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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.
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]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Meisel%2C+Samuel%22&quot;&gt;Meisel, Samuel&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Porter%2C+Nicole%22&quot;&gt;Porter, Nicole&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bobek%2C+Molly%22&quot;&gt;Bobek, Molly&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Henderson%2C+Craig+E%2E%22&quot;&gt;Henderson, Craig E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hogue%2C+Aaron%22&quot;&gt;Hogue, Aaron&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Attention-deficit+hyperactivity+disorder%22&quot;&gt;Attention-deficit hyperactivity disorder&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+decision+making%22&quot;&gt;Medical decision making&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+compliance%22&quot;&gt;Patient compliance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Academic+achievement%22&quot;&gt;Academic achievement&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Academic+support+programs%22&quot;&gt;Academic support programs&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenagers%22&quot;&gt;Teenagers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Symptoms%22&quot;&gt;Symptoms&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: 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 &lt;.05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p &lt;.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 &lt;.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]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of Clinical Child &amp; Adolescent Psychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/15374416.2025.2454640
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 15
        StartPage: 91
    Subjects:
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Medical decision making
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Academic achievement
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      – SubjectFull: Academic support programs
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      – SubjectFull: Teenagers
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      – SubjectFull: Symptoms
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      – TitleFull: Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.
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            NameFull: Bobek, Molly
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              M: 01
              Text: Jan/Feb2026
              Type: published
              Y: 2026
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