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Cited by 38Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesPsychotherapy Techniques and Applications

Effectiveness of Motivational Interviewing−Enhanced Behavior Therapy for Adolescents With Attention-Deficit/Hyperactivity Disorder: A Randomized Community-Based Trial

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Sibley, Margaret H., Graziano, Paulo A., Coxe, Stefany, Bickman, Leonard, Martin, Pablo·2021·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1016/j.jaac.2020.07.907PMC PMC7907265
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Abstract

Objective This study tests the effectiveness of parent-teen psychotherapy for adolescent attention-deficit/hyperactivity disorder (ADHD) (Supporting Teens' Autonomy Daily [STAND]) versus usual care (UC) in 4 community clinics. Method A randomized clinical trial was conducted with double randomization of adolescents and therapists to STAND versus UC. Participants were 278 culturally diverse adolescents diagnosed with DSM-5 ADHD at baseline and 82 community therapists. Seven primary outcomes were assessed at baseline (BL), posttreatment (PT; mean = 5.11 months post-BL, SD = 2.26), and follow-up (FU; mean = 9.81 months post-BL, SD = 2.50): inattention (IN; parent/teacher-rated), academics (parent-rated/official records), family functioning (parent/adolescent-rated), and disciplinary records. Treatment engagement indicated consumer fit (eg, number or sessions received, percentage of sessions attended by parent, satisfaction). The impact of treatment on concurrent medication use was also examined. Service delivery features were examined as moderators of outcome. Results Intent-to-treat (N = 278) analyses indicated no significant group × time effects. STAND only led to superior outcomes when therapists were licensed (22% of sample) versus unlicensed (parent-rated IN: p < .001, d = 1.08; parent-rated academic impairment: p = .010, d = 1.17). Compared to UC, STAND was associated with greater parent participation (p < .001, d = 0.88) and higher scores on certain indices of parent satisfaction. STAND also was associated with superior medication engagement over time compared to UC (odds ratio = 7.18). Conclusion Evidence-based psychosocial treatment for adolescent ADHD did not outperform UC on outcome trajectories despite improving some indices of treatment engagement. STAND requires additional adaptation for community contexts. Clinical trial registration information STAND Community Trial (STAND); https://clinicaltrials.gov/; NCT02694939.

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  • Seven of the nine studies that included an active control condition did not find any differences in ADHD symptom ratings between the intervention and the control treatment.

    “In contrast, seven of the nine studies that included an active control condition (e.g., treatment as usual) did not find any differences in ADHD symptom ratings between the intervention and the control treatment [65,67,68,69,70,71,72].”

    From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [72]

    The Results (Primary Outcomes: Intent to Treat Analyses; page not provided) report no between-group differences on any outcome, supporting this paper as one example among the cited studies. However, the per-protocol analyses found a significant difference in parent-rated ADHD inattention, favoring usual care, so the unqualified statement that the study found no differences in symptom ratings is too broad. This single paper does not establish the seven-of-nine count. (LLM, conf=0.88)

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Research works printed but not linked: 33

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Cited by

Sorted by citations

Authors
Sibley, M. H., Graziano, P. A., Coxe, S., Bickman, L., & Martin, P.
Affiliations
Florida International University (US)
Corresponding author
Sibley, Margaret H.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2021-06
Volume
60
Issue
6
Pages
745-756
ISSN
0890-8567 (ISSN-L)
DOI
10.1016/j.jaac.2020.07.907
PMC
PMC7907265
OpenAlex
W3082416063
Cited by
38
References
13
Citations by year
2026: 1 · 2025: 8 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 7 · 2020: 2
FWCI
4.20
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01 MH106587)
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 › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
motivational interviewing, stand, community-based treatment, treatment engagement, parental involvement, medication adherence, family functioning, educational outcomes, usual care comparison
MeSH terms
Adolescent, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Cognition, Humans, Parents, Treatment Outcome, Motivational Interviewing

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