Cited by 49Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesDevelopmental and Educational Neuropsychology

Predictors of Response and Mechanisms of Change in an Organizational Skills Intervention for Students with ADHD

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Langberg, Joshua M., Becker, Stephen P., Epstein, Jeffery N., Vaughn, Aaron J., Girio-Herrera, Erin·2013·Journal of Child and Family Studies

Abstract

The purpose of the study was to evaluate predictors of response and mechanisms of change for the Homework, Organization, and Planning Skills (HOPS) intervention for middle school students with Attention-Deficit/Hyperactivity Disorder (ADHD). Twenty-three middle school students with ADHD (grades 6-8) received the HOPS intervention implemented by school mental health providers and made significant improvements in parent-rated materials organization and planning skills, impairment due to organizational skills problems, and homework problems. Predictors of response examined included demographic and child characteristics, such as gender, ethnicity, intelligence, ADHD and ODD symptom severity, and ADHD medication use. Mechanisms of change examined included the therapeutic alliance and adoption of the organization and planning skills taught during the HOPS intervention. Participant implementation of the HOPS binder materials organization system and the therapeutic alliance as rated by the student significantly predicted post-intervention outcomes after controlling for pre-intervention severity. Adoption of the binder materials organization system predicted parent-rated improvements in organization, planning, and homework problems above and beyond the impact of the therapeutic alliance. These findings demonstrate the importance of teaching students with ADHD to use a structured binder organization system for organizing and filing homework and classwork materials and for transferring work to and from school.

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  1. Langberg JM Epstein JN Urbanowicz C Simon J Graham A Efficacy of an organization skills intervention to improve the academic functioning of students with ADHD School Psychology Quarterly 2008 23 407 417

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Authors
Langberg, J. M., Becker, S. P., Epstein, J. N., Vaughn, A. J., & Girio-Herrera, E.
Affiliations
  • Virginia Commonwealth University (US)
  • Miami University (US)
  • Cincinnati Children's Hospital Medical Center (US)
Corresponding author
Langberg, Joshua M.
Venue
Journal of Child and Family Studies
Published
2012-10-07
Volume
22
Issue
7
Pages
1000-1012
ISSN
  • 1062-1024 (ISSN-L)
  • 1573-2843
OpenAlex
W2068167750
Cited by
49
References
42
Citations by year
2025: 1 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 2 · 2018: 5 · 2017: 8 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 1
FWCI
2.28
Type
journal article
Language
en
Open access
Locations
  • Journal of Child and Family Studies (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Education
  • Institute of Education Sciences
  • National Institute of Mental Health (K24MH064478)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
attention deficit hyperactivity disorder, organizational skills, homework problems, planning skills, school-based intervention, predictors of treatment response, mechanisms of change, therapeutic relationship, junior high school students, oppositional defiant disorder, ADHD medication, school-based mental health services

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