Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.
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| Title: | Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols. |
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| Authors: | Meisel, Samuel (AUTHOR), Porter, Nicole (AUTHOR), Bobek, Molly (AUTHOR), Henderson, Craig E. (AUTHOR), Hogue, Aaron (AUTHOR) |
| Source: | Journal of Clinical Child & Adolescent Psychology. Jan/Feb2026, Vol. 55 Issue 1, p91-105. 15p. |
| Subjects: | Attention-deficit hyperactivity disorder, Medical decision making, Patient compliance, Academic achievement, Academic support programs, Teenagers, Symptoms |
| Abstract: | Objective: Changing Academic Support in the Home for Adolescents with ADHD (CASH-AA) and Medication Integration Protocol (MIP) are two family-based behavioral protocols designed to promote family solutions to academic problems and medication decision-making. Building on a randomized control trial examining these protocols, the current study examined how protocol dose, an indicator of treatment adherence, was associated with treatment outcomes. Method: The sample consisted of 145 adolescent clients (M age = 14.8, 72% male, 42% White, 37% Hispanic, 15% Black) and 49 community and hospital-based therapists (82% female, 63% White, 29% Hispanic). Latent growth curve models examined how therapist reports of minutes adolescents and their caregivers received CASH-AA and MIP predicted levels and change in inattentive and hyperactive symptoms (MINI-International Neuropsychiatric Interview); co-occurring symptoms (Youth Self Report/Child Behavior Checklist); homework problems (Homework Problems Checklist); and medication compliance at baseline, 3, 6, and 12-month follow-ups. Results: MIP minutes were prospectively associated with lower caregiver-reported inattentive and hyperactive symptoms, adolescent- and caregiver-reported externalizing symptoms and caregiver-reported homework problems at the 12-month follow-up (ẞ range = −.16 to −.39, p <.05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p <.001). CASH-AA minutes were associated with greater caregiver-reported inattentive symptoms (ẞ =.11, p =.049) at 12-month follow-up and slower declines in homework problems (ẞ = -.39, p <.001). Neither MIP nor CASH-AA minutes were associated with internalizing symptoms or medication use. Conclusions: Findings further support MIP as an effective behavioral protocol for adolescent ADHD and indicate the need for increasing MIP implementation efforts in community settings. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: Changing Academic Support in the Home for Adolescents with ADHD (CASH-AA) and Medication Integration Protocol (MIP) are two family-based behavioral protocols designed to promote family solutions to academic problems and medication decision-making. Building on a randomized control trial examining these protocols, the current study examined how protocol dose, an indicator of treatment adherence, was associated with treatment outcomes. Method: The sample consisted of 145 adolescent clients (M age = 14.8, 72% male, 42% White, 37% Hispanic, 15% Black) and 49 community and hospital-based therapists (82% female, 63% White, 29% Hispanic). Latent growth curve models examined how therapist reports of minutes adolescents and their caregivers received CASH-AA and MIP predicted levels and change in inattentive and hyperactive symptoms (MINI-International Neuropsychiatric Interview); co-occurring symptoms (Youth Self Report/Child Behavior Checklist); homework problems (Homework Problems Checklist); and medication compliance at baseline, 3, 6, and 12-month follow-ups. Results: MIP minutes were prospectively associated with lower caregiver-reported inattentive and hyperactive symptoms, adolescent- and caregiver-reported externalizing symptoms and caregiver-reported homework problems at the 12-month follow-up (ẞ range = −.16 to −.39, p <.05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p <.001). CASH-AA minutes were associated with greater caregiver-reported inattentive symptoms (ẞ =.11, p =.049) at 12-month follow-up and slower declines in homework problems (ẞ = -.39, p <.001). Neither MIP nor CASH-AA minutes were associated with internalizing symptoms or medication use. Conclusions: Findings further support MIP as an effective behavioral protocol for adolescent ADHD and indicate the need for increasing MIP implementation efforts in community settings. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15374416 |
| DOI: | 10.1080/15374416.2025.2454640 |
