供信息。

DESCRIPTION (provided by applicant): The purpose of the proposed project is to [develop and test the preliminary] efficacy of a parent-teen collaborative intervention to increase the academic functioning of middle school students with Attention Deficit/Hyperactivity Disorder (ADHD). As part of the tested intervention, we will also explore ways to improve home-school communication during the middle school years. To this end, two cohorts of 42 middle school students with ADHD (total N=84) will be randomly assigned to receive the intervention or participate in a monitored treatment as usual control condition. Each cohort will be recruited during the fall and the intervention will be delivered during the spring, as middle school students with ADHD experience the most academic impairment during these months (Schultz, Evans, & Serpell, 2009). The program will teach parents: 1) to monitor daily academic targets at school and at home and 2) to implement a comprehensive home privilege program designed to reinforce academic improvement. These intervention components are evidence-based for elementary school students with ADHD (DuPaul & Stoner, 2003; Pelham & Fabiano, 2008), and show preliminary efficacy in the middle school setting (Evans et al., 2009), but have proven difficult to implement effectively in middle schools due to barriers that will be discussed. To test the intervention's efficacy, the study will examine treatment effects on GPA, parent/teacher ratings of academic functioning and classroom behavior, and parent/self ratings of the parent-teen relationship. Participants will participate in an intake evaluation in the fall and [mid-treatment, post-treatment, and six- month follow-up evaluations to assess maintenance and generalization of the STAND intervention]. Teacher ratings will be collected at these points as well. To investigate [the feasibility of STAND, we will obtain measures of] preferences for intervention delivery (i.e., web-based, email, paper/pencil), [satisfaction, therapeutic alliance, treatment credibility, parent and adolescent engagement, parent, adolescent, and teacher compliance with treatment procedures, and barriers to treatment participation.] This project represents the first attempt to develop an exportable and collaborative comprehensive parent-coordinated academic intervention for middle school students with ADHD. If intervention participants show meaningful improvements in academic functioning [and maintenance of treatment effects], this program could significantly benefit the sorely underserved population of adolescents with ADHD. Given that few solutions have decreased the substantial barriers to treatment delivery in this population, the lessons learned in this study will also inform dissemination research.