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. 2016 Aug;84(8):699-712.
doi: 10.1037/ccp0000106. Epub 2016 Apr 14.

Parent-teen behavior therapy + motivational interviewing for adolescents with ADHD

Margaret H Sibley  1 , Paulo A Graziano  2 , Aparajita B Kuriyan  2 , Stefany Coxe  2 , William E Pelham  2 , Lourdes Rodriguez  3 , Frances Sanchez  4 , Karen Derefinko  5 , Sarah Helseth  2 , Anthony Ward  2
Affiliations

Parent-teen behavior therapy + motivational interviewing for adolescents with ADHD

Margaret H Sibley et al. J Consult Clin Psychol. 2016 Aug.

Abstract

Objective: This study evaluates a parent-teen skills-based therapy for attention deficit/hyperactivity disorder (ADHD) blended with motivational interviewing (MI) to enhance family engagement. Supporting Teens' Autonomy Daily (STAND) is an adolescent-specific treatment for ADHD that targets empirically identified adolescent (i.e., organization, time management, and planning, or OTP skills) and parent-based (i.e., monitoring and contingency management) mechanisms of long-term outcome through individual parent-teen sessions.

Method: The current randomized trial (N = 128) evaluates efficacy at posttreatment and 6-month follow-up. Participants were ethnically diverse teens (7.7% non-Hispanic White, 10.8% African American, 78.5% Hispanic, 3.0% other) randomly assigned to STAND or Treatment As Usual (TAU).

Results: Primary findings were that (1) STAND was delivered in an MI-adherent fashion and most families fully engaged in treatment (85% completed); (2) STAND produced a range of significant acute effects on ADHD symptoms, OTP skills, homework behavior, parent-teen contracting, implementation of home privileges, parenting stress, and daily homework recording; and (3) 6 months after treatment ceased, effects on ADHD symptom severity, OTP skills, and parenting stress maintained, while parent use of contracting and privilege implementation strategies, as well as teen daily homework recording and homework behavior gains, were not maintained.

Conclusion: Skills-based behavior therapy blended with MI is an acutely efficacious treatment for adolescents with ADHD although more work is needed to establish the nature of long-term effects. (PsycINFO Database Record

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Figures

Figure 1
Figure 1
Consort Flow Diagram
Figure 2
Figure 2
Patterns of Treatment Response: Sample Outcomes Note. BL = baseline, PT= post-treatment, FU= follow-up; PT and FU represent mean functioning for each group at the mean number of months since BL that PT and FU assessments occurred. The maintenance pattern was present for parent-rated OTP skills, parent-rated ADHD symptoms, and parenting stress; acute effects only were present for recording homework, disruptive behavior at home, parent-teen contracting, and parent-teen contracting. Nonsignificant effects were present for directly observed organization and grade point average.
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