title: Parent-reported homework problems in the MTA study: evidence for sustained improvement with behavioral treatment.
abstract: Parent-report of child homework problems was examined as a treatment outcome variable in the MTA-Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). Five hundred seventy-nine children ages 7.0 to 9.9 were randomly assigned to either medication management, behavioral treatment, combination treatment, or routine community care. Results showed that only participants who received behavioral treatment (behavioral and combined treatment) demonstrated sustained improvements in homework problems in comparison to routine community care. The magnitude of the sustained effect at the 10-month follow-up assessment was small to moderate for combined and behavioral treatment over routine community care (d = .37, .40, respectively). Parent ratings of initial ADHD symptom severity was the only variable found to moderate these effects.
authors.affiliation: Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, 3333 Burnet Avenue, MLC 10006, Cincinnati, OH 45229-3039, USA. joshua.langberg@cchmc.org
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Langberg
authors.forename: L Eugene
authors.initials: LE
authors.lastname: Arnold
authors.forename: Amanda M
authors.initials: AM
authors.lastname: Flowers
authors.forename: Jeffery N
authors.initials: JN
authors.lastname: Epstein
authors.forename: Mekibib
authors.initials: M
authors.lastname: Altaye
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Hinshaw
authors.forename: James M
authors.initials: JM
authors.lastname: Swanson
authors.forename: Ronald
authors.initials: R
authors.lastname: Kotkin
authors.forename: Stephen
authors.initials: S
authors.lastname: Simpson
authors.forename: Brooke S G
authors.initials: BS
authors.lastname: Molina
authors.forename: Peter S
authors.initials: PS
authors.lastname: Jensen
authors.forename: Howard
authors.initials: H
authors.lastname: Abikoff
authors.forename: William E
authors.initials: WE
authors.lastname: Pelham
authors.forename: Benedetto
authors.initials: B
authors.lastname: Vitiello
authors.forename: Karen C
authors.initials: KC
authors.lastname: Wells
authors.forename: Lily
authors.initials: L
authors.lastname: Hechtman
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000150:complications / Q000628:therapy; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000628:therapy*; D001521:Behavior Therapy; D002648:Child; D003156:Community Mental Health Services; D019955:Conduct Disorder / Q000150:complications / Q000628:therapy; D004522:Educational Status; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D008297:Male; D010290:Parents; D010349:Patient Compliance; D012044:Regression Analysis; D016896:Treatment Outcome
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