| Title |
A Dose-Ranging Study of Behavioral and Pharmacological Treatment in Social Settings for Children with ADHD
|
|---|---|
| Published in |
Research on Child and Adolescent Psychopathology, January 2014
|
| DOI | 10.1007/s10802-013-9843-8 |
| Pubmed ID | |
| Authors |
William E. Pelham, Lisa Burrows-MacLean, Elizabeth M. Gnagy, Gregory A. Fabiano, Erika K. Coles, Brian T. Wymbs, Anil Chacko, Kathryn S. Walker, Frances Wymbs, Allison Garefino, Martin T. Hoffman, James G. Waxmonsky, Daniel A. Waschbusch |
| Abstract |
Placebo and three doses of methylphenidate (MPH) were crossed with 3 levels of behavioral modification (no behavioral modification, NBM; low-intensity behavioral modification, LBM; and high-intensity behavior modification, HBM) in the context of a summer treatment program (STP). Participants were 48 children with ADHD, aged 5-12. Behavior was examined in a variety of social settings (sports activities, art class, lunch) that are typical of elementary school, neighborhood, and after-school settings. Children received each behavioral condition for 3 weeks, order counterbalanced across groups. Children concurrently received in random order placebo, 0.15 mg/kg/dose, 0.3 mg/kg/dose, or 0.6 mg/kg/dose MPH, 3 times daily with dose manipulated on a daily basis in random order for each child. Both behavioral and medication treatments produced highly significant and positive effects on children's behavior. The treatment modalities also interacted significantly. Whereas there was a linear dose-response curve for medication in NBM, the dose-response curves flattened considerably in LBM and HBM. Behavior modification produced effects as large as moderate doses, and on some measures, high doses of medication. These results replicate and extend to social-recreational settings previously reported results in a classroom setting from the same sample (Fabiano et al., School Psychology Review, 36, 195-216, 2007). Results illustrate the importance of taking dosage/intensity into account when evaluating combined treatments; there were no benefits of combined treatments when the dosage of either treatment was high but combination of the low-dose treatments produced substantial incremental improvement over unimodal treatment. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 164 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 2% |
| Canada | 2 | 1% |
| Brazil | 1 | <1% |
| Unknown | 158 | 96% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 27 | 16% |
| Student > Master | 21 | 13% |
| Student > Bachelor | 14 | 9% |
| Researcher | 12 | 7% |
| Student > Doctoral Student | 12 | 7% |
| Other | 36 | 22% |
| Unknown | 42 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 61 | 37% |
| Medicine and Dentistry | 16 | 10% |
| Nursing and Health Professions | 9 | 5% |
| Social Sciences | 8 | 5% |
| Neuroscience | 7 | 4% |
| Other | 17 | 10% |
| Unknown | 46 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 June 2021.
All research outputs
#3,080,720
of 25,373,627 outputs
Outputs from Research on Child and Adolescent Psychopathology
#286
of 2,047 outputs
Outputs of similar age
#34,732
of 319,924 outputs
Outputs of similar age from Research on Child and Adolescent Psychopathology
#6
of 23 outputs
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