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This study is the first to systematically evaluate the efficacy of single and combined academic accommodation, behavioral treatment, and medication treatment in a large sample of children with ADHD. Using a scientifically rigorous, cross-over design the impact of these approaches on ecologically valid measures of outcome (on-task behavior, quiz scores, academic productivity) will be assessed to inform effective school intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo capsule administered in the morning |
|
| Methylphenidate ER (.3 mg/kg dose) | Experimental | Methylphenidate ER (.3 mg/kg dose)administered in the morning |
|
| General Classroom | Active Comparator | General classroom procedures |
|
| Positive Behavior Support Classroom | Experimental | Positive Behavior Support Classroom procedures |
|
| Academic accommodations | Experimental | Academic accommodations are used during seat work and quiz |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methylphenidate Hydrochloride ER | Drug | Methylphenidate Hydrochloride ER (.3 mg/kg dose q.d.) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Behavioral frequency count of rule violations | Behavioral frequency count of rule violations. Lower scores are better. | Through study completion, a maximum of eight weeks |
| Seatwork completion | Percentage of assigned seat work items completed correctly. Range of scores is from 0-100%. Higher scores are better. | Through study completion, a maximum of eight weeks |
| Quiz Scores | Percentage correct out of 10 quiz questions. Range of scores is from 0-100%. Higher scores are better. | Through study completion, a maximum of eight weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FIU Center for Childern and Families | Miami | Florida | 33199 | United States | ||
| Center for Children and Families |
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| Behavioral classroom | Behavioral | Enhanced positive behavior supports implemented in classroom |
|
| Placebo | Drug | Placebo capsule |
|
| General Classroom | Behavioral | General education classroom procedures |
|
| Academic Accommodations | Behavioral | Accommodations are introduced to support the child's independent seat work completion and quiz scores |
|
| Amherst |
| New York |
| 14226 |
| United States |
| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D008774 | Methylphenidate |
| ID | Term |
|---|---|
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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