School-based intervention for adolescents with attention-deficit/hyperactivity disorder: Effects on academic functioning.

Autor: DuPaul GJ; Lehigh University, USA. Electronic address: gjd3@lehigh.edu., Evans SW; Ohio University, USA., Owens JS; Ohio University, USA., Cleminshaw CL; Lehigh University, USA., Kipperman K; Lehigh University, USA., Fu Q; Lehigh University, USA., Benson K; Ohio University, USA.
Jazyk: angličtina
Zdroj: Journal of school psychology [J Sch Psychol] 2021 Aug; Vol. 87, pp. 48-63. Date of Electronic Publication: 2021 Jul 08.
DOI: 10.1016/j.jsp.2021.07.001
Abstrakt: Multi-component training interventions such as the Challenging Horizons Program (CHP) improve organization skills and academic functioning of middle school students with attention-deficit/hyperactivity disorder (ADHD); however, few studies have investigated treatment for high school students. We explored the extent to which CHP adapted for high school would improve proximal (e.g., organization skills, homework performance) and distal (e.g., report card grades) academic outcomes through 6-month follow-up relative to a community care (CC) condition. Participants included 186 adolescents who were randomly assigned to CHP (n = 92; 80% male; M age = 15.0; SD = 0.8) or CC (n = 94; 78% male; M age = 15.1; SD = 0.9) with CHP delivered over one school year. Parent, teacher, and self-report ratings of organization skills and academic performance, report card grades, and achievement tests were collected across multiple occasions. Intent-to-treat analyses using hierarchical linear modeling revealed significant improvements of small to medium magnitude (d range = 0.32 to 0.58) for parent-rated organization skills, homework performance, and academic functioning at 6-month follow-up. CHP effect on grades was small, but associated with a less steep decline than that found for CC. No statistically significant effects on teacher or self-report ratings were obtained. CHP appears efficacious for ameliorating organization skills and homework performance deficits exhibited by high school students with ADHD and can protect against decline in report card grades experienced by these students. CHP may require supplementation with academic skills instruction for some students and may need implementation beyond one school year to produce durable effects.
(Copyright © 2021 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE