A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type.
OBJECTIVE
To evaluate the efficacy of a behavioral psychosocial treatment integrated across home and school (Child Life and Attention Skills Program) with attention-deficit/hyperactivity disorder (ADHD) predominantly inattentive type (ADHD-I).


METHODS
Sixty-nine children ages 7 to 11 years were randomized to the Child Life and Attention Skills Program or a control group who did not receive the intervention. We compared groups posttreatment and at 3- to 5-month follow-up on parent and teacher ratings of inattention, sluggish cognitive tempo, and functional impairment.


RESULTS
Children randomized to the Child Life and Attention Skills Program were reported to have significantly fewer inattention and sluggish cognitive tempo symptoms, and significantly improved social and organizational skills, relative to the control group. Gains were maintained at follow-up.


CONCLUSIONS
Behavioral psychosocial treatment, when specifically adapted for ADHD-I and coordinated among parents, teachers, and children, appears efficacious in reducing symptoms and impairment associated with ADHD-I.
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.. Electronic address: lindap@lppi.ucsf.edu.
Linda J
LJ
Pfiffner
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.
Amori
A
Yee Mikami
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.
Cynthia
C
Huang-Pollock
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.
Barbara
B
Easterlin
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.
Christine
C
Zalecki
Drs. Pfiffner, Easterlin, Zalecki, and McBurnett are with the Department of Psychiatry, University of California, San Francisco; Dr. Mikami is with the Department of Psychology, University of Virginia, Charlottesville; and Dr. Huang-Pollock is with the Department of Psychology, Pennsylvania State University, College Park.
Keith
K
McBurnett
D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D002648:Child; D015897:Comorbidity; D019033:Delivery of Health Care, Integrated; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D015588:Observer Variation; D012572:School Health Services; D012720:Severity of Illness Index; D012919:Social Behavior